{"title":"Population based planning as a tool for health plan development.","authors":"L Tannen, J Liebman","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Population based planning is an appealing methodology for the development of a people-oriented health systems plan. By focusing on the identification and minimization of the social, behavioral, and environmental risks to ill health, population based planning is compatible with the growing understanding of the social origins of health and disease. Models of both population based and resource based planning are presented and used to define the concepts and contrast the two methodologies. To strengthen the population based planning model, Kessner's tracer methodology is incorporated into the technique. Finally, the benefits (focus on the social origins to disease) and the drawbacks (extensive time and data requirements) of population based planning are highlighted.</p>","PeriodicalId":76886,"journal":{"name":"American journal of health planning","volume":"3 3","pages":"48-55"},"PeriodicalIF":0.0,"publicationDate":"1978-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21178804","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":"Wellness in Wisconsin.","authors":"C W Schramm","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In January of 1978, Wisconsin Governor Martin Schrieber announced a plan to establish a State Commission on Wellness, thus bringing Wisconsin into a new era of health planning and programming. The Commission will serve as a focal point for the many and varied health promotion activities taking place around the state. The following are highlights of some of these wellness plans and programs. It is by no means exhaustive.</p>","PeriodicalId":76886,"journal":{"name":"American journal of health planning","volume":"3 3","pages":"19-27"},"PeriodicalIF":0.0,"publicationDate":"1978-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21178798","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":"High level wellness and the HSAs: a health planning success story.","authors":"D B Ardell","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>If one wants something badly enough, one can usually find a way--right? Isn't that the message from Don Quixote? Rocky? And Calamity, above? In addition, it seems that a considerable number of HSAs have, with no support from the BHPRD, major forces in organized medicine, or their professional organization, exhibited a substantial determination to make health promotion or wellness planning a priority function within the U.S. planning system. This article reports on the findings of a survey of all HSAs regarding the extent to which wellness initiatives had been mounted as of May, 1978. The nature of plan commitments and the range of specific wellness strategies suggest that local citizen boards and planning staffs will, on occasion, do what they believe is of greatest consequence--whether or not there is support for such endeavors at the federal level and irrespective of the odds against them in doing so.</p>","PeriodicalId":76886,"journal":{"name":"American journal of health planning","volume":"3 3","pages":"1-18"},"PeriodicalIF":0.0,"publicationDate":"1978-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21178797","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":"An analytical method for regional dental manpower training.","authors":"P J Mulvey, W J Foley, D P Schneider","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This paper presents an analytical method for dental manpower planning for use by Health Systems Agencies. The planning methods discard geopolitical boundaries in favor of Dental Service Areas (DSA). A method for defining DSAs by aggregating Minor Civil Divisions based on current population mobility and current distribution of dentists is presented. The Dental Manpower Balance Model (DMBM) is presented to calculate shortages (or surpluses) of dentists. This model uses sociodemographic data to calculate the demand for dental services and age adjusted productivity measures to calculate the effective supply of dentists. A case study for the HSA region in Northeastern New York is presented. The case study demonstrates that, although the planning methods are quite simple, they are more flexible and produce more sensitive results than the normative ratio method of manpower planning.</p>","PeriodicalId":76886,"journal":{"name":"American journal of health planning","volume":"3 3","pages":"56-64"},"PeriodicalIF":0.0,"publicationDate":"1978-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21178806","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":"Mental health in health planning: fitting square programs into round wholes?","authors":"E J Kelty","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Mental health services account for between 12 and 15 percent of the national health care expenditures. An organized mental health system is emerging to link the service delivery and community support programs. The implementation mechanisms of State and local mental health programs can be responsive to the goals of the health planning processes as long as there is adequate appreciation of the different roles and responsibilities of each of the participants.</p>","PeriodicalId":76886,"journal":{"name":"American journal of health planning","volume":"3 3","pages":"65-70"},"PeriodicalIF":0.0,"publicationDate":"1978-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21178807","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":"Use of quantitative approaches in plan development.","authors":"B Z Palmer","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Health Planning as mandated by P.L. 93-641 requires considerable emphasis on technical procedures, especially during the development of the 5 year Health Systems Plans (HSP) and the one year Annual Implementation Plans (AIP). In addition, the State Health Plans and the State Medical Facilities Plans, which are to be developed in part on the basis of HSPs and AIPs of the Health Systems Agencies (HSAs) in each state, are expected to have solid quantitative documentation. The gap between these expectations and the state of the art reality are reviewed in this article.</p>","PeriodicalId":76886,"journal":{"name":"American journal of health planning","volume":"3 2","pages":"43-50"},"PeriodicalIF":0.0,"publicationDate":"1978-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21180411","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":"Trying to take the national guidelines for health planning seriously: issues for thought.","authors":"K J Diamond","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This paper examines, from a SHPDA's perspective, major obstacles that must be overcome if the National Guidelines for Health Planning are to be viewed as more than a mechanism for \"backdoor\" regulation: (1) The acceptance of the guidelines by state government; (2) The location of the SHPDA/SHCC in the state's health policy structure; and (3) The lack of an informed general public. If the guidelines have only minimal impact on state priorities, the national policy will be both ineffective and coercive. HSAs, SHPDAs, and SHCCs, through public education, political action, and coordinated public pressure can assist in overcoming these obstacles and, if warranted, change the nature and focus of the content of the guidelines. A fourth obstacle, concerning the types of assistance and guidance provided to health planning agencies, suggests that DHEW has concentrated on using P.L. 93-641 as cost-containment mechanism to the neglect of issues that, in the long run, could have a positive effect on both the health system and health status.</p>","PeriodicalId":76886,"journal":{"name":"American journal of health planning","volume":"3 2","pages":"28-35"},"PeriodicalIF":0.0,"publicationDate":"1978-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21176176","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":"An information system for monitoring health system adequacy.","authors":"F D Kennedy","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The design and initial implementation of a system to monitor health system adequacy in Georgia is described. Five profiles on county or sub-county areas comprise the system: Health Resources--an inventory of facilities, personnel, and programs; Health Demands--econometric estimates of demand for selected health services; Health System Adequacy--objective and subjective assessments of the health service system; Health Status--selected health indicators; Area--pertinent demographic characteristics. Innovative aspects include (a) the econometric demand estimates and (b) the subjective adequacy assessments derived using factors analysis to reduce 320 health service assessments to 19 interpretable factors. Potential system role in regional planning under P.L. 93-641 is described.</p>","PeriodicalId":76886,"journal":{"name":"American journal of health planning","volume":"3 2","pages":"21-7"},"PeriodicalIF":0.0,"publicationDate":"1978-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21176175","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 second look at the dichotomy between consumers and providers in an HSA.","authors":"R M Grossman","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A study of the voting behavior of both consumers and providers involved in an HSA review committee is undertaken to determine the amount of voting cohesion (solidarity) demonstrated by these two basic interest groups as well as the directions in review decisions desired by both of these groups. The case study, involving the third largest HSA in the country, attempts to discern whether the theory of interest group liberalism can be used to describe correctly consumer and provider behavior relative to review decisions. The conclusions reached are that (1) consumers and providers do have differences in their intra-group voting cohesion, but that more importantly (2) they vote for the same end results in terms of approving or denying project reviews. The paper suggests that rational decision tools can play more of an effective role in achieving cost containment.</p>","PeriodicalId":76886,"journal":{"name":"American journal of health planning","volume":"3 2","pages":"61-7"},"PeriodicalIF":0.0,"publicationDate":"1978-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21180413","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":"National Guidelines.","authors":"L Robbins","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76886,"journal":{"name":"American journal of health planning","volume":"3 2","pages":"ii"},"PeriodicalIF":0.0,"publicationDate":"1978-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21176172","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}