Too Big, Too Small, or Just Right? Cost-Efficiency of Environmental Inspection Services in Connecticut.

Objective: To assess optimal activity size/mix of Connecticut local public health jurisdictions, through estimating economies of scale/scope/specialization for environmental inspections/services.

Data Sources/study Setting: Connecticut's 74 local health jurisdictions (LHJs) must provide environmental health services, but their efficiency or reasons for wide cost variation are unknown. The public health system is decentralized, with variation in organizational structure/size.