Health Services Research and Development: Grant and Contract Support

Abstract

Health Services Research and Development EVELYN FLOOK FEDERAL GRANTS are intended to ex-pand research activities throughout the country, and to encourage investigators and institutions to undertake research in relatively neglected scientific areas. The need for Federal support of research aimed at better understanding of the problems inherent in hospital administration and of demonstrations designed to illustrate more effective methods of operation was recognized in the 1950 amendment to the original Hill-Burton legislation on hospital construction.The 1950 amendment authorized -the "conduct of research, experiments, and demonstrations relating to the effective development and utilization of services, facilities and resources of hospitals or other medical facilities . . ., icluding projects for the construction of experimental or demenstration hospitals or other medical facilities and projects for acquisition of experimental or demonstration equipment for use in connection with hospitals or other medical facilities."The 1950 amendment authorized an appropriation of $1.2 million annually, but no funds were made available until 1956. Consequently, in 1956 a program of grant and contract support for hospital research and demonstrations was

Career Resourcing and the Process of Professional Emergence

“…Greater focus on players involved in creating or running various organizations that make up professional infrastructure for HSR. (Altman, 1995;Brook, 1995;Flook, 1969;Flook & Sanazaro, 1973;Gaus, 2003;Lohr, 1995;McCarthy & White, 2000;Roper et al, 1988;Salive, Mayfield, & Weissman, 1990;Sanazaro, Goldstein, Roberts, Maglott, & McAllister, 1972;Viseltear, 1973;Wennberg, 1984Wennberg, , 1994Wennberg, , 2010White, 1991;White, 1970)…”

“…A funding infrastructure emerged concurrently. While there was ad-hoc funding for health services-type research since the early 20 th century, federal funding began in the 1950s and expanded through the 1960s (Flook, 1969;Flook & Sanazaro, 1973;Gray, Gusmano, & Collins, 2003). Finally, institutionalization of the new profession came with the growth of a broader fieldlevel infrastructure that included policy-makers that commission and use HSR (Gray, 1992;Gray et al, 2003;Mullan, 2004;Obama, 2016;Roper, Winkenwerder, Hackbarth, & Krakauer, 1988;Wilensky, 1997).…”

How institutional change and individual researchers helped advance clinical guidelines in American health care

“…I analyzed archived interviews with and memoirs by key figures in the history of health services research, including White, Wennberg, and Brook. I also analyzed a broad range of other primary texts, including published first-person accounts outlining the activities of key actors (Flook, 1969;Huntley, 1969;Roper, Winkenwerder, Hackbarth, & Krakauer, 1988), conference proceedings, published articles outlining new approaches to health care quality (Flook & Sanazaro, 1973;Iglehart, 1984), and Institute of Medicine (IOM) reports. Finally, I analyzed secondary histories of the field of health services research and the creation and histories of both AHCPR and the IOM.…”

“…As part of this expansion, the federal government began to finance health services research. Complementing its role in financing hospital construction, Congress designated $1.2 million for "hospital research and demonstrations" in 1955 (Berkowitz, 1998d;Flook, 1969).…”

“…The NIH created the "hospital facilities research" study section in 1955 to administer its funds, which were first distributed in 1956 (McCarthy & White, 2000). Subsequent legislation increased federal funding for health services research through the late 1950s and early 1960s (Flook, 1969;McCarthy & White, 2000).…”