Cloe L E
AJR Am J Roentgenol. 1976 Jul;127(1):187-90. doi: 10.2214/ajr.127.1.187.
Computed tomography has been introduced to the health care system at a time when health care planning is still evolving. Unlike the recent past, final authorization of large expenditures and new services such as CT now lies outside the providers of care and is based on laws and regulations that are not familiar to many physicians. A brief review of the principal federal statutes is presented from the Hill-Burton Act to the National Health Planning and Resources Development Act of 1974. Recognizing the unique problems in certain special service areas such as CT, the state of Indiana has formed committees to collect information and develop recommendations to assist its health planners in their actions and decisions under the federal statutes. The quantitative problems which the Indiana CT committee must address are presented in some detail, problems that other health planners face as well.
计算机断层扫描技术是在医疗保健规划仍在不断发展的时期引入医疗保健系统的。与过去不同的是,如今像计算机断层扫描这样的大额支出和新服务的最终批准权并不掌握在医疗服务提供者手中,而是基于许多医生并不熟悉的法律法规。本文简要回顾了从《希尔 - 伯顿法案》到1974年《国家卫生规划与资源发展法案》等主要联邦法规。认识到计算机断层扫描等某些特殊服务领域存在的独特问题,印第安纳州已成立委员会来收集信息并制定建议,以协助其卫生规划人员依据联邦法规采取行动和做出决策。文中详细阐述了印第安纳州计算机断层扫描委员会必须解决的定量问题,这些问题也是其他卫生规划人员所面临的。