title: Hospital Contributions to the Delivery of Public Health Activities in US Metropolitan Areas: National and Longitudinal Trends.
abstract: OBJECTIVE
  We investigated changes in hospital participation in local public health systems and the delivery of public health activities over time and assessed the relationship between hospital participation and the scope of activities available in local public health systems.
  
  
  METHODS
  We used longitudinal observations from the National Longitudinal Survey of Public Health Systems to examine how hospital contributions to the delivery of core public health activities varied in 1998, 2006, and 2012. We then used multivariate regression to assess the relationship between the level of hospital contributions and the overall availability of public health activities in the system.
  
  
  RESULTS
  Hospital participation in public health activities increased from 37% in 1998 to 41% in 2006 and down to 39% in 2012. Regression results indicated a positive association between hospital participation in public health activities and the total availability of public health services in the systems.
  
  
  CONCLUSIONS
  Hospital collaboration does play an important role in the overall availability of public health services in local public health systems. Efforts to increase hospital participation in public health may have a positive impact on the scope of services provided and population health in US communities.
authors.affiliation: Rachel A. Hogg is with the School of Public Affairs, University of Colorado, Denver. Glen P. Mays and Cezar B. Mamaril are with the Department of Health Management and Policy, University of Kentucky College of Public Health, Lexington.
authors.forename: Rachel A
authors.initials: RA
authors.lastname: Hogg
authors.affiliation: Rachel A. Hogg is with the School of Public Affairs, University of Colorado, Denver. Glen P. Mays and Cezar B. Mamaril are with the Department of Health Management and Policy, University of Kentucky College of Public Health, Lexington.
authors.forename: Glen P
authors.initials: GP
authors.lastname: Mays
authors.affiliation: Rachel A. Hogg is with the School of Public Affairs, University of Colorado, Denver. Glen P. Mays and Cezar B. Mamaril are with the Department of Health Management and Policy, University of Kentucky College of Public Health, Lexington.
authors.forename: Cezar B
authors.initials: CB
authors.lastname: Mamaril
mesh_terms: D003299:Cooperative Behavior; D006786:Hospitals, Urban / Q000458:organization & administration* / Q000706:statistics & numerical data; D006801:Humans; D008137:Longitudinal Studies; D011634:Public Health / Q000379:methods / Q000706:statistics & numerical data; D011635:Public Health Administration / Q000379:methods* / Q000706:statistics & numerical data; D014481:United States