Consistent with federal goals, the current goals of Alaska's health planning agencies have been to encourage prevention of health problems through an emphasis on health education, to allocate new technology within existing systems without unnecessary duplication, and to achieve levels of health care considered appropriate for community size and function. The challenge for health planning agencies in Alaska today is to develop an agenda for the next decade that will address the major changes anticipated in the state and assist in planning health services that are appropriate and responsive to those changes. In the short term, this requires not only a reformulation of goals but also a restructuring of the health planning agencies to address these new goals with the necessary expertise and with organizations that are streamlined to be efficient and responsive.
Available upon request at the Alaska Medical Library, located on the second floor of UAA/APU Consortium Library. Ask for accession no. 96198.
This preliminary assessment suggests that, when a service area has a community with a well-developed private health care delivery system, the health care needs of indigenous people can be served optimally through a system which combines both separate and shared facilities.