Briefs & Reports

The Critical Role of Public Health Departments in Health Care Delivery System Reform

Dawn Hamilton
Margaret Kirkegaard, MD
Jack Meyer, PhD
Mona Shah
Pat Terrell
Lori Weiselberg

The purpose of this paper is to build a bridge that connects local and state public health officials with the leadership of hospitals, physicians and other providers, and public and private payers in an effort to improve the health of individuals and lower avoidable health care spending. This paper focuses on local reforms, including health care delivery system and community-based initiatives that factor in poor housing, long-term unemployment, inadequate nutrition, and other problems that clearly contribute to poor health but fall outside of the health care system.