The California's Public Health infrastructure, from the perspective of public health preparedness is characterized by high interjurisdictional variability. A combination of coordination of resources and new investment will be necessary to fill gaps. To assess gaps in California's Public Health Infrastructure, RAND reviewed extant performance measures; developed and conducted tabletop exercises in nine local health departments; and performed an economic analysis to identify the gaps in infrastructure relating to preparedness. Two of seven jurisdictions were well prepared, and one was poorly prepared. The study concludes that the level of protection afforded to California residents is uneven and recommends steps to strengthen the infrastructure.
The research described in the report was conducted by RAND Health for the California Endowment and Kaiser Permanente.
This report is part of the RAND Corporation technical report series. RAND technical reports may include research findings on a specific topic that is limited in scope or intended for a narrow audience; present discussions of the methodology employed in research; provide literature reviews, survey instruments, modeling exercises, guidelines for practitioners and research professionals, and supporting documentation; or deliver preliminary findings. All RAND reports undergo rigorous peer review to ensure that they meet high standards for research quality and objectivity.
Permission is given to duplicate this electronic document for personal use only, as long as it is unaltered and complete. Copies may not be duplicated for commercial purposes. Unauthorized posting of RAND PDFs to a non-RAND Web site is prohibited. RAND PDFs are protected under copyright law. For information on reprint and linking permissions, please visit the RAND Permissions page.
The RAND Corporation is a nonprofit institution that helps improve policy and decisionmaking through research and analysis. RAND's publications do not necessarily reflect the opinions of its research clients and sponsors.