Predicting policy targets through institutional structure : examining state choices in increasing the production of primary care physicians
By: KNOTT, Jack H.
Contributor(s): WEISSERT, Carol S.
Material type: ArticlePublisher: Thousand Oaks : SAGE, May 1995Administration & Society 27, 1, p. 3-24Abstract: This article addresses the relationship between the choices of a policy target and the institutional structure of the delivery system, focusing on states' desire to increase the production of primary care physicians. We examine two possible strategiesan institutional strategy in which state dollars are provided directly to medical schools and an individual strategy in which financial incentives are provided directly to students. We hypothesize that a state's choice between the strategies can be understood by institutional characteristics of the state's medical schools. Results indicate that these characteristics do have an influence on the choice of policy targetThis article addresses the relationship between the choices of a policy target and the institutional structure of the delivery system, focusing on states' desire to increase the production of primary care physicians. We examine two possible strategiesan institutional strategy in which state dollars are provided directly to medical schools and an individual strategy in which financial incentives are provided directly to students. We hypothesize that a state's choice between the strategies can be understood by institutional characteristics of the state's medical schools. Results indicate that these characteristics do have an influence on the choice of policy target
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