American journal of health planning最新文献

{"title":"The future of health planning.","authors":"L R Kaiser","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>What is the future of health planning? Will the profession survive? What will health planners be doing thirty years from now? The answers to these questions depend in part on prognostication and in part on the collective will of the profession to shape its own destiny. You ought to be doing something about the future in addition to waiting around for it. If by nature you are impatient for the good life, don't wait for it--invent it. The science of design is the sovereign science of the 21st century. A design for health requires us to answer three questions: (1) What should be done? (values) (2) How can it be done? (knowledge) (3) Who can do it? (power) To the degree health planners help society in its search for answers to these three questions, it will secure its own future as a profession. To the degree it fails in this quest, it will continue in its current mechanistic preoccupations and will eventually pass into irrevelance and obscurity. The impact of twenty-four societal trends are projected, as are the effects of the trends on the health planning profession and the images of its practitioners.</p>","PeriodicalId":76886,"journal":{"name":"American journal of health planning","volume":"3 4","pages":"1-9"},"PeriodicalIF":0.0,"publicationDate":"1978-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21107959","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"How to get federal contract money: an overview of the formal process in DHEW.","authors":"J Tirengel","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The U.S. Department of Health, Education, and Welfare (DHEW) spends millions of dollars annually on contracts to deliver services to State and local areas and to the Federal Government itself. The process through which competitive contracts are awarded is little understood outside the bureaucracy and a relatively small group of organizations which gain most of the funds. The purpose of this article is to describe the formal process which takes place, and to thereby make the process more understandable to the taxpayers whose money is being spent, to recipients of contract services, and to potential competitors for awards.</p>","PeriodicalId":76886,"journal":{"name":"American journal of health planning","volume":"3 4","pages":"36-9"},"PeriodicalIF":0.0,"publicationDate":"1978-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21107963","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"One approach to building an HSA data base.","authors":"H N Thornberry","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This paper discusses one approach for Health Systems Agencies to focus their information acquisition and analysis activities on subjects which will be most helpful to them in gaining visibility and credibility, while also offering opportunities for identifying and quantifying the most serious problem confronting them--the rapid rise in health care expenditures. Assembling information on health care expenditures will have the additional benefit of allowing the planning agencies to isolate and monitor the possible effects which their actions may have on changes in health care costs. This may become particularly critical in a few years when the Congress and HEW are less patient and more insistent that evidence of clear cost control benefits will have to be produced if the nation is to continue to invest in health planning. In general, as health care costs have continued to climb, serious questions have been raised about the ability of the taxpayers, employees, and employers, through insurers, to continue to pay for even the health services and benefits now available. At a minimum, severe fiscal pressures will seriously threaten existing entitlements and coverage. Health planning could be a major tool to reduce cost inflation and protect other social and health programs while simultaneously permitting the introduction of needed and desirable innovations. Health planning could be a significant instrument for shifting health system investments, especially capital investments, into those areas which may produce more health at the margin than current expenditures.</p>","PeriodicalId":76886,"journal":{"name":"American journal of health planning","volume":"3 4","pages":"30-5"},"PeriodicalIF":0.0,"publicationDate":"1978-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21179972","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Is a national model for health planning appropriate?","authors":"C Roseman,&nbsp;B Z Palmer","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In this article, a \"point-counterpoint\" format is used to discuss a fundamental issue concerned with the design and implementation of P.L. 93-641. Dr. Cyril Roseman first examines some implementation obstacles and argues that basic forces are at work militating against effective implementation of an implicit national model, and he argues that multiple models for planning should be formulated under the existing law. Boyd Palmer then counters with a view that the existing national model is flexible enough to accommodate the basic forces without undertaking the drastic changes implied by Dr. Roseman.</p>","PeriodicalId":76886,"journal":{"name":"American journal of health planning","volume":"3 4","pages":"17-22"},"PeriodicalIF":0.0,"publicationDate":"1978-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21107960","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A commitment to health?","authors":"W B Goldbeck","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This paper is designed to ask several questions, raise a number of issues and generally attempt to challenge a variety of widely held assumptions. The reader is not asked to agree, only to consider the issues. The title ends in a question mark. The author's answer is \"NO, neither the public nor our government nor the medical profession have demonstrated a commitment to health.\"</p>","PeriodicalId":76886,"journal":{"name":"American journal of health planning","volume":"3 4","pages":"23-9"},"PeriodicalIF":0.0,"publicationDate":"1978-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21107961","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Appropriateness review: which road to take?","authors":"W McCue,&nbsp;C F Pierce,&nbsp;A T Mott","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Three distinguished health planners look at one issue and the result is predictable--they perceive things differently. Given the unique experience that each brings to health planning and the importance of the subject matter, the perspectives of Messrs. McCue and Pierce versus the substantially different interpretation by Mr. Mott should be of special interest.</p>","PeriodicalId":76886,"journal":{"name":"American journal of health planning","volume":"3 4","pages":"10-6"},"PeriodicalIF":0.0,"publicationDate":"1978-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21107962","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Spanning the boundary between agency and community: a study of health planning staff and board interaction.","authors":"N M Clark","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This paper suggests that planning staff and board members function as boundary spanners between the agency and various interests which must be considered in health planning. The study outlines communication behaviors which, in the view of board members, appear to influence decision making and effective performance as boundary spanners collaborate in planning.</p>","PeriodicalId":76886,"journal":{"name":"American journal of health planning","volume":"3 4","pages":"40-6"},"PeriodicalIF":0.0,"publicationDate":"1978-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21147214","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The impact of the public hearing process on the HSP and AIP of an HSA: an evaluative case study.","authors":"K Main","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This paper evaluates the public hearing process and discusses some implications and ramifications of a public hearing process within one health systems agency (HSA). Standards for a public hearing are outlined. The standards include the utilization of logic and simple language in the preparation of the proposal, the delineation of public consent and public opinion, clarification of the intent of the public hearing, the preparation of the public for the hearing, and the post-hearing work program. This evaluative study indicates that the public hearing process had minimal direct effect on the HSP and AIP but substantial indirect effects. Indirect effects included influencing the content and issues, defining linkages, delineation of public consent and public opinion, and heightening a sense of political feasibility and public credibility. Equally important was the staff awareness of the political-social climate of the region, the governing board and the DHEW Guidelines. Recommendations for HSAs are also developed. These include the development of a responsive mechanism, the \"stimulation\" of proponents, education on the nature of the public hearing process, and clarification of the nature of the public interest.</p>","PeriodicalId":76886,"journal":{"name":"American journal of health planning","volume":"3 4","pages":"47-52"},"PeriodicalIF":0.0,"publicationDate":"1978-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21105677","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health planning scenario: 2000 A.D.","authors":"J R Kuperberg,&nbsp;E M Vogt","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The role of the HSA in the year 2000, termed the Health and Wellness Authority, is sketched in a scenario of a future certificate of need review. This article is the first of the \"Health Planning in the Year 2000\" pieces which will appear in this Journal on a regular basis.</p>","PeriodicalId":76886,"journal":{"name":"American journal of health planning","volume":"3 3","pages":"28-33"},"PeriodicalIF":0.0,"publicationDate":"1978-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21178800","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Does health planning work anywhere, and if so, why?","authors":"H L Blum","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Beginning in 1976 the Department of Health Education and Welfare of the United States Government (DHEW) and the Pan American Health Organization, which is the regional office of the World Health Organization (PAHO-WHO), jointly developed a study of health planning as currently practiced around the world. This thrust to extend our understanding and capability of application of health planning was recognized at PAHO-WHO and DHEW as being long overdue, given the diversity of health planning efforts, the thinness of theory and the frequently unsatisfactory results of health sector planning in so many countries. In 1976 a series of descriptive-analytical studies were commissioned from 17 countries representing nearly every continent and every stage of development. These studies were further analyzed and abstracted and became the basis for a 5-day discussion in Copenhagen in 1977 among 35 practicing and academic health planners gathered from 16 countries, WHO, and DHEW. The thrust of the first assembly was to identify the determinants of (1) the establishment of formal health planning machinery, (2) the scope and content of concerns assigned to health planning, (3) the participants in the process, and (4) the relationships of planners to policy makers and implementors. In 1978 the second 5-day meeting was held in New Orleans to analyze the methodologies of health planning and to determine what could be generalized and disseminated as guidance to all countries. This was based on a new series of methodologically focused case studies which were abstracted and made available to each of the 53 health planning participants from 22 countries, PAHO-WHO, and DHEW. The four major foci of this conference were (1) the state of the art in health planning methodology, (2) how methods are being developed and adapted, (3) identification of major methodological shortcomings or constraints, and (4) surmounting the difficulties facing health planning in affecting major health-influencing forces which lie outside the territory traditionally considered to be part of the health sector. This article is a report on some of the things the author learned from participating in what he considers the two most informative planning meetings he ever attended.</p>","PeriodicalId":76886,"journal":{"name":"American journal of health planning","volume":"3 3","pages":"34-47"},"PeriodicalIF":0.0,"publicationDate":"1978-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21178803","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}