Cowell Alexander, McCarty Dennis, Cowell Alexander
Center for Interdisciplinary Substance Abuse Research, RTI International, Research Triangle Park, NC, USA.
J Ment Health Policy Econ. 2003 Dec;6(4):173-9.
The federal Substance Abuse Prevention and Treatment Block Grant (SAPTBG) was established by the U.S. Congress to assist the states in funding substance abuse treatment services. Although the SAPTBG represents about 40 percent of public funding for treatment, how this federal assistance affects state treatment spending is not well understood. Published research has examined this topic, drawing on an approach from public finance economics.
Based on a review of the literature and data, this paper suggests future avenues of research on the impact of the SAPTBG.
The study reviews the relevant public finance economics literature and the data used in published work on the SAPTBG.
Current literature examines only the effect of the block grant on expenditures by state substance abuse agencies. Additional analysis is needed to examine the impact of the SAPTBG on all sources of state funding and expenditures for substance abuse treatment. Ideas for additional research are presented at the end of this paper.
The increasing interest of the U.S. Congress in evaluating the effectiveness of the many federal block grant programs requires that further analysis of the impact of the SAPTBG be undertaken. The analysis and approach in the literature is also instructive for other countries where a central government allocates health care resources to local authorities using a grant.
美国国会设立了联邦药物滥用预防与治疗整笔拨款（SAPTBG），以协助各州为药物滥用治疗服务提供资金。尽管SAPTBG约占治疗公共资金的40%，但这种联邦援助如何影响州治疗支出尚不清楚。已发表的研究利用公共财政经济学的方法对这一主题进行了探讨。
基于文献和数据回顾，本文提出了关于SAPTBG影响的未来研究方向。
该研究回顾了相关的公共财政经济学文献以及已发表的关于SAPTBG的研究中所使用的数据。
当前文献仅考察了整笔拨款对州药物滥用机构支出的影响。需要进行更多分析，以研究SAPTBG对州药物滥用治疗所有资金来源和支出的影响。本文结尾提出了更多研究的思路。
美国国会对评估众多联邦整笔拨款项目有效性的兴趣日益浓厚，这就要求对SAPTBG的影响进行进一步分析。文献中的分析和方法对其他中央政府通过拨款向地方当局分配医疗保健资源的国家也具有指导意义。
