Research and service programs in the PHS : challenges in organization / Committee on Co-Administration of Service and Research Programs of the National Institutes of Health, the Alcohol, Drug Abuse, and Mental Health Administration, and Related Agencies, Institute of Medicine.

Format:

Book

Author/Creator:

Institute of Medicine (U.S.). Committee on Co-Administration of Service and Research Programs of the National Institutes of Health, the Alcohol, Drug Abuse, and Mental Health Administration, and Related Agencies.

Language:

English

Subjects (All):

United States. Public Health Service.

United States.

National Institutes of Health (U.S.).

United States. Alcohol, Drug Abuse, and Mental Health Administration.

Public health--United States.

Public health.

Public health--Research--United States.

Physical Description:

1 online resource (152 p.)

Edition:

1st ed.

Place of Publication:

Washington, D.C. : National Academy Press, 1991.

Language Note:

English

Summary:

This volume looks at the administration of research and service programs in the U.S. Public Health Service to determine whether these programs fare better when administered jointly or through separate agencies. It uses case studies and analyses of programs and administrative processes, together with the results of more than a hundred interviews with top-ranking government officials and representatives of concerned organizations. The book also focuses on the extent and effects of program and project duplication, replication, and complementarity in the research activities of the National Institutes of Health and the Alcohol, Drug Abuse, and Mental Health Administration.

Contents:

Research and Service Programs in the PHS: Challenges in Organization

Copyright

Preface

Contents

Brief Summary of Recommendations

Executive Summary

ORGANIZATIONAL GOALS AND MISSIONS

PLANNING AND PRIORITY SETTING

DEMONSTRATION AND INFORMATION DISSEMINATION PROGRAMS

DUPLICATION, REPLICATION, AND COMPLEMENTARITY

FINAL THOUGHTS

1 Introduction

DEFINITION OF KEY TERMS USED IN THE STUDY

ORGANIZATION OF THE REPORT

ORGANIZATION AND MANAGEMENT OF THE FIVE PHS AGENCIES NOTES

ORGANIZATION AND MISSION OF THE FIVE PHS AGENCIES

Office of the Assistant Secretary for Health

National Institutes of Health

Alcohol, Drug Abuse, and Mental Health Administration

Health Resources and Services Administration

Centers for Disease Control

Agency for Health Care Policy Research

NOTES

2 A Brief History of ADAMHA and Previous Studies of Its Organization

OVERVIEW

EARLY HISTORY

THE 1960S

THE GARDNER REPORT AND THE BIRTH OF ADAMHA

ADAMHA

The Lewin Report

The Anti-Drug Abuse Act of 1988

3 Methodology

CATEGORICAL ANALYSES (CASE STUDIES)

Underlying Principles for the Case Study Method

NOMENCLATURE AND CLASSIFICATION

Difficulties in Grant Classification

CASE STUDY OF ALZHEIMER'S DISEASE

CASE STUDY OF SUBSTANCE-ABUSING PREGNANT WOMEN

CASE STUDY OF DOPAMINE RESEARCH: SCHIZOPHRENIA AND PARKINSON'S DISEASE

FUNCTIONAL ANALYSES

Planning, Priority Setting, and Budgeting

Organizational Arrangements for Health Services Research in Federal Agencies

Research and Service Demonstrations and Block Grants

Information Dissemination

Constituency Group Relations with Federal Agencies

Linkage Mechanisms Between Research and Service Programs

The Research Process: Replication and Duplication

History of the Public Health Service.

Authorizations, Missions, and Appropriations

Allocations to Health Research and Service Programs

4 Co-Administration of Research and Services

RESEARCH AND SERVICES MISSIONS OF THE PHS

THE RESEARCH-SERVICES CONTINUUM

CO-ADMINISTRATION OF RESEARCH AND SERVICE PROGRAMS

PLANNING, PRIORITY SETTING, AND BUDGETING

At the Department and PHS Level

Within PHS Agencies

EFFECTIVENESS OF DEMONSTRATION AND INFORMATION DISSEMINATION PROGRAMS

ORGANIZATIONAL CAPACITY AND PROGRAM PLACEMENT

ADDITIONAL BIBLIOGRAPHY

5 Duplication, Replication, and Complementarity

INTRODUCTION

DEFINITIONS

REPLICATION, DUPLICATION, AND COMPLEMENTARITY IN THE CASE STUDIES

Alzheimer's Disease Case Study

Schizophrenia and Parkinson's Disease: Dopamine Research

Substance-Abusing Pregnant Women

GUARDING AGAINST DUPLICATION

Appendix B Nomenclature for Research and Service Activities

Appendix C Task Forces and Liaison Committee

TASK FORCE ON ALZHEIMER'S DISEASE CASE STUDY

TASK FORCE ON DOPAMINE CASE STUDY

TASK FORCE ON SUBSTANCE-ABUSING PREGNANT WOMEN CASE STUDY

TASK FORCE ON THE HISTORY OF RESEARCH

TASK FORCE ON METHODOLOGY

TASK FORCE ON SCIENTIFIC METHODOLOGY

PUBLIC HEALTH SERVICE LIAISON COMMITTEE

Appendix D Interview List.

Notes:

Bibliographic Level Mode of Issuance: Monograph

Includes bibliographical references.

ISBN:

9786610203307

9781280203305

1280203307

9780309572453

0309572452

9780585143835

0585143838

OCLC:

614653291