Regionalization in the Veterans Administration health care system

Rhetoric and realities

S. J. Williams, D. W. Belcher, I. Moscovice, Thomas Inui

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Criticisms of the Veterans Administration health care system have centered in part on the ability of the system to reallocate resources in response to the changing needs of veterans. VA hospitals use traditional budgeting and planning processes; new programs and projected increases in workload are added to the previous year's budget to yield the budget for the succeeding year. Since these activities occur on an individual institution basis, there is little effort to plan cooperatively between hospitals or to reassess the fundamental allocation of resources based on veteran needs. Over the past two years, the VA has devised a program of regionalized budgeting and planning. The publicity surrounding VA regionalization reflects the idealized potential of shared resources and joint planning within each of the newly created VA medical districts. The reality of the program, however, when examined on a national basis and illustrated by an in-depth study of five hospitals in one district, indicates that there has been little use of resource allocation methodology and that few planning resources have been allocated to this effort. As a result, the district program is a collation of individual hospital budgets, and plans to yield the district budget and plans. Regionalization is unlikely of succeed in any meaningful manner within the VA unless further changes occur in district resource allocation methods.

Original languageEnglish (US)
Pages (from-to)98-119
Number of pages22
JournalJournal of Health Politics, Policy and Law
Volume5
Issue number1
StatePublished - 1980
Externally publishedYes

Fingerprint

Veterans Health
United States Department of Veterans Affairs
regionalization
Budgets
Resource Allocation
rhetoric
health care
Delivery of Health Care
district
budget
Veterans
resources
Planning Techniques
planning
Workload
publicity
planning process
workload
criticism
methodology

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Health Policy
  • Nursing(all)
  • Social Sciences (miscellaneous)
  • Health(social science)
  • Law
  • Health Professions(all)

Cite this

Regionalization in the Veterans Administration health care system : Rhetoric and realities. / Williams, S. J.; Belcher, D. W.; Moscovice, I.; Inui, Thomas.

In: Journal of Health Politics, Policy and Law, Vol. 5, No. 1, 1980, p. 98-119.

Research output: Contribution to journalArticle

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