Tannen L
Int J Health Serv. 1980;10(1):115-32. doi: 10.2190/E42N-W8GW-95NF-QPU7.
Federally mandated health planning is one of the most significant responses to the cost crisis of American medicine. Portrayed as an objective and rational mechanism of determining the future, planning is a socially acceptable means of exerting third-party control over a sector of the economy long able to escape meaningful controls on its growth and development. However, far from being the neutral science which it is heralded to be, the planning process serves the interests that are able to control its use. Health planning agencies must be studied in the context of the current emphasis on cost containment and reorganization of health services. Supported and enfranchised largely by major third-party payors, planning smooths the implementation of changes in the health sector. Despite its progressive potential, planning serves the interests of these third-party payors by masking their attempts to control the future development of the health system.
联邦政府强制推行的医疗规划是对美国医疗成本危机最重要的应对措施之一。规划被描绘成一种确定未来的客观且理性的机制，是对一个长期以来能够逃避对其增长和发展进行有效控制的经济部门施加第三方控制的社会可接受手段。然而，规划过程远非其所宣称的中立科学，它服务于那些能够控制其用途的利益集团。必须在当前对成本控制和医疗服务重组的重视背景下研究医疗规划机构。规划在很大程度上得到主要第三方支付方的支持和授权，它使医疗部门的变革得以顺利实施。尽管规划具有进步潜力，但它通过掩盖第三方支付方控制医疗系统未来发展的企图来服务于这些第三方支付方的利益。
