Higgins C W, Philips B U, Bruhn J G, Aker L T
Environ Health Perspect. 1980 Jun;36:181-5. doi: 10.1289/ehp.8036181.
Public Law 93-641 provides health systems agencies (HSAs) with a broad planning preview which has enabled a number of agencies to address environmental health issues in their health systems plans. Opponents of HSA involvement in environmental health planning charge that these activities overextend agency resources, duplicate efforts of other government agencies and involve HSAs in "issues of public policy." Closer examination of these charges finds them lacking in validity. The planning activities of health systems agencies are cooperative in nature, drawing upon the planning efforts of other institutions and agencies. It is illogical to exclude environmental concerns from general health planning in light of the impact of the environment upon health. Charges that issues of public policy are inappropriate topics for health planning are seen as attempts to avoid scrutiny of inconsistant legislative policies. Cooperative planning between health systems agencies and environmental health agencies is considered both desirable and essential for the development of effective health planning.
第93 - 641号公法为卫生系统机构（HSAs）提供了广泛的规划预演，这使得一些机构能够在其卫生系统规划中解决环境卫生问题。反对卫生系统机构参与环境卫生规划的人指责这些活动过度消耗了机构资源，重复了其他政府机构的工作，并使卫生系统机构卷入了“公共政策问题”。对这些指控进行更仔细的审查会发现它们缺乏合理性。卫生系统机构的规划活动本质上是合作性的，借鉴了其他机构和部门的规划工作。鉴于环境对健康的影响，将环境问题排除在一般卫生规划之外是不合逻辑的。认为公共政策问题不适宜作为卫生规划主题的指控，被视为是试图避免对不一致的立法政策进行审查。卫生系统机构与环境卫生机构之间的合作规划被认为对于制定有效的卫生规划既可取又至关重要。
