Health Services Research as a Source of Legislative Analysis and Input: The Role of the California Health Benefits Review Program
Identifieur interne : 002241 ( Ncbi/Merge ); précédent : 002240; suivant : 002242Health Services Research as a Source of Legislative Analysis and Input: The Role of the California Health Benefits Review Program
Auteurs : Thomas R. Oliver ; Rachel Friedman SingerSource :
- Health Services Research [ 0017-9124 ] ; 2006.
Abstract
This article examines the role of the California Health Benefits Review Program (CHBRP) as a source of information in state health policy making. It explains why the California benefits review process relies heavily on university-based researchers and employs a broad set of criteria for review, which set it apart from similar programs in other states. It then analyzes the politics of health insurance mandates and how independent research and analysis might alter the perceived benefits and costs of health insurance mandates and thus political outcomes. It considers how research and analysis is typically used by policy makers, and illustrates how participants inside and outside of state government have used the reports prepared by CHBRP as both guidance in policy design and as political ammunition. Although there is consensus that the review process has reduced the number of mandate bills that are passed out of the legislature, both supporters and opponents favor the new process and generally believe the reports strengthen their case in legislative debates over health insurance mandates. The role of the CHBRP is narrowly defined by statute at the present time, but the program may well face pressure to evolve from its current academic orientation into a more interactive, advisory role for legislators in the future.
Url:
DOI: 10.1111/j.1475-6773.2006.00523.x
PubMed: 16704675
PubMed Central: 1713221
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<front><journal-meta><journal-id journal-id-type="nlm-ta">Health Serv Res</journal-id><journal-id journal-id-type="publisher-id">hesr</journal-id><journal-title>Health Services Research</journal-title><issn pub-type="ppub">0017-9124</issn><publisher><publisher-name>Blackwell Science Inc</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">16704675</article-id><article-id pub-id-type="pmc">1713221</article-id><article-id pub-id-type="doi">10.1111/j.1475-6773.2006.00523.x</article-id><article-categories><subj-group subj-group-type="heading"><subject>Original Articles</subject></subj-group></article-categories><title-group><article-title>Health Services Research as a Source of Legislative Analysis and Input: The Role of the California Health Benefits Review Program</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Oliver</surname><given-names>Thomas R</given-names></name></contrib><contrib contrib-type="author"><name><surname>Singer</surname><given-names>Rachel Friedman</given-names></name></contrib></contrib-group><author-notes><corresp id="cor1">Address correspondence to Thomas R. Oliver, Ph.D., M.H.A., Associate Professor, Department of Health Policy and Management, Johns Hopkins University, Bloomberg School of Public Health, 624 N. Broadway, Room 403, Baltimore, MD 21205. Rachel Friedman Singer, M.P.H., M.P.A., Doctoral Student, is also with the Department of Health Policy and Management, Johns Hopkins University, Bloomberg School of Public Health, Baltimore, MD.</corresp></author-notes><pub-date pub-type="ppub"><month>6</month><year>2006</year></pub-date><volume>41</volume><issue>3 Pt 2</issue><fpage>1124</fpage><lpage>1158</lpage><copyright-statement>© 2006 Health Research and Educational Trust</copyright-statement><copyright-year>2006</copyright-year><abstract><p>This article examines the role of the California Health Benefits Review Program (CHBRP) as a source of information in state health policy making. It explains why the California benefits review process relies heavily on university-based researchers and employs a broad set of criteria for review, which set it apart from similar programs in other states. It then analyzes the politics of health insurance mandates and how independent research and analysis might alter the perceived benefits and costs of health insurance mandates and thus political outcomes. It considers how research and analysis is typically used by policy makers, and illustrates how participants inside and outside of state government have used the reports prepared by CHBRP as both guidance in policy design and as political ammunition. Although there is consensus that the review process has reduced the number of mandate bills that are passed out of the legislature, both supporters and opponents favor the new process and generally believe the reports strengthen their case in legislative debates over health insurance mandates. The role of the CHBRP is narrowly defined by statute at the present time, but the program may well face pressure to evolve from its current academic orientation into a more interactive, advisory role for legislators in the future.</p></abstract><kwd-group><kwd>State health policy</kwd><kwd>health insurance</kwd><kwd>politics</kwd><kwd>legislative decision making</kwd></kwd-group></article-meta></front></pmc><affiliations><list></list><tree><noCountry><name sortKey="Oliver, Thomas R" sort="Oliver, Thomas R" uniqKey="Oliver T" first="Thomas R" last="Oliver">Thomas R. Oliver</name><name sortKey="Singer, Rachel Friedman" sort="Singer, Rachel Friedman" uniqKey="Singer R" first="Rachel Friedman" last="Singer">Rachel Friedman Singer</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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