The planning environment of health systems agencies: a strategy for intervention.

In this study, the dependence of the health systems agency, formed under P.L.93-641 in its planning environment, has been analyzed. After presenting some generic barriers to the implementation of the Act, the specific components of the planning environment that support the HSA were identified. The hypothesis is that the viability of the new HSA depends largely upon an improved planning environment. The present constituencies of the HSA are weak, or even negative. A strategy of interventions is tailored for each major component of the planning environment, on the assumption that each is unique in its structure and objectives and therefore in its client relationship to the HSA. The innovative planning processes required by P.L.93-641 will not be achieved without vigorous support from each component.