Lessons from Health Care Regulation

Fielding, Jonathan E.

doi:10.1146/annurev.pu.04.050183.000515

Cited by 5 publications

(2 citation statements)

References 18 publications

(27 reference statements)

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“…However, it is more acceptable to the autonomous providers, who are able to proactively plan without outside interference. It is also in far greater congruence with traditional American values of institutional autonomy, community self-reliance and hostility towards central government regulation (McClure, 1981;Weiner, 1981;Fielding, 1983). Political support for the reintroduction of public sector health planning is weak; there are no current efforts to resume federally supported planning.…”

Section: Discussionmentioning

confidence: 99%

The metamorphosis of health planning in the Netherlands and the USA

Kirkman-Liff

Lapré

Kirkman-Liff

1988

Health Planning & Management

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The United States and the Netherlands are the focus for this comparative analysis of the evolutionary interaction between health planning and the political system, seen in the context of change in social and economic ideologies. While health planning in the USA started in 1946, it was the comprehensive health planning program in 1966 that created the form to be followed by Health Systems Agency effort in 1974: local, voluntary planning, coordinated by state agencies, supported by federal funding. Health planning in the Netherlands has moved through four distinct periods: a hospital construction period starting during the post-war recovery; a hospital regionalization period, from 1971 through the late 1970s; a transition period from the late 1970s to 1982, during which several planning approaches were considered; and, the current comprehensive health and social services planning period. Today, federal support for health planning in the US has been eliminated as part of the current de-regulatory, competitive health care strategy. Health planning in the US is now an institutional activity, with less focus on community needs. Advocated changes in the Dutch planning approach incorporate ideas similar to past approaches in the US; but, a failed approach in one nation may work in another, if the underlying cultural and organizational characteristics are sufficiently different.

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Section: Discussionmentioning

confidence: 99%

The metamorphosis of health planning in the Netherlands and the USA

Kirkman-Liff

Lapré

Kirkman-Liff

1988

Health Planning & Management

View full text Add to dashboard Cite

show abstract

“…Health services research is another area making increasing use of computers. As government regulations become more stringent, computers are used to assess quality of care (14) and frequency of common surgical procedures (15), and to plan for future needs (16). A large study of the quality assurance programs as a means of improving the quality of ambulatory care incorporated physicians' criteria for treatment of eight frequent medical problems in 16 primary care group practices into SAS programs.…”

Section: Analytic Us Ementioning

confidence: 99%