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Results for “Health Planning Guidelines”

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At least 19 recordsLinked to original sources
PubMed2005

Breast and cervical cancer screening: clinicians' views on health plan guidelines and implementation efforts.

BACKGROUND: Optimizing breast and cervical cancer screening rates within health plans requires clinician support for screening guidelines, an awareness of whether there are tools available and functioning to aid screening implementation, and a perception of collegial and leadership support for quality screening services. This study investigated clinicians' perceptions of guidelines, reminders for screening, and plan and practice commitment in order to assess where opportunities exist to improve the screening process. METHODS: A stratified sample of 761 primary care clinicians from three comprehensive health plans were surveyed to assess awareness of and agreement with guideline elements, perception of guidelines' usefulness, awareness of plan strategies to promote guideline adherence, perception of support for high-quality screening services, and ratings of plan efforts to maximize members' access. RESULTS: Clinician awareness of and agreement with guideline elements was high (98% breast, 94% cervical). Across guideline elements, agreement was lower for mammography than cervical screening, notably for upper age limit recommendations (58% breast, 79% cervical). Knowledge of systems that cue patients and clinicians that screening is due varied by cancer test, and clinician report and plan report data about the existence of systems were, at times, not congruent. Views about consistent operation of systems differed by test (mammograms, 74%-92%; Pap, 66%-84%). Clinicians rated local colleagues and local and plan medical leadership as very committed to high-quality screening, albeit with somewhat lower ratings for cervical testing. Although the majority rated overall plan efforts to maximize screening as very good or excellent, perceived consistency of systems to cue a woman that she is due for testing and perception of collegial support were independently and significantly related to ratings of plan efforts. CONCLUSIONS: Improvements in knowledge of systems that support guideline implementation varied, and action to ensure accurate perception of reminders, as well as consistent implementation of systems, may be important for improving screening rates and outcomes. Plan efforts and clinician efforts at the practice level are closely linked and need to be aligned to maximize screening rates. This requires plan and practice-level analyses of structures and processes that could be improved.

Adult↗
PubMed1980

National guidelines for health planning: Public Health Service, HHS. Notice of proposed rulemaking.

This Notice proposes to add national health planning goals to the National Guidelines for Health Planning under section 1501 of the Public Health Service Act. These goals concern health status outcomes, disease prevention and health promotion and personnel resources and systems of care. They supplement Subparts A and C of the Guidelines published as final regulations on March 28, 1978, which addressed standards for nine types of health services and facilities. Later issuances will provide additional goals and standards.

Goals↗
PubMed1991

Health through oral health; guidelines for planning and monitoring for oral health care: a critical comment on the WHO model.

Recently a joint working group of WHO/FDI published guidelines for planning and monitoring oral health care. In the report a model for calculations of future need for dental manpower was introduced as an effective planning tool. An analysis of whether the WHO model is appropriate to calculate the future need for manpower planning was carried out. It appears that the model has serious methodological shortcomings. The model expects the user to know the future oral care needs concerning preventive, special group, surgical, orthodontic, and periodontal care. In calculating future needs for restorative and prosthetic care, the model restricts itself to looking back in time and roughly calculating what has happened in the past, assuming this will happen again.

Adolescent↗
PubMed1982

National guidelines for health planning--rescission of computed tomographic scanner standards--Public Health Service. Notice of proposed rulemaking.

This document proposes to recind the standards for computed tomographic (CT) scanners with respect to the appropriate supply, distribution and organization of health resources. Concern has been expressed that the standards are to rigid and inflexible, and that they don't take into account recent advances in the state-of-the-art in scanning technology. This action will give states and local communities the fullest possible discretion and flexibility in health systems planning. Non-regulatory technical information materials concerning CT scanners are being made available to the public.

Health Planning↗
PubMed1982

National guidelines for health planning; rescission of computed tomographic scanner standards--Public Health Service. Final rule.

This document removes from regulations Federal standards for computed tomographic (CT) scanners with respect to the appropriate supply, distribution and organization of health resources. Based on concerns discussed in the notice of proposed rulemaking published on May 20, 1982, and subsequent comments, the Secretary has decided the standards are too rigid and inflexible, and that they to not take into account recent advances in the state-of-the-art in scanning technology. This action gives states and local communities the fullest possible discretion and flexibility in the review and planning for expenditures related to this technology. The Department is making non-regulatory technical information materials concerning CT scanners available to the public.

Health Planning↗
PubMed1978

Trying to take the national guidelines for health planning seriously: issues for thought.

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.

Health Systems Agencies↗
PubMed2003

Organizational readiness for telemedicine: implications for success and failure.

The use of telemedicine brings about change in health-care organizations and opens up new possibilities for service delivery. The organizational environment is often crucial in determining whether or not telemedicine applications will be successful. To examine the concept of 'organizational readiness for telemedicine' as a factor to explain why telemedicine initiatives succeed or fail, the results were used of interviews with key informants, conducted in two studies: the Alliance for Building Capacity project and the National Initiative for Telehealth guidelines project. The data indicate that organizational readiness for telemedicine is a multifaceted concept that is related to planning and the workplace environment. A greater understanding of the factors within organizational readiness could help to avoid costly implementation errors. 'Readiness' needs to be systematically assessed and is important for long-term success.

Health Facility Administration↗
PubMed1993

Toward national health system guidelines in Canada: reflections of a comprehensive audit.

A comprehensive assessment of the Health Program Guidelines (HPG) in Canada was undertaken between January and September 1992. This review examined the strategic effectiveness and operational efficiency of the guidelines under the auspices of the Federal, Provincial and Territorial Committee on Institutional and Medical Services. To assess the perceived needs for the guidelines, over 185 structured mail questionnaires were sent to a sample of health care agencies, institutions and organizations across Canada; the response rate was over 80.5%. A key informant approach was also used to assess the perceived effectiveness and efficiency of the guidelines. Based on the results of the questionnaires, over 45 interviews and an extensive content analysis of key documents, recommendations were made that may be relevant to the Canadian health system community.

Canada↗