Tabla de Contenidos:
  • 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
  • NOTES
  • 3 Methodology
  • OVERVIEW
  • 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
  • NOTES
  • 4 Co-Administration of Research and Services
  • OVERVIEW
  • 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
  • FINAL THOUGHTS
  • NOTES
  • 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
  • NOTES
  • Appendix B Nomenclature for Research and Service Activities
  • NOTES
  • 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.