Fryer G E
Eval Program Plann. 1987;10(2):125-8. doi: 10.1016/0149-7189(87)90047-4.
The Federal government has in the past initiated a variety of programs in an effort to address the issue of medical underservice throughout the United States. The results of two such programs sponsored by the University of Colorado Health Sciences Center are examined. Their federal and state support have been decreased at a time when encouraging progress was being made in reducing rural Coloradoans' inaccessibility to medical care, although much of the state remains designated a primary care health manpower shortage area. This paper challenges the Federal Government's policy of temporarily "seed" funding programs whose interventions require several years to complete, under the assumption that state legislatures will eagerly pick up financial support for all that document continuing need and effectiveness. It also describes the difficulties this policy and prevailing state legislative attitude pose for program evaluators in performing their professional function.
联邦政府过去曾发起过各种项目，试图解决全美国医疗服务不足的问题。本文考察了科罗拉多大学健康科学中心发起的两个此类项目的成果。在减少科罗拉多州农村居民难以获得医疗服务这一问题上取得鼓舞人心进展之时，这两个项目获得的联邦和州政府支持却减少了，尽管该州大部分地区仍被指定为初级保健卫生人力短缺地区。本文对联邦政府的一项政策提出质疑，即在假定州立法机构会急切地为所有证明有持续需求和成效的项目提供财政支持的情况下，为那些干预措施需要数年才能完成的项目提供临时性“种子”资金。本文还描述了这一政策以及州立法机构普遍持有的态度给项目评估人员履行其专业职责带来的困难。
