Nir Menachemi (
Lindsay Weaver, Indiana Department of Health, Indianapolis, Indiana.
Health Aff (Millwood). 2024 Jun;43(6):856-863. doi: 10.1377/hlthaff.2023.01650.
Indiana has a business-friendly environment, but historical underinvestment in public health has yielded poor health outcomes. In 2023, when trust in governmental public health was strained nationwide, Indiana increased public health spending by 1,500 percent. In this article, we explain how Indiana achieved this unprecedented legislative victory for public health, describing the context, approach, and lessons learned. Specifically, an Indiana University report linking economic vitality and overall health sparked the creation of a governor's commission charged with exploring ways to address Indiana's shortcomings. Working with the Indiana Department of Health, the commission developed multisectoral coalitions and business and government partnerships, and it maintained consistent and coordinated communication with policy makers. Lessons learned included the value of uncoupling public health from partisan narratives, appointing diverse commission membership with strategically selected cochairs, involving local leaders, and ensuring local decision-making control. We believe that Indiana's approach holds insights for other states interested in strengthening public health funding in the current era.
印第安纳州拥有友好的商业环境，但由于历史上对公共卫生的投资不足，导致该州的健康状况不佳。2023 年，当全国范围内对政府公共卫生的信任受到挑战时，印第安纳州将公共卫生支出增加了 1500%。在本文中，我们将解释印第安纳州如何为公共卫生取得这一前所未有的立法胜利，描述其背景、方法和经验教训。具体来说，印第安纳大学的一份报告将经济活力与整体健康联系起来，这促使成立了一个州长委员会，负责探索解决印第安纳州缺陷的方法。该委员会与印第安纳州卫生部合作，组建了多部门联盟和企业与政府伙伴关系，并与政策制定者保持了一致和协调的沟通。经验教训包括将公共卫生与党派叙事分开、任命具有战略选择的联合主席的多样化委员会成员、让地方领导人参与以及确保地方决策控制的重要性。我们相信，印第安纳州的方法为其他有兴趣在当前时代加强公共卫生资金的州提供了一些启示。
