McNamara J J
Clin Pediatr (Phila). 1982 May;21(5):275-8. doi: 10.1177/000992288202100503.
Health Systems Agencies (HSA) are the official national health planning and regulatory agencies in the United States. This case study examines three HSA activities: determination of need, review and approval of federal grants, and appropriateness review. The article raises questions about planning assumptions and suggests the need to simplify regulatory process and strengthen standards of pediatric care in community hospitals.
卫生系统机构（HSA）是美国官方的国家卫生规划和监管机构。本案例研究考察了卫生系统机构的三项活动：需求确定、联邦拨款的审查与批准以及适宜性审查。本文对规划假设提出了质疑，并建议简化监管流程，加强社区医院儿科护理标准。
