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DOCUMENT RESUME
02221 - CA1532525]
(Level and Range of Services Provided by the Public Health
Service Hospital System]. HRD-77-111; B-164031(5). May 26, 1977.
Released May 31, 1977. 4 pp.
Report to Sen. John L. McClellan, Chairman, Senate Committee on
Appropriations; by Robert F. Keller, Deputy Comptroller general.
Issue Area: Health Programs: Quality Care and its Assurance
(1213).
Contact: Human Resources and Development Div.
Budget Function: Health: Health Care Services (551).
Organization Concerned: Public Health Service.
Congressional Relevance: Senate Committee on Appropriations.
Authority: Department of Defense Appropriation Authorization Act
(of] 1974 (P.L. 93-155).
The Public Health Service (PHS) hiospital system should
attempt to maintain a level and range of direct patient care
services comparable to 1973, as required by law.
Finaings/Conclusions: However, in attempting to maiutain these
services during a period of spiraling inflation and limited
budget increases, the PHS hospital system has been unable to:
prevent a reduction in the level and range of other
health-related activities, including training and research;
maintain authorized staff ceilings; maintain adequate
inventories of drugs and other supplies; maintain an adequate
program for replacing cbsolete equipsent or purchasing new
equipment required by advancements in modern medical practice
and technology; and spend funds needed to maintain and repair
existing facilities and equipment, resulting in the continued
deterioration of the hospitals. Recommendations: In consideO. ng
funding for the PHS hospital system, the Congress should address
whether or not the United States intends to realize the
potential of the PHS hospital system as a resource for medical
care at a reasonable, controllable cost. Congress should
consider the potential savings from providing health care
services to military dependents and to Medicare and Medicaid
beneficiaries in federally controlled PHS hospitals and clinics;
the economics and efficiencies of PHS hospital participation in
regional and local health planning and resource allocations; and
the potential role of the PHS hospital system as a primary or
standby health care provider in any future national health
insurance program. (SC)](ViewImageLocal?handle=hein.gao/gaobaacgd0001&div=1&collection=&method=preview&ext=.png&size=3)