监测13号提案对医疗服务影响的策略。

Strategies for monitoring the effects of Proposition 13 on health services.

作者信息

Schwartz J L

出版信息

J Health Polit Policy Law. 1979 Summer;4(2):142-54. doi: 10.1215/03616878-4-2-142.

Abstract

The passage of Proposition 13 in California resulted in a reduction of funds available to support local programs. It is important to assess what is happening in California and to communicate that information to the rest of the nation. Background is presented on the origins of Proposition 13 and its potential effects on publicly funded health services. Specific strategies for monitoring the effects of Proposition 13 on health services are presented, along with types of data to be monitored. Early effects of Proposition 13 include personnel shortages, service reductions, introduction of fees for services, disruption of program continuity, service delays, demoralization of public employees, termination of contracts with community clinics, and drastic reductions in staff and services by special districts.

摘要

加利福尼亚州第13号提案的通过导致可用于支持地方项目的资金减少。评估加利福尼亚州正在发生的情况并将该信息传达给美国其他地区很重要。本文介绍了第13号提案的起源及其对公共资助医疗服务的潜在影响。还介绍了监测第13号提案对医疗服务影响的具体策略以及要监测的数据类型。第13号提案的早期影响包括人员短缺、服务减少、引入服务收费、项目连续性中断、服务延迟、公职人员士气低落、与社区诊所的合同终止以及特别区大幅削减工作人员和服务。