On a positive note, our results showed that more states are making health planning and development a task of health agencies.
Project HOPE has published Health Affairs since 1981.
We are at a point of equipoise. It is conceivable that this greater interdependence may foster closer collaboration and partnership formation, a positive finding if this partnership contributes to improved preparedness planning against terrorism and other disasters such as pan-influenza and natural events. Eleven (24.4%) of the states exercised centralized organization (the state-level health department guided efforts at the local level).
Drew E. Altman, Assistant Vice-President, The Robert Wood Johnson Foundation, Princeton, New Jersey; Dan E. Beauchamp, Associate Professor, University of North Carolina, School of Public Health, Chapel Hill, North Carolina; Robert J. Blendon, Senior Vice-President, The Robert Wood Johnson Foundation, Princeton, New Jersey; Charles R. Buck, Jr., Chief Executive Officer, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania; Richard L. Camilli, Undersecretary, Health and Welfare Agency, Sacramento, California; Leon Eisenberg, Professor and Chairman, Executive Committee, Harvard Medical School, Department of Psychiatry, and Senior Associate in Psychiatry, Children's Hospital Medical Center, Boston, Massachusetts; John R. Evans, Chairman and Chief Executive Officer, ALLELIX, Inc., Mississauga, Ontario, Canada; Penny Feldman, Department of Health Policy and Management, Harvard School of Public Health, Boston, Massachusetts; Victor R. Fuchs, Professor of Economics, Stanford University, National Bureau of Economic Research, Stanford, California; Melvin A. Glasser, Director, Health Security Action Council, Washington, D.C.; John R. Hogness, President, Association of Academic Health Centers, Washington, D.C.; John K. Iglehart, Editor,
Enter your email address below and we will send you the reset instructionsIf the address matches an existing account you will receive an email with instructions to reset your password.Enter your email address below and we will send you your usernameIf the address matches an existing account you will receive an email with instructions to retrieve your usernameUpDate is a section that will report developments in health policy issues and scheduled conferences of relevance to the field. In the main, the problems for which public health agencies are required to provide medical care cannot be resolved by medical care alone.In recent years, largely as a result of the explosion of Medicaid expenditures, state expenditures for health have been expanding rapidly— more rapidly than state revenues. Although state-level public health agencies have been researched since that time, few of these studies have assessed state health department structure and functions comprehensively.
This decrease has occurred against the backdrop of the Institute of Medicine’s recommendations to increase the number of new departments of health (vs superagencies) and to broaden the scope of their health responsibilities.This decline also has occurred at a critical moment in the history of public health.
The health problems of the aged, to take one important example, are, by their very nature, of concern to public health agencies, and they need to take a more active stance.As a matter of principle, state and local governmental agencies should include as a major priority the assurance of adequate access to medical care services for the disadvantaged population. Only 4 states (15.4%) perceived the role of boards and councils to include provision of public health information.
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