Health Planning in the United States Issues in Guideline Development, Report of a Study (1980) / Chapter Skim
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I. Introduction
I. Introduction
Pages 1-6
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Enactment of Public Law 93-641 followed extensive congressional hearings on problems in the health system. The legislators concluded that a more rational distribution of health services was essential, that the rate of increase in health care expenditures was intolerably high, and that earlier attempts to foster regional planning and rationally develop health resources had not been successful.
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As initial guidance, Congress specified ten national health priorities. They are the provision of primary care services especially for the underserved, development of multi-institutional arrangements for coordination or consolidation of services and for shared services, development of group practices and health maintenance organizations, increased training and utilization of physician assistants, improvement of quality of care, development of arrangements to provide levels of care on a geographically integrated basis, health promotion and disease prevention programs, adoption of uniform cost accounting, simplified reimbursement and reporting systems and better institutional management, development of effective methods for public education for personal health care and use of health services.
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examine the policy and research issues related to the national guidelines, including the need for research to strengthen and extend the knowledge base and data resources needed; and (b) recommend methods for developing guidelines that would help assure that future goals and standards benefit from the best professional advice at the time of consideration, are as defensible as possible on scientific grounds, (contd.)
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National health planning guidelines are one possible way to bring about increased coherence and consistency among health policies. There are many examples of inconsistencies and conflicts in health policies.
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Chapter III describes the national guidelines -- defined in the statute as goals and standards -- and what is known, at least in general, about national health planning goals and standards. Chapter IV contains recommendations of methods for developing national health planning guidelines.
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Information also was obtained from the Health Resources Administration and other governmental agencies, including the National Center for Health Care Technology, the Health Care Financing Administration, and the Office of Technology Assessment. Searches for literature from the field were helped by the use of an automated bibliographical search mechanism and an abstracted file of Health Systems Plans, both maintained by the National Health Planning Information Center.
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