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An insider's perspective on the near-death experience of AHCPR.

Clifton R Gaus

Health affairs 2003 DOI: 10.1377/hlthaff.w3.311 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Historical analysis Peer reviewed
Topics Near-death experience
Key points Argues that AHCPR's survival during 1995-1996 resulted from restructuring program priorities and building support from health care associations and leaders, with a fortunate sequence of events also contributing. This episode exemplifies the ongoing struggle of health services research to secure federal budget priority.

Abstract

The story of AHCPR's struggle with Congress to remain a federal agency is an example of the longer struggle health services research (HSR) has had to hold a priority in the federal budget. But from another perspective, the growth of HSR has been substantial, albeit an up-and-down experience. Its survival during the turbulent years of 1995-1996 is attributed to a fundamental restructuring of its program priorities and building a new base of support from major health care associations and leaders. A fortunate sequence of events also contributed to the reversal of what could have been a cataclysmic occurrence for the field of HSR.

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