国家优先事项和需求:总体补助的作用
Casey P Balio1,2,3, Stephanie M Mathis1,2,4, Margaret M Francisco1,2,4
1NORC Rural Health Equity Research Center, East Tennessee State University, Johnson City, TN, USA.
Public health reports (Washington, D.C. : 1974)
|November 4, 2023
概括
联邦为各州提供集体补助资金通常使用过时的公式,导致分配不一致,无法满足当前人口需求. 这项分析揭示了资金在各州分配方式的显著差异.
科学领域:
- 公共卫生政策 公共卫生政策
- 医疗保健服务研究 医疗服务研究
- 政府资助的政府资助.
背景情况:
- 联邦积分补助为各州在资金分配方面提供了灵活性.
- 目前的州级资金分配可能依赖于过时的公式.
- 这可能导致分配的资金与当前州人口需求之间的不一致.
研究的目的:
- 分析五个联邦总拨款项目的州级资金分配情况.
- 评估这些拨款与当前州人口需求的协调程度.
- 确定影响分批赠款分配的特征.
主要方法:
- 对所有50个州的2015-2019年国家积分补助拨款的分析.
- 使用了描述性统计和多变量回归模型.
- 模型结合了国家特征和特定计划需求.
主要成果:
- 平均人均拨款在各个计划中差异很大 (每1000人618-21528美元).
- 与分配相关的因素在分批补助金之间有显著差异.
- 很少有与资金水平相关的附加特征,这表明对特定需求的调整有限.
结论:
- 目前的联邦积分补助资金结构与州的特点和需求没有充分协调.
- 进一步的研究应该调查资金使用情况,并将分批赠款与分类融资进行比较.
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