This paper reviews research regarding institutional sponsorship of health education programs and makes a case for mobilizing planning agency review powers to support health promotion goals. Specifically, the paper urges that institutions be reviewed for appropriateness in terms of their efforts to promote health. The processes of developing review criteria and reviewing institutions to facilitate change are discussed; sample review criteria for health education are included.
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References
1.
National Health Planning and Resources Development Act of 1974, P.L. No. 93-641, 88 STAT. 2225, 1975.
2.
Health Planning and Resources Development Amendments of 1979, P.L. No. 96-79, 93 STAT. 592, 1979.
3.
U.S. Department of Health, Education, and Welfare, Public Health Service, Health Resources Administration, Papers on the National Health Guidelines: National Guidelines for Health Planning, 42 CFR 121.1-.6, 121.201-.211, March 28, 1978, DHEW Publication No. (HRA) 78-643, U.S. Government Printing Office.
4.
Health Insurance Association of America, Financing In-Hospital Patient Education: Proposed Criteria, New York, 1979.
5.
Preventive Medicine USA: Health Promotion and Consumer Health Education, A Task Force Report Sponsored by The John E. Fogarty International Center for Advanced Study in the Health Sciences, National Institutes of Health, and The American College of Preventive Medicine, Prodist, New York, 1976.
6.
DavisM. S., Variations in Patients' Compliance with Doctors' Advice: An Empirical Analysis of Patterns of Communication, American Journal of Public Health, 58: 2, pp. 274–288, 1968.
7.
BlackwellB., The Drug Defaulter, Clinical Pharmacology and Therapeutics, 13: 6, pp. 841–848, 1972.
8.
CaldwellJ. R.CobbS.DowlingM. D., and de JonghD., The Dropout Problem in Antihypertensive Treatment: A Pilot Study of Social and Emotional Factors Influencing a Patient's Ability to Follow Antihypertensive Treatment, Journal of Chronic Diseases, 22: 8/9, pp. 579–592, 1970.
9.
MarstonM-'V., Compliance with Medical Regimens: A Review of the Literature, Nursing Research, 19: 4, pp. 312–323, 1970.
10.
ShopeJ. T., Intervention to Improve Compliance with Pediatric Anticonvulsant Therapy, Patient Counselling and Health Education, 2: 3, pp. 135–141, 1980.
11.
WilliamsT. F.AndersonE.WatkinsJ. D., and CoyleV., Dietary Errors Made at Home by Patients with Diabetes, Journal of The American Dietetic Association, 51: 1, pp. 19–25, 1967.
12.
FaragS. A. and MozarH. N., Preventing Recurrences of Congestive Heart Failure, Journal of The American Dietetic Association, 51: 1, pp. 26–28, 1967.
13.
WeinsteinM. C. and StasonW. B., Hypertension: A Policy Perspective, Harvard University Press, Cambridge, Massachusetts, Chapter 4, 1976.
14.
American Hospital Association, Hospital Inpatient Education: Survey Findings and Analyses, 1975, U.S. Department of Health, Education, and Welfare, Public Health Service, Center for Disease Control, Bureau of Health Education, Atlanta, Georgia, 1977.
15.
DavisM. S., Variations in Patients' Compliance with Doctors' Orders: Analysis of Congruence Between Survey Responses and Results of Empirical Investigations, Journal of Medical Education, 41: 11, pp. 1037–1048, 1966.
16.
DavisM. S., Documenting the Need, Strategies for Patient Education, Invitational Conference on Patient Education, University of Chicago, October 6–8, 1969, American Hospital Association, Chicago, Illinois, pp. 13–26.
17.
InuiT. S.YourteeE. L., and WilliamsonJ. W., Improved Outcomes in Hypertension After Physician Tutorials: A Controlled Trial, Annals of Internal Medicine, 84: 6, pp. 646–651, 1976.
18.
AlpertJ. J., Broken Appointments, Pediatrics, 34: 1, pp. 127–132, 1964.
19.
RockartJ. F. and HofmannP. B., Physician and Patient Behavior under Different Scheduling Systems in a Hospital Outpatient Department, Medical Care, 7: 6, pp. 463–470, 1969.
20.
GlogowE., Effects of Health Education Methods on Appointment Breaking, Public Health Reports, 85: 5, pp. 441–450, 1970.
21.
GreenL. W., The Potential of Health Education includes Cost Effectiveness, Hospitals, 50: 9, pp. 57–61, 1976.
22.
EgbertL. D.BattitG. E.WelchC. E., and BartlettM. K., Reduction of Postoperative Pain by Encouragement and Instruction of Patients: A Study of Doctor-Patient Rapport, New England Journal of Medicine, 270: 16, pp. 825–827, 1964.
23.
RosenbergS. G., Patient Education Leads to Better Care for Heart Patients, HSMHA Health Reports, 86: 9, pp. 793–802, 1971.
24.
LevinL. S., Forces and Issues in the Revival of Interest in Self-Care: Impetus for Redirection in Health, Health Education Monographs, 5: 2, pp. 115–120, 1977.
25.
BarryP. Z.PezzulloS.BeeryW. L.De FrieseG. H., and AllenW. J., Self-Care Programs: Their Role and Potential, Health Promotion/Disease Prevention Program, Health Services Research Center, University of North Carolina at Chapel Hill, 1979.
26.
GrantR. H., Family and Self-Help Education in Isolated Rural Communities, Health Education Monographs, 5: 2, pp. 145–160, 1977.
27.
MilioN., Self-Care in Urban Settings, Health Education Monographs, 5: 2, pp. 136–144, 1977.
28.
LevineP. H. and BrittenA. F. H., Supervised Patient-Management of Hemophilia: A Study of 45 Patients with Hemophilia A and B, Annals of Internal Medicine, 78: 2, pp. 195–201, 1973.
29.
KatzH. P. and ClancyR. R., Accuracy of a Home Throat Culture Program: A Study of Parent Participation in Health Care, Pediatrics, 53: 5, pp. 687–691, 1974.
30.
PrattL., Changes in Health Care Ideology in Relation to Self-Care by Families, Health Education Monographs, 5: 2, pp. 121–135, 1977.
31.
BrodyJ. E., Hospital Deaths Being Cut by Use of Intravenous Feeding Technique, New York Times, Sec. 1, p. 1, D 14, 25 November 1977.
32.
United States Senate, Select Committee on Nutrition and Human Needs, Dietary Goals for the United States, 95th Congress, 1st Session, Committee Print, Government Printing Office, February 1977.
33.
WilliamsC. L. and WynderE. L., A Blind Spot in Preventive Medicine, Journal of the American Medical Association, 236: 19, pp. 2196–2197, 1976.
34.
National Center for Health Statistics, Public Health Service, Health Resources Administration, Technical Consultant Panel to the U.S. National Committee on Vital and Health Statistics, Statistics Needed for Determining the Effects of the Environment on Health, DHEW Publication No. (HRA) 77-1457.
35.
KotzH. J. and FieldingJ.E. (eds.), Health, Education & Promotion, Agenda for the Eighties: A Summary Report, Health Insurance Association of America, American Council of Life Insurance, 1980.
36.
GoldbeckW. B., A Working Paper on a Private Sector Perspective on the Problems of Health Care Costs, Washington Business Group on Health, Washington, D.C., April 1977.
37.
HowardG., The Medical Foundation, Inc., Letter to authors, February 27, 1981.
38.
MillerC. A., New Demands on Health Education, Health Values: Achieving High-Level Wellness, 1: 2, pp. 56–62, 1977.
39.
Department of Health, Education, and Welfare, Public Health Service, 42 CFR Parts 122 and 123, Health Systems Agency and State Agency Reviews of the Appropriateness of Existing Institutional Health Services, Federal Register, 44: 239, pp. 71754–71773, December 11, 1979.
40.
Department of Health, Education, and Welfare, Public Health Service, 42 CFR Parts 122 and 123, Health Systems Agency and State Health Planning and Development Agency Review of New Institutional Health Services, Federal Register, 44: 64, pp. 19306–19326, April 2, 1979.
41.
KelleyB.C., The Utility of Outcome Measures of Health Status in Comprehensive Health Planning, M.S. Thesis, Ohio State University, Columbus, 1974.
42.
FanshelS. and BushJ. W., A Health-Status Index and Its Application to Health-Services Outcomes, Operations Research, 18: 6, pp. 1021–1066, 1970.
43.
Florida Panhandle Health Systems Agency, Inc., Report to the Governing Body on the Appropriateness Review Field Test, Draft, Panama City, Florida, July 20, 1977.
44.
SpringallW. H.CottonK. I., and GrovesR., Practical Application of Health Status Indicators for Health Planning at the Subarea Level, Philadelphia Health Management Corporation, Philadelphia, 1977.
45.
KressG. C.Jr., Toward a Definition of the Appropriateness of Dental Treatment, Public Health Reports, 95: 6, pp. 564–571, 1980.
46.
StevensC. M., On “Consumer Participation” in Medical-Care Markets, Health Care Policy Discussion Paper Number 5, Harvard Center for Community Health and Medical Care, Program on Health Care Policy, Harvard University, Boston, April 1973.
47.
BogueT. and WolfeS. M., Trimming the Fat Off Health Care Costs: A Consumer's Guide to Taking Over Health Planning, Health Research Group, Washington, D.C., 1976.
48.
Consumer Commission on the Accreditation of Health Services, Inc., Activities and Approaches to the Development and Distribution of Consumer Health Care Information at the Local, State, and National Levels, Report No. HRP-0013980, U.S. Public Health Service, Rockville, Maryland, September 1976.
49.
Wisconsin Regional Medical Program, Involvement of Consumers in Planning, Policy-Making and Evaluation of Health Care, Wisconsin State Health Policy Council, Madison, 1974.
50.
MitchellJ. A., Quality of Medical Care-Mutual Responsibility of Consumers and Providers, Quality Assurance of Medical Care Monograph, Department of Health, Education, and Welfare, Health Services and Mental Health Administration, Regional Medical Programs Service, DHEW Publication No. (HSM)73-7021.
51.
Conducting Appropriateness Review: Lessons Learned from Initial Experience — A Final Project Report, TR-77W-072, Prepared for Robert Crane, Bureau of Health Planning and Resources Development, Hyattsville, Maryland, Contract No. HRA-230-75-0110, October 7, 1977.
52.
Denver Medical Society, Committee to Explore Moral, Ethical and Philosophic Decisions Related to the Cost of Medical Care, Summary of Proceedings, July 1977 (mimeographed).
53.
GreenL. W., Determining the Impact and Effectiveness of Health Education as it Relates to Federal Policy, Prepared for the Office of the Deputy Assistant Secretary for Planning and Evaluation/Health, U.S. Department of Health, Education, and Welfare, September 15, 1975, Revised April 30, 1976.
54.
GreenL. W.KreuterM. W.DeedsS. G., and PartridgeK. B., Health Education Planning: A Diagnostic Approach, Mayfield Publishing Company, Palo Alto, California, 1980.
55.
SquyresW. D. (ed.), Patient Education: An Inquiry into the State of the Art, 4, Springer Series on Health Care and Society, Springer Publishing Company, New York, 1980.
56.
BerelsonB. and FreedmanR., A Study in Fertility Control, Scientific American, May 1964.
57.
CernadaG. and LuL.P., The Kaohsiung Study, Studies in Family Planning, 3: 8, pp. 198–203, 1972.
58.
FreedmanR. and TakeshitaJ. V., Family Planning in Taiwan: An Experiment in Social Change, Princeton University Press, New Jersey, 1969.
59.
CernadaG. P., Direct Mailings to Promote Family Planning, Studies in Family Planning, 1: 53, pp. 16–19, 1970.
60.
StecklerA.DawsonL., and HerndonS., Analysis of Health Education Sections of Health System Plans, Health Education Quarterly, 7: 3, pp. 186–202, 1980.
