Checkoway B, O'Rourke T, Macrina D M
Int J Health Serv. 1981;11(4):573-81. doi: 10.2190/HDYQ-XKTM-EB9F-9W5L.
PL 93-641, The National Health Planning and Resources Development Act of 1974, called for broad representation of health care providers, in addition to consumers, on Health Systems Agency (HSA) governing boards. Analysis of data submitted to the U.S. Department of Health, Education, and Welfare by the HSAs indicated that HSA provider board members are not representative of the overall provider work force or general population. Direct providers outnumber indirect providers by roughly seven to one. Physicians and hospital-nursing administrators are overrepresented, and nurses and other provider groups underrepresented, in relation to their numbers in the work force. Evidence also shows that HSA provider board members are mostly white males, although nonwhites and females are significantly represented in the work force and population.
1974年的《第93 - 641号公法：国家卫生规划与资源开发法案》要求，除消费者外，医疗保健服务提供者在卫生系统机构（HSA）管理委员会中要有广泛的代表性。对HSA提交给美国卫生、教育和福利部的数据进行分析表明，HSA提供者董事会成员并不代表整个提供者劳动力群体或一般人群。直接提供者与间接提供者的数量比例约为七比一。与他们在劳动力中的数量相比，医生和医院护理管理人员的占比过高，而护士和其他提供者群体的占比过低。证据还表明，HSA提供者董事会成员大多是白人男性，尽管非白人和女性在劳动力和人口中占相当大的比例。
