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Health Care Access: Opportunities to Target Programs and Improve Accountability

  Premium   Download PDF Now (17 pages)
Report Type Reports and Testimonies
Report Date Sept. 11, 1997
Report No. T-HEHS-97-204
Subject
Summary:

The Rural Health Clinic Program and other federal programs often provide aid to communities without ensuring that this assistance has been used to improve access to primary care. In some cases, programs have provided more than enough assistance to eliminate the defined shortage, while needs in other communities have gone unaddressed. GAO has identified a pervasive cause for this problem: a reliance on flawed systems for measuring health care shortages. These systems often fall short in identifying which programs would work best in a particular setting or how well a program meets the needs of the underserviced once it is in place. For several years, the Department of Health and Human Services has tried unsuccessfully to overcome these problems. The goal-setting and performance measurement discipline prescribed by the Government Performance and Results Act should help make programs more accountable for improving access to primary care.

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