Distributing State Children's Health Insurance Program funds: a critical review of the design and implementation of the funding formula.

Distributing State Children's Health Insurance Program funds: a critical review of the design and implementation of the funding formula.
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分配国家儿童健康保险计划资金:对资金公式的设计和实施进行严格审查。

DOI:
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发表时间:
2007
影响因子:
4.2
通讯作者:
M. Davern
M. Davern
中科院分区:
医学3区
文献类型:
--
作者:
L. Blewett;M. Davern

文献摘要

被引文献

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根据人口数据制定向各州分配联邦资金的公式,继续对数据和政策分析人员提出挑战。分析师必须将最客观的统计分析和数据输入提交给公式规范,同时承认授权联邦资助公式的立法程序的政治性。本文评估了联邦资助公式的国家儿童健康保险计划(SCHIP)使用的关键公式组成部分的需要,努力,能力和性能。我们还检查了SCHIP资助公式中目标人群的可操作性和衡量标准。就其性质而言,关于方案的立法决定是基于平衡相互竞争的政策目标的妥协。分析师的职责是不断审查当前的研究标准、数据质量和相关公式输入,并提出建议,以完善联邦资助公式,从而更好地将资源用于目标人群。
The development of formulas to distribute federal funds to states based on demographic data continues to challenge data and policy analysts. Analysts must forward the best objective statistical analysis and data inputs to formula specifications while acknowledging the politics of the legislative process that authorizes federal funding formulas. This article evaluates the federal funding formula for the State Children's Health Insurance Program (SCHIP) using key formula components of need, effort, capacity, and performance. We also examine the operationalization and measure of the target population in the SCHIP funding formula. Legislative decisions on formulas are, by nature, based on compromises that balance competing policy objectives. The analyst's role is to continually review current research standards, data quality, and relevant formula inputs and make recommendations to refine federal funding formulas to better target resources to their intended populations.