Research and Service Programs in the PHS Challenges in Organization (1991) / Chapter Skim
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Introduction
Introduction
Pages 13-26
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From page 13... ...
It is important to point out that the study was confined to the examination of agencies within the Public Health Service (PHS) ; it did not examine in depth the current organizational structure of the Department of Health and Human Services (DHHS)
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Although many in the fields and disciplines related to basic and clinical research are convinced that there is a need to maximize resources for research, the committee agreed that the means of achieving maximal funding for biomedical research was not the question being asked by Congress. The committee identified three important issues related to the organization of biomedical and behavioral research and services development and demonstration programs that the study would evaluate in a variety of ways: .
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. ORGANIZATION OF THE REPORT A discussion of the organization and mission of the Public Health Service and its agencies follows this introduction, including new
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ORGANIZATION AND MANAGEMENT OF THE PUBLIC HEALTH SERVICE This study has focused on two quite different organizational structures that exist side by side within the PHS: one that separates tasks (managing and funding research, service demonstrations and service system development, and prevention programs) by function into three distinct agencies, and another that incorporates all three tasks into a single agency with functionally organized units.
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The Assistant Secretary for Health is responsible to Congress and to the Secretary of Health and Human Services Secretary Under Secretary Executive Secretary 7~ Deputy Under Secretary | Chiel of Stall Regional Directors ~ and Budget | ~ Leg s at on 1 Personnel Ad~ninislration General Counsel r stoat o. C1~1dr~ ~ I l Planning and Evaluation 1 I Public Affairs ~ I ~ Civil Rights | | Inspector ~ Ad~$etrat4~ Public Health | oo Service ash Health Care Financing Administration FIGURE 1-1 Organizational structure of the Office of the Secretary, Department of Health and Human Services (DHHS)
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NIH, ADAMHA, and AHCPR are established in law and granted specific authorities by Congress through amendments to the Public Health Service Act. HRSA and CDC are administratively created through authority vested in the Secretary of Health and Human Services.
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Abbreviations: NIH, National Institutes of Health; FDA, Food and Drug Administration; IHS, Indian Health Service; AHCPR, Agency for Health Care Polity Research; ADAMHA, Alcohol, Drug Abuse, and Mental Health Ad~niatration; CDC, Centers for Disease Control; HRSA, Health Resources and Seances Administration; CASH, Office of the Assistant Secretary for Health. SOURCE: Overozew of the Major Components of the Public Health Service, March 1990, Office of the Assistant Secretary for Health.
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Some, but not all, NIH institutes are authorized to conduct research demonstrations. However, NIH does not pronde health services other than therapeutic measures and care incidental to research.
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Although the ADAMHA institutes and OSAP are separately authorized in legislation, OTI was administratively created and has yet to be ratified by Congress. Health Resources and Services Administration HRSA supports programs that provide health care services to a variety of medically underserved populations, with the goal of improving access, equity, and quality of care.
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24 to P: of o A o m ~ a: Hi O ~ 0~; ~8 o ~ ~ o ~ ~ off A o off no ° To To ~ it: o lo u.
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as the primary source of federal support for research on medical treatment effectiveness, general health services, and health care technology. Because provision of health care services includes both private and public providers, AHCPR's research focuses on both the private and the public sector.
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This document is also the source of the organizational charts included in this chapter.
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