Mandel M D
Am J Law Med. 1977 Spring;3(1):49-57.
The author of this Comment describes how recent federal legislation (P.L. 93-641, signed into law in January, 1975)--and improved scientific techniques for integrating (1) community medical needs assessment, (2) institutional budgeting linked to regional/state health plans, and (3) budget ceilings--have given the public new authority and technology to shape the nation's institutional health services. He urges administrators and trustees of health institutions--both proprietary and charitable--to become aware of recent developments in this area, and says that active consumer and provider participation in Health Systems Agencies and Statewide Coordinating Councils is necessary if the new federal expectations concerning health planning and regulation are to be met. Given the rising costs of medical care, stronger federal control might be forthcoming if the purposes of P.L. 93-641 are not achieved.
本评论的作者描述了近期的联邦立法（1975年1月签署成为法律的第93 - 641号公法）以及改进后的科学技术如何整合（1）社区医疗需求评估、（2）与区域/州卫生计划相关的机构预算编制以及（3）预算上限，从而赋予公众新的权力和技术来塑造国家的机构性医疗服务。他敦促营利性和慈善性医疗机构的管理人员及受托人了解该领域的最新进展，并表示，如果要满足联邦政府对卫生规划和监管的新期望，消费者和医疗服务提供者积极参与卫生系统机构和全州协调委员会是必要的。鉴于医疗成本不断上升，如果第93 - 641号公法的目标无法实现，可能会有更强有力的联邦控制措施出台。
