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Health Agency Structure

Decent Essays

In terms of state health agency structure and governance, approximately thirty percent of the state have a centralized governance organization, thus local health units are mainly led by employees of the state. Ten percent of the state have a joint governance structure so local health divisions is controlled by state employees of the local government or state. If state employees are in control, local government has the authority to make financial decisions or issue municipal health instructions; if local employees are in control the state stays in control. On the other hand, more than half of the state have a decentralized structure, therefore local units are mainly controlled by workers of local governments. Ten percent of the state have …show more content…

Fifty-five percent of state public health organizations are structured as free-standing or independent departments within state government and forty-five percent are located within the umbrella such as the U.S Department of Health and Human Services (DHHS). Umbrella organizations are responsible for various types of health and public health services, such as Medicaid, public assistance, state mental health services, and long-term care. Public health services are distributed on a district or local level through several organizational structures. These organizational structures have an impact on the distribution of public health services (The Structure and Organization, 2017). Furthermore, all states must establish clear organizational strategies for public health accountability. States must have a department of health that assembles all primary health-related functions within a competent administration. The department must focus on disease control and health promotion, environmental responsibilities, and health regulations for occupations. Also, the federal government should determine structures or systematic changes that would be relevant to improve the federal government ability to meet the objectives of public health leadership. State and local agencies must strengthen environmental

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