Cover -- Copyright -- Table of Contents -- Preface -- Chapter 1 INTRODUCTION AND SUMMARY OF RECOMMENDATIONS -- ISSUES ADDRESSED IN THE STUDY -- BOUNDARIES OF THE STUDY -- METHODS -- FINDINGS AND RECOMMENDATIONS -- REFERENCES -- Chapter 2 HEALTH SERVICES RESEARCH DEFINED -- EXISTING DEFINITIONS -- Research on Environmental Health Services -- Behavioral Research -- Biomedical Research -- Epidemiological Research -- LEVELS OF HEALTH SERVICES RESEARCH -- Clinically-Oriented Studies -- Institutionally-Oriented Studies -- Systemic Studies -- Environmental Studies -- TYPES OF HEALTH SERVICES RESEARCH -- USES OF HEALTH SERVICES RESEARCH -- Evaluation of Technologies and Innovations -- Problem Solving -- LIMITATIONS OF RATIONAL MODELS -- REFERENCES -- CHAPTER 3 THE FIELD OF HEALTH SERVICES RESEARCH -- FIELD AS DISTINCT FROM DISCIPLINE -- ORIGINS AND DEVELOPMENT OF THE FIELD -- Origins: Pre-1930s -- 1930s -- 1950 -- 1950s -- 1965 -- Mid-1960s to the Present -- REFERENCES -- Chapter 4 HEALTH SERVICES RESEARCH IN THE FEDERAL GOVERNMENT -- FEDERAL INVOLVEMENT IN HEALTH SERVICES RESEARCH -- FEDERAL EXPENDITURES FOR HEALTH SERVICES RESEARCH -- EMPHASES OF FEDERALLY SUPPORTED HEALTH SERVICES RESEARCH -- COORDINATION OF HEALTH SERVICES RESEARCH -- Duplication -- Fragmentation and Gaps -- QUALITY CONTROLS -- Contract Research -- Intramural Research -- REFERENCES -- Chapter 5 THE NATIONAL CENTER FOR HEALTH SERVICES RESEARCH -- ORIGINS -- Background -- Objectives and Functions -- Organization -- 1970 TO THE PRESENT -- Location -- Budget -- Priorities -- ISSUES -- COORDINATION OF A GENERAL-PURPOSE RESEARCH AGENCY -- HEALTH SERVICES RESEARCH TRAINING -- CENTERS PROGRAM -- INTRAMURAL RESEARCH -- ORGANIZATIONAL LOCATION OF THE NATIONAL CENTER -- Option #1 -- Leave the Center in the Office of the Assistant Secretary for Health -- Option #2 -- Relocate within NIH -- Option #3 -- Re-create as free-standing agency in Public Health Service -- Option #4 -- Re-create as free-standing agency in the Office of the Secretary, DHEW
