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Show Table 73 Public Health Expenditures Utah US Year Total % change from Expenditures Total Expenditure Dollars % change from Expenditures Dollars previous year Per Capita* previous year Per Capita* (in thousands) (in thousands) 1985 60,948 na 37.10 8,404,600 na 35.24 1986 80,123 31.0 48.18 9,384,667 11.7 38.10 1987 81,948 2.3 48.84 10,267,920 9.4 42.29 1988 74,047 -9.6 43.81 10,567,818 2.9 43.12 1989 82,955 12.0 48.63 11,814,903 11.8 41.11 * Total expenditures divided by total population estimates. Source: Public Health Foundation. (1991, Dec.); (1990, June); (1989, Mar.); (1988, May); (1987, Sept.). Public Health Agencies: An Inventory of Programs and Block Grant Expenditures. Washington, D.C: Author. Total State Health Agency Expenditures, by Source of Fund1 (Percentage) Table 74 Local Federal Grant State Fee Reimbursement & Contract Funds & Other Funds Year Utah2 US Utah US Utah US Utah US Average Average Average 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 Source: Public Health Foundation. (1991, Dec.); (1990, June); (1989, March); (1988, May); (1987, Sept). Public Health Agencies: An Inventory of Programs and Block Grant Expenditures. Washington, D.C: Author. Public health expenditures are used in national comparisons as indicators of the extent to which disease prevention and health promotion programs are being employed. 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 73). 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 show substantial differences in how public health is funded (Table 74). Utah funds its public health agencies by federal grant and contract funds in about twice the proportion as does the nation. Because Utah has substantial federal funding, there has been less need to fund public health programs with state money. 1 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. 2Local Utah number is not included because the State Health Department does not have any local sources of income that go directly to it. Utah's Health: An Annual Review 1993 63 |