Health planning in multifunctional regional councils

Baltimore and Houston experience

Research output: Contribution to journalArticle

Abstract

This article examines the organizational context and political dynamics of health planning in the Baltimore and Houston metropolitan areas, where the comprehensive health planning (CHP) agency operated as part of a council of government. The article analyzes the intraorganizational relationships between the health planning component and its parent council and the decision making process in selected cases in both planning areas. It concludes by weighing the advantages and disadvantages of the governmental model. Some of the problems facing health planners in Baltimore and Houston are common to many public or private CHP agencies (e.g. the subjective and political basis of decision making, the limitations on CHP agency powers, attempts to circumvent requirements for 'need' assessment); but other obstacles are made more difficult (e.g., public officials vetoing planners' decisions) or overcome more easily (e.g. integration of CHP with other regional planning efforts) due to the organizational relationships with the multifunctional planning council. Thus, the examination of CHP in Baltimore and Houston provides perspectives from which to evaluate some of the advantages claimed for the governmental model as an alternative organizational form for health planning.

Original languageEnglish (US)
Pages (from-to)180-192
Number of pages13
JournalInquiry
Volume12
Issue number3
StatePublished - 1975
Externally publishedYes

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Health Systems Agencies
regional council
Baltimore
Health Planning
health planning
Regional Health Planning
Decision Making
experience
Needs Assessment
Health
planning
decision making process
regional planning
agglomeration area
parents

ASJC Scopus subject areas

  • Health Policy
  • Nursing(all)
  • Health(social science)
  • Health Professions(all)

Cite this

Health planning in multifunctional regional councils : Baltimore and Houston experience. / West, Jonathan.

In: Inquiry, Vol. 12, No. 3, 1975, p. 180-192.

Research output: Contribution to journalArticle

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