care expenditures. The NRSA program provides funding for a fraction of all trainees, which is divided among NIH institutes and AHRQ. Since NRSA funding is expected to ensure an adequate supply of research personnel for health research, it is reasonable to expect the proportion of NRSA funding for HSR trainees to approximate the proportion of the federal health research that is HSR. This guideline suggests the need to roughly double NRSA funding of HSR training, from the current level of approximately 2 percent of NRSA funds to 4 percent.

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