Targeted Health Spending Decreases Infant Mortality Rates
The study estimates that a 10 percent increase in infant-related spending leads to a 2.07 percent decrease in infant mortality rates in Florida. Black infant mortality rates are even more responsive to targeted public health spending, falling by 4.04 percent for each 10 percent increase in targeted spending.
Despite its preventable nature, infant mortality is a major healthcare problem in the United States, where mortality rates are significantly higher than most other developed nations. Now, a new study by researchers at 麻豆传媒映画 shows that targeted spending on public health activities specifically related to infant health significantly reduces infant mortality.
, conducted by FAU College of Business faculty members , Ph.D., , Ph.D., and , Ph.D., and recently published in the journal , estimates that a 10 percent increase in infant-related spending leads to a 2.07 percent decrease in infant mortality rates in Florida. Black infant mortality rates are even more responsive to targeted public health spending, falling by 4.04 percent for each 10 percent increase in targeted spending.
The study focused on public health expenditures in Florida, where the infant mortality rate is even higher than the national average, with 7.37 infant deaths per 1,000 live births during 2001-2014. The collected the data during those years on spending, staffing and other operating information annually, by county and by program.
Key to the study鈥檚 findings is the use of disaggregated data. Florida is one of very few states in the nation to keep such data, which breaks down spending in individual programs. Past studies have looked at total spending and generally showed that public health spending is not very effective at impacting problems like infant mortality.
鈥淥nce you disaggregate the data to the amount that鈥檚 actually being spent on the problem we can show that it does reduce infant mortality,鈥 said Vishwasrao, an associate professor in FAU鈥檚 . 鈥淎nd the effect is really big for black children. So, for minority children in particular, public health expenditures are useful because I think they鈥檙e the ones who don鈥檛 necessarily have the same access to the private sources of health care that other people do.鈥
The researchers examined both the effectiveness of total public health spending and the impact of targeted spending on infant-related programs, including the Maternal Health and Improved Pregnancy Outcomes (IPO) program, the Healthy Start program and the Women, Infants, and Children (WIC) program.
The researchers believe these findings can inform public health resource allocation decisions, identifying specific positive outcomes generated by infant-specific programs, and further highlighting those regions and populations that benefit the most. Ultimately, their study aims to pave the way to identify which public health programs impact population health and how existing resources might be better allocated to achieve the greatest improvements. The researchers plan to expand their research to maternal mortality for an upcoming study.
鈥淲hat鈥檚 surprising is in this day and age in the United States we鈥檙e talking about rates of infant mortality that are significantly higher than any other developed country, and maternal mortality that鈥檚 off the charts, and the problem is only getting worse in the last decade,鈥 said Gumus, an associate professor in health administration in FAU鈥檚 . 鈥淲e have to address these problems. We鈥檙e not proposing public health spending as the only means to do that, but clearly it could be one of the very effective ways to decrease these alarming mortality rates.鈥
-FAU-
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