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Barriers to coordinating health services regulatory programs

J Mahler

    Journal of Health Politics, Policy and Law
    |January 1, 1981
    PubMed
    Summary
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    Coordinating state and federal health regulatory programs is challenging due to technical, administrative, and political hurdles. Improved coordination is unlikely without policy changes, despite its potential to enhance regulatory impact.

    Area of Science:

    • Health services regulation
    • Public health policy
    • Healthcare administration

    Background:

    • Proliferation of state and federal health services regulatory programs over the past decade.
    • Limited attention to program coordination, potentially leading to conflicting or redundant efforts.
    • Need for regulatory synergy to maximize impact and efficiency in healthcare oversight.

    Purpose of the Study:

    • To examine state approaches to coordinating certificate-of-need (CON) and prospective rate/budget review programs.
    • To identify factors hindering effective collaboration between these regulatory programs.
    • To assess the impact of coordination on regulatory effectiveness.

    Main Methods:

    • Analysis of four distinct state-level coordination strategies.

    Related Experiment Videos

  • Examination of technical, administrative, and political impediments to inter-program collaboration.
  • Evaluation of how coordination procedures affect program weaknesses and overall regulatory impact.

    • Main Results:

    • Technical, administrative, and political factors significantly impede close working relationships between CON and rate/budget review programs.
    • Certain coordination methods may inadvertently worsen program deficiencies and reduce regulatory effectiveness.
    • Existing political support structures make policy changes for enhanced coordination improbable.

    Conclusions:

    • Effective coordination of health regulatory programs faces substantial obstacles.
    • Current coordination approaches may be counterproductive, diminishing regulatory impact.
    • Policy reforms to improve coordination are unlikely given the current political landscape.