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HEALTH PLANNING IN THE UNITED STATES:
ISSUES IN GUIDELINE DEVELOPMENT
Report of a study
by a committee of the
INSTITUTE OF MEDICINE
March 1980
Supported by the Health Resources Administration
Contract No. 282-78-0163-EJM
National Academy of Sciences
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NOTICE
The project that is the subject of this report was approved by the
Governing Board of the National Research Council, whose members are
drawn from the Councils of the National Academy of Sciences, the
National Academy of Engineering, and the Institute of Medicine. The
members of the committee responsible for the report were chosen for
their special competencies and with regard for appropriate balance.
This report has been reviewed by a group other than the authors
according to procedures approved by a Report Review Committee con-
sisting of members of the National Academy of Sciences, the National
Academy of Engineering, and the Institute of Medicine.
The Institute of Medicine was chartered in 1970 by the National Academy
of Sciences to enlist distinguished members of the appropriate profes-
sions in the examination of policy matters pertaining to the health
of the public. In this, the Institute acts under both the Academy's
1863 Congressional charter responsibility to be an advisor to the
Federal Government, and its own initiative in identifying issues of
medical care, research, and education.
2101 Constitution Avenue, N.W., Washington, D.C. 20418
Area (202) 389-6178
Publication TOM 80-01
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COMMITTEE ON HEALTH PLANNING GOALS AND STANDARDS
Rashi Fein, Chairman
Harvard Medical School
Professor of the Economics of Medicine
Robert A. Derzon
Senior Scholar in Residence
Institute of Medicine
Henry A. DiPrete
Vice President, Group Operations
John Hancock Mutual Life
Insurance Company
Derek D. Gellman
Vice President of Medicine and
Education
Vancouver General Hospital
Jean L. Harris
Secretary of Human Resources
Commonwealth of Virginia
Clark C. Havighurst
Duke University
School of Law
John K. Iglehart
Vice President, Kaiser
Foundation Health Plan
James R. Kimmey
Director, Institute
for Health Planning
Herbert E. Klarman
Professor of Economics
New York University
Ben R. Lawton
Director, Marshfield Clinic
Roslyn Lindheim
Professor of Architecture
University of California
Walter J. McNerney
President, Blue Cross and
Blue Shield Association
Anthony T. Mott
Executive Director
Finger Lakes Health Systems
Agency
Nora Piore
Institute for Health Care
Studies
United Hospital Fund of
New York
William C. Richardson
Professor and Associate Dean
University of Washington
School of Public Health and
Community Medicine
Liaison Members from the National Council on Health Planning and
Development
S. Philip Caper
Vice Chancellor for Health
Affairs and Professor of Medicine
University of Massachusetts
Medical Center
_ 111 _
a. Emmerson Ward
Professor of Medicine
Mayo Medical School
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STAFF
Helen Darling, Study Director
Mary Anne Cunningham, Secretary
CONTRIBUTORS: BACKGROUND PAPERS
Bradford Gray (Proce
for Development)
Jeanne Holzgrefe (Long-Term Care for the Elderly)
Carolyn Kohn (Access to Health Care)
Jana Surdi (International Study and Selected
Activities of Planning Agencies)
Sunny Yoder (Configuration of Hospital Services)
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