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March 2002 (Volume 80)
March 2002 | John Chapin, Bruce Fetter | Featured Article
In 2000, the Wisconsin Division of Public Health reorganized its allocation of federal and state funds by basing contracts on performance rather than audited costs. This created a quasi market in which the state acted as the buyer and the local health departments as the sellers of public health services. In its first year of operation, the program more effectively defined public health objectives to its funders and constituencies, linked its fiscal accountability more closely to attainment, and documented performance more carefully. In the next two years, the program will focus on improving the quality of objectives and training all parties in negotiation skills. The 2003-6 contract cycle will concentrate on multiyear and multiprogram objectives and a Web-based contract management system. This new contract system will not, however, be established permanently until its long-range impact on funding levels and population health status is known.
Author(s): John Chapin; Bruce Fetter
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Volume 80, Issue 1 (pages 97–124) DOI: 10.1111/1468-0009.00004 Published in 2002
Examining the Role of Health Services Research in Public Policymaking
Not Afraid to Blame: The Neglected Role of Blame Attribution in Medical Consumerism and Some Implications for Health Policy
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