Public health services are paid for through a patchwork of grants, fees and local taxes. While the portions coming from these sources vary for each jurisdiction, all are subject to the same shrinking revenues while expenses increase.
Available grant funding tends to be short-term and focused on the priorities of the funder. This lack of flexibility can make it difficult to meet specific community needs.
Increasing Demands & Competing Priorities
New trends are pushing public health departments in many directions which places a strain on limited resources, including: emergency preparedness, emerging infectious diseases, the growing burden of chronic disease, an increasing number of people who are uninsured, and a national shift toward electronic medical records and health information exchange.