Perceived Impacts of Health Care Reform on Large Urban Health Departments

Perceived Impacts of Health Care Reform on Large Urban Health Departments

CONTEXT The Patient Protection and Affordable Care Act (ACA) is changing the landscape of health systems across the United States, as well as the functioning of governmental public health departments. As a result, local health departments are reevaluating their roles, objectives, and the services they provide. OBJECTIVE We gathered perspectives on the current and future impact of the ACA on g...

Organizational Characteristics of Large Urban Health Departments

Approximately 150 million Americans lived in large metropolitan jurisdictions in 2013. About 1 in 7 Americans is served by a member of the Big Cities Health Coalition (BCHC), a group of 20 of the largest local health departments (LHDs) in the United States. In this brief, we describe the organizational characteristics of the country's largest health departments, including those that form the BC...

The Future of Urban Health: Needs, Barriers, Opportunities, and Policy Advancement at Large Urban Health Departments

CONTEXT More than 2800 local health departments (LHDs) provide public health services to more than 300 million individuals in the United States. This study focuses on departments serving the most populous districts in the nation, including the members of the Big Cities Health Coalition (BCHC) in 2013. OBJECTIVE To systematically gather leadership perspectives on the most pressing issues facin...

Welfare Reform and Indirect Impacts on Health

This paper was delivered at a National Poverty Center conference. Any opinions, findings, conclusions, or recommendations expressed in this material are those of the author(s) and do not necessarily reflect the view of the National Poverty Center or any sponsoring agency. We thank MDRC and MPR for assistance with the public use data and Peter Huckfeldt for excellent research assistance.

Checkup: Health Care Reform