Health Planning in the United States Issues in Guideline Development, Report of a Study (1980) / Chapter Skim
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V. Summary of Recommendations
V. Summary of Recommendations
Pages 55-62
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From page 55... ...
Chapter IV contains the committee's observations and judgments for an improved process for development of guidelines. The committee decided at the outset that its work toward facilitating the development of guidelines for future national health planning required an overall examination of existing health planning activities and related policy issues.
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From page 56... ...
The Planning Program After reviewing the planning program, the committee concludes that the current health plannning program has substantial potential for helping to achieve certain important social goals, through local planning for improved local health care systems. The committee is concerned about about a common tendency to look for evidence of effectiveness too early in social programs, especially when hopes about a program are high.
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From page 57... ...
However, the committee feels strongly that efforts should be undertaken simultaneously to define goals of the program more concretely and develop quantitative measures of effectiveness as soon as possible. The intermediate measures of effectiveness should include: whether the HSA provides a useful forum for public policy discussion; whether it serves as a source of information about local health care problems and steps being taken to deal with them; whether it has credibility in the community; whether appropriate data and analytical methods are being employed as a basis for conclusions; whether the HSA is serving as an effective agent in helping to improve the health care services received by the public and promoting health care for the area's residents at an acceptable level of cost; whether health care consumers and providers are being involved in improving the system; and whether the HSA is catalyzing problems of the underserved or underrepresented.
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From page 58... ...
The committee believes that the national health planning guidelines provide a promising opportunity to express national interests and concerns and can help achieve a more effective allocation of health resources. The committee believes that properly formulated national guidelines can help identify a more equitable allocation of resources among localities, and allow for local variations in needs and preferences, while advancing toward an equitable "minimum" level of health care for the entire nation and toward comparable levels of prudent health resource management.
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From page 59... ...
The committee observed in its study of access to health care that some minimum level goals and guidelines on the process of planning for access would be useful, but it also emphasized that better goals and standards should be developed at the local level. From its study of guidelines in the configuration of hospital services, the committee concludes that, for some problems, process guidelines should be developed.
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From page 60... ...
The Process for Developing National Guidelines Because the guidelines are a means for establishing and expressing national interests at local and state levels, and for helping the planning agencies to strengthen their knowledge and negotiating ability, it is the committee's judgment that the process by which the national guidelines are developed is important. The committee believes that an open and collaborative development of guidelines will minimize areas of disagreement and enhance the usefulness, quality, and acceptability of the guidelines.
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From page 61... ...
Solicitation of opinion and participation is important and can best be managed by a group connected to the planning program, but not associated with any single perspective. Agenda development is one aspect of the guidelines process in which the committee believes the.National Council on Health.
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From page 62... ...
should be organized in consultation with the National Council on Health Planning and Development to ensure broad public participation and selection of a broadly representative set of perspectives and interests as appropriate to each problem. The committee believes that the National Council must become a significant resource as an adviser and as a public forum for improving the effectiveness of the planning process and its role should be strengthened.
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