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Funding Human Services: Fixed Utility versus Fixed Budget

Abstract

It is argued that government allocations for human services based on inputs rather than outcomes reduce efficiency in social & health service provision. An alternative system of budgeting or contracting on the basis of cost per closed case & case outcome is discussed. An interdependency between fixed budget & fixed utility models of allocation is affirmed. The locus of decision making for operationalizing this interdependency is the program & budget review panel, to which operating agencies & government departments must submit financial & program accounting information from year to year. In isolation, the fixed budget approach degenerates into routine allocation or contract renewal, with a focus on such input & output variables as volume of service & unit cost, & the fixed utility approach degenerates into political stalemate. Simulated examples are given to demonstrate how allocation on the basis of inputs & outputs alone provides an incentive to inefficiency, & a fixed utility orientation to efficiency. 1 Table, 10 References. HA

Journal

Administration in Social Work

(Winter 1986)
vol10 no4 pages23-30

Categories

  1. Nonprofit Management  
  2. Budgeting