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The policy and planning aspects of Public Law 93-641 (The National Health Planning and Resources Development Act) introduce important implications for the health care delivery system. The law contains the first delineation of a national health policy, as well as innovative provisions for the development of regional health plans. On the basis of these policies and plans, decisions are made that affect the allocation of health resources such as manpower and facilities. This paper discusses the national policies called for in the law and the planning process at the regional level. By viewing the politics and technology of plan development, the importance of and avenues for participation are clarified.
公法93 - 641号(《国家卫生规划与资源开发法》)的政策与规划方面对医疗服务体系有着重要影响。该法律首次阐述了国家卫生政策,还包含了制定区域卫生规划的创新条款。基于这些政策和规划做出的决策会影响人力和设施等卫生资源的分配。本文讨论了该法律所要求的国家政策以及区域层面的规划过程。通过审视规划制定的政治因素和技术因素,明确了参与的重要性和途径。