儿童健康保险计划（SCHIP）拨款的州差异：数额有多少、来源是什么以及能否减少？

State variation in SCHIP allocations: how much is there, what are its sources, and can it be reduced?

作者信息

Davern Michael, Blewett Lynn A, Bershadsky Boris, Call Kathleen Thiede, Rockwood Todd

机构信息

State Health Access Data Assistance Center, Division of Health Services Research and Policy, School of Public Health, University of Minnesota, Minneapolis 55414, USA.

出版信息

Inquiry. 2003 Summer;40(2):184-97. doi: 10.5034/inquiryjrnl_40.2.184.

DOI:10.5034/inquiryjrnl_40.2.184

PMID:13677565

Abstract

Allocations for the State Children's Health Insurance Program (SCHIP) varied 22% per state between 1999 and 2002. The funding fluctuations present significant problems for states as they develop budget priorities under difficult fiscal conditions. We examine sources of the variation in state allocations during the first four years of SCHIP, focusing on the Current Population Survey's "child component" of the allocation formula. We consider the trade-offs in using alternative estimates from the American Community Survey and model-based estimation. Obtaining reliable estimates of need for SCHIP allocations is critical for states dependent on federal support for insurance programs.

摘要

1999年至2002年期间，各州儿童健康保险计划（SCHIP）的拨款额度相差22%。在艰难的财政状况下，当各州制定预算优先事项时，资金波动带来了重大问题。我们研究了SCHIP前四年各州拨款差异的来源，重点关注当前人口调查中拨款公式的“儿童部分”。我们考虑了使用美国社区调查的替代估计值和基于模型的估计方法之间的权衡。对于依赖联邦政府对保险计划支持的各州而言，获得SCHIP拨款需求的可靠估计至关重要。