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Show PUBLIC HEALTH EXPENDITURES Public health expenditures are used in national comparisons as indicators of the extent to which disease prevention and health promotion programs are being employed. Changes in reporting expenditures exclude more current data for this year's edition. Utah spent more on public health programs per capita than the nation between 1985 and 1989. In 1986 and 1987 Utah spent substantially more than the national average, but became more similar in 1988 and 1989 (Table 106). Utah's public health expenditure percentage change of 8.9% between 1985 and 1989 is equal to the nation's. Because these numbers are actual expenditures and not adjusted for inflation, increased public health expenditures may not mean increased services. The additional expenditures may reflect an increase in cost to deliver the same services as the previous year. The comparison between expenditures by source of funding for Utah and the nation shows substantial differences in how public health is funded (Table 107). Utah funds its public health agencies by federal grant and contract funds in about twice the proportion of the nation. Because Utah has substantial federal funding, there has been less need to fund public health programs with state money. Table 106 Public Health Expenditures Year Total Expenditure Dollars (in thousands) Utah % change from previous vear Expenditures Per Capita* Total Expenditure Dollars (in thousands) U.S. % change from previous vear Expenditures Per Capita* 1985 1986 1987 1988 1989 60,948 80,123 81,948 74,047 82,955 31.0 2.3 -9.6 12.0 37.10 48.18 48.84 43.81 48.63 8,404,600 9,384,667 10,267,920 10,567,818 11,814,903 11.7 9.4 2.9 11.8 35.24 38.10 42.29 43.12 47.77 * Total expenditures divided by total population estimates. Table 107 Total State Health Agency Expenditures by Source of Fund1 Federal Grant Fee Reimbursement Local & Contract Funds State & Other Funds U.S. U.S. U.S. U.S. Year Utah2 Average Utah Average Utah Average Utah Average 1985 2 68 37 27 55 5 6 1986 2 73 36 23 55 4 6 1987 2 70 35 21 56 9 7 1988 2 64 36 26 55 9 7 1989 2 65 37 26 54 9 8 Includes additional expenditures of local health departments. Percentages may not add up to 100 due to rounding. These totals are only expenditures of official state and local health departments. Public health expenditures from other agencies are not included. 2 Local Utah numbers are not included because the State Health Depanment does not have any local sources of income that go directly to it. Utah's Health: An Annual Review 1994 81 |
