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- W1997334029 abstract "The National Health Planning and Resources Development Act of 1974 authorized a national network of local health planning institutions. The statute, Public Law 93-641, called for more than two hundred planning bodies-health systems agencies (HSAs)-which consumers were to dominate. The law required a consumer majority on each HSA governing board. These consumers were to be broadly representative of the social, economic, linguistic and racial populations of the area.' Consumer majorities, the program's framers assumed, would be powerful forces in shaping local health plans and thus in directing American medicine toward the wants, concerns, and interests of consumers. The institutionalization of consumer participation accompanied an ambitious conception of health planning itself. The new program was to produce scientific planning with teeth, cut medical care costs, improve access to medical care, and assure its high quality. The HSAs were to pursue these ambitious aims through an unusual American mixture of plan-making and regulatory activities. The HSA plans would select local health priorities and identify proposals that satisfied community goals for medical care. Their way of working was envisaged as follows: hospitals or nursing homes intent on expanding would submit to the HSA detailed proposals taking into account the official HSA plan. The HSA decisions would be serial, one after the other, each expansion measured against the planning vision of the consumer-dominated agency. In theory, each" @default.
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- W1997334029 date "1981-04-01" @default.
- W1997334029 modified "2023-09-26" @default.
- W1997334029 title "Representing Consumer Interests: The Case of American Health Planning" @default.
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- W1997334029 doi "https://doi.org/10.1086/292251" @default.
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