Accession Number : ADA620567


Title :   Risk, Politics, and Money: The Need for a Value-Based Model for Financing Public Health Preparedness and Response


Descriptive Note : Master's thesis


Corporate Author : NAVAL POSTGRADUATE SCHOOL MONTEREY CA


Personal Author(s) : Pilkington, William F


Full Text : https://apps.dtic.mil/dtic/tr/fulltext/u2/a620567.pdf


Report Date : Dec 2014


Pagination or Media Count : 91


Abstract : Our federal, state, and local governments are not investing in the design and improvement of strategies for evaluating the costs associated with natural and man-made disasters and events. In this era of fiscal conservatism, one of the biggest challenges in designing and funding public health preparedness is deciding exactly how much to invest and determining the impact of those investments. This thesis developed a rigorous scientific model to evaluate the benefit of using value-based tools to enhance the effectiveness of public health preparedness programs. The key question that framed this research was: Are public health departments that use value-based decision-making more likely to demonstrate and document higher levels of preparedness competencies? Although this research failed to demonstrate a statistically significant relationship between preparedness competency and value-based decision-making, there were some findings to indicate that VBDM may be useful in decisions that determine the financing of public health preparedness. The ability to analytically demonstrate the benefit of public health preparedness might prove beneficial in attracting additional public funding as well as private funding.


Descriptors :   *COST BENEFIT ANALYSIS , *INVESTMENTS , *NATURAL DISASTERS , *PUBLIC HEALTH , COST EFFECTIVENESS , DATA ACQUISITION , DECISION MAKING , ECONOMIC MODELS , FEDERAL BUDGETS , GRANTS , HAZARDS , INFRASTRUCTURE , LOCAL GOVERNMENT , MATHEMATICAL MODELS , PLANNING PROGRAMMING BUDGETING , POLICIES , PROBABILITY , RESPONSE , RISK ANALYSIS , STATISTICAL ANALYSIS , SURVEYS , THESES , VULNERABILITY


Subject Categories : Economics and Cost Analysis
      Government and Political Science
      Sociology and Law
      Medicine and Medical Research


Distribution Statement : APPROVED FOR PUBLIC RELEASE