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国家卫生规划项目引发的政府间问题。

Intergovernmental issues raised by the national health planning program.

作者信息

Raab G G

出版信息

J Health Hum Resour Adm. 1979 May;1(4):570-95.

PMID:10297499
Abstract

Raab uses the National Health Planning and Resources Development Act of 1974(P.L.93-641)which designated state and substate regional planning agencies, as a departure for discussion of a larger issue: federalism. Administration of the law has raised issues about the allocation of power among national, state and local governments. The author tries to set this question in historical context by tracing the history of U.S. intergovernmental relations and highlighting key issues. He focuses on two perspectives of federalism: cooperative and competitive relations between governments. From this survey, Raab draws three conclusions: conflict has become "inevitable" as governments pursue their own objectives in administering national grants-in-aid; state and local officials have grown more concerned with administrative structure than the substance of policy; and the growth of lobbies for state and local governments has reduced the prospect of conflict.

摘要

拉布以1974年的《国家卫生规划与资源开发法案》(第93 - 641号公法)为例展开讨论,该法案指定了州及州以下区域规划机构,以此作为探讨一个更大问题——联邦制的切入点。该法律的实施引发了有关国家、州和地方政府之间权力分配的问题。作者试图通过追溯美国政府间关系的历史并突出关键问题,将这个问题置于历史背景之中。他着重探讨了联邦制的两个视角:政府间的合作与竞争关系。通过这项研究,拉布得出了三个结论:随着各级政府在管理国家补助拨款时追求自身目标,冲突已变得“不可避免”;州和地方官员对行政结构的关注超过了政策实质内容;以及州和地方政府游说团体的增多降低了冲突发生的可能性。

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