Document Detail


Setting health standards for the 21st century.
MedLine Citation:
PMID:  9861795     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: To describe the nature, substance, and impact of health standards and to speculate on how they may change during the early years of the 21st century. SUMMARY: The health care system has experienced dramatic changes over the past three decades. Health standards now cover the spectrum from statutes to regulations to guidelines, as well as less compulsory forms, and address every aspect of health, including the availability, quality, and cost of services; the safety, efficacy, and quality of products; the adequacy of processes and analytic methods; and the value and cost-effectiveness of health technologies and services. Standards cover promotion, protection, and gatekeeping functions. They are established in response to specific needs and are driven by social and political agendas; social policy will drive standards development to a greater extent in the 21st than in the 20th century. Technology advances are stimulating new forms of standards, primarily gatekeeping standards. Standards raise the question of compliance. The trend is increasingly toward less compulsory, more discretionary standards, with a greater percentage being established by quasi-official and voluntary bodies. CONCLUSION: 21st century health standards must balance the rights of access with protection from unsafe, ineffective, and poor quality products and services during a period when decisions must be made faster. They must be more flexible, enabling consumers to choose their level of protection. Such standards will pose the same concerns about adequacy, equity, and freedom of choice as health standards pose now. Whether we will use 21st century standards to improve and advance our health as well as systems, products, and services that contribute to health more effectively than we have in the 20th century is a question to ponder.
Authors:
J A Halperin
Related Documents :
22299485 - Community awareness and perceptions of health sector preparedness and response to cyclo...
15317315 - Hhs head looks to speed up it use in healthcare.
16957745 - Dialysis rationing in south africa: a global message.
22466045 - The fox and the grapes: is real reform beyond reach in the united states?
10520075 - Prevalence and residential determinants of fungi within homes in melbourne, australia.
16878465 - Measures to control an imported case of canine rabies in france.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of the American Pharmaceutical Association (Washington,D.C. : 1996)     Volume:  38     ISSN:  1086-5802     ISO Abbreviation:  J Am Pharm Assoc (Wash)     Publication Date:    1998 Nov-Dec
Date Detail:
Created Date:  1999-01-06     Completed Date:  1999-01-06     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9601004     Medline TA:  J Am Pharm Assoc (Wash)     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  762-6     Citation Subset:  IM    
Affiliation:
U.S. Pharmacopeial Convention, Rockville, MD 20852, USA. jah@usp.org
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Forecasting
Health Planning / trends*
Health Policy / trends*
Health Promotion / standards*
Humans
Managed Care Programs / trends*
Quality Indicators, Health Care
United States

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Costs of implementing pharmaceutical care in community pharmacies.
Next Document:  Latex hypersensitivity/glove component reaction as a contributing factor to osteomyelitis of the han...