Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “Financing, Construction”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 271 records · Page 15Linked to original sources
PubMed1982

Grants, loans and loan guarantees for construction and modernization of hospitals and medical facilities--PHS. Reinstatement of rule.

This rule amends Title 42 of the Code of Federal Regulations by reinstating the provision at Section 53.134 concerning notification of the Department of the transfer of a medical facility assisted under Title VI of the Public Health Service Act (the Hill-Burton Act) or termination of services provided in the facility. The provision was incorrectly deleted in a rule published on August 6, 1979, 44 FR 45946.

Financial Management↗
PubMed1985

Grants for hospital construction and modernization; federal right of recovery and waiver of recovery--PHS. Notice of proposed rulemaking.

As a result of recent amendments to sections 609 and 1622 of the Public Health Service Act, the Public Health Service proposes to amend its regulations to provide for (1) written notification to the Secretary when a grant-assisted hospital is sold or no longer used as a health facility eligible for a grant under Title VI or XVI of the Act, (2) waiver of the Government's right of recovery under certain circumstances, and (3) interest on recovery amounts.

Financial Management↗
PubMed1995

Medical facility construction and modernization; requirements for provision of services to persons unable to pay--PHS. Final rule.

This document revises the rules currently governing how certain health care facilities, assisted under Titles VI and XVI of the Public Health Service Act, fulfill the assurance, given in their applications for assistance, that they would provide a reasonable volume of services to persons unable to pay. Public comment on the current rules and operational experience with them indicated the need to revise the current requirements with respect to nursing homes, many of which are unable under current requirements to meet their obligation to provide such services. The rules below should permit qualified facilities to satisfy their uncompensated services assurance.

Financing, Construction↗
PubMed1978

The political economy of federal health programs in the United States: an historical review.

In the 1960s the federal government of the United States added a wide range of new health programs--Medicare, Medicaid, health manpower training, occupational safety, and others--to its long-established support for biomedical research and hospital construction. Total federal health outlays rose from $5 billion in 1965 to almost $37 billion in 1975. This paper describes the legislative history of federal health programs and reports the recent trends in expenditures by functional category. The expenditures of major programs are related to the populations they serve and data are presented to document the enormous inflow of resources to medical care during the last 10 years. This inflow has been induced by the structural changes in the medical care market first set in motion by private health insurance, and accelerated by the new federal programs. Designing some way to control it is a major problem in health policy for the late 1970s.

Economics↗
PubMed2003

[Health impact assessment of building and investment projects].

For regional planning and approval procedures for building projects of a certain order of magnitude and power rating according to the German Federal Act on the Prevention of Emissions with Integrated Environmental Impact Assessment (EIA), the German public health departments, acting as public authorities, increasingly perform health impact assessments (HIA). The amended Act on Environmental Impact Assessment, the Decree on industrial plants which require approval (4th Federal Decree on Emission Prevention) and the Health Service Acts of the Federal States of Germany form the legal basis for the assessment of health issues with regard to approval procedures for building and investment projects. In the framework of the "Action Programme for the Environment and Health", the present article aims at making this process binding and to ensure responsibility and general involvement of the Public Health departments in all German Federal States. Future criteria, basic principles and procedures for single-case testing as well as assessment standards should meet these requirements. The Federal Ministry for the Environment and the Federal Ministry for Health should agree on Health Impact Assessment (HIA ) as well as on the relaxant stipulations in their procedures and general administrative regulations for implementing the Environmental Impact Assessment Act (EIA). Current EIA procedures focus on urban development and road construction, industrial investment projects, intensive animal husbandry plants, waste incineration plants, and wind energy farms. This paper illustrates examples meeting with varying degrees of public acceptance. However, being involved in the regional planning procedure for the project "Extension of the federal motorway A 14 from Magdeburg to Schwerin", the Public Health Service also shares global responsibility for health and climate protection. Demands for shortest routing conflict with objectives of environmental protection which should be given long-term consideration. Assessing the direct impact of projects on human beings should be rank first in the list of priorities. The Hygiene Institute supports the efforts of the Public Health departments by providing professional consultant services to ensure consistency in the application of procedures.

Animal Husbandry↗
PubMed1983

Development of a master plan for a Medical Center.

The planning process at the Medical Center has developed over a six-year period (1975 through 1981) and produced a formal long-range planning process. There is a skilled planning team, consisting of a hospital consultant, architect, financial planner, accounting firm, and construction manager. The board of trustees has appointed a standing long-range planning committee that meets monthly. The board has also adopted a long-range master plan for the Medical Center; it includes a $25.4 million building program. The state health planning agency has issued a certificate-of-need to the hospital in the amount of $40 million for completion of the master plan. The hospital has been instrumental in creating a county health facilities authority and is the first institution to use this mechanism within the community. Tax-exempt bonds in the amount of $44 million were sold in August of 1981. Hospital management has encouraged the board of trustees to adopt community-oriented programs and to participate in charity-care efforts. This involvement has projected the hospital as a progressive organization deserving of planning-agency and government support.(ABSTRACT TRUNCATED AT 250 WORDS)

Decision Making, Organizational↗
PubMed1993

William P. Letchworth: philanthropist and pioneer epileptologist.

Although neither a physician nor a scientist, William Pryor Letchworth significantly improved the care and treatment of epileptics at the beginning of this century. As commissioner of the New York State Board of Charities and later president, he established Craig Colony, America's first comprehensive epilepsy facility. In Care and Treatment of Epileptics, he summarized contemporary medical and social knowledge of epilepsy. As cofounder and president of the National Association for the Study of Epilepsy, he introduced from Europe his improvements of the colony plan of construction and financed Transactions, the society's scholarly journal. He combined a sensitivity to the needs of the unfortunate with the resolve of a successful businessman. Although William Pryor Letchworth is remembered for his philanthropy and the park in western New York that bears his name, his signal contributions to modern concepts of epilepsy are unknown to most physicians. This article will acquaint readers with the life and accomplishments of this philanthropist and pioneer epileptologist.

Epilepsy↗
PubMed1975

The planning and development of the New York City neighborhood family care centers.

Between 1967 and 1969 the New York City capital budget listed monies for the planning and construction of 15 new ambulatory care centers to provide comprehensive medical care to medically underserved areas of the city. Because of the urgent need, an effort was made in planning the centers to minimize the number of agency approvals. By adopting this approach, the appropriateness of the centers to their target populations became secondary to the process of negotiating the bureaucracy. In spite of this tactical decision, by 1970 construction had begun on only 1 center. This case study discusses the events from 1967 through 1969 that relate to the effort to expedite bureaucratic processing of the facilities.

Community Health Centers↗
PubMed1978

Health care decision making in Southern County.

We combine two standard approaches to analyze power and influence in health policy formulation within a moderately large county in the south. Intrinsic methodologic weaknesses are discussed and several conclusions are drawn regarding power in the health care sector of that community. The most significant finding is the shift in power over time, away from the individuals to committees and health care organizations. The ignorance of most physicians about the broader health care issues that affect the community was reflected in their lack of recognition by others in the community as influential decision makers. The insular relationship of the university to the rest of the community was also noted. Past racial politics had a continuing effect on later health policy formulation. These findings are discussed in light of current and past issues. Because we had promised confidentiality to the persons we interviewed, fictitious names were given to the county, the institutions, and the interviewees.

Decision Making↗