Research and Service Programs in the PHS: Challenges in Organization -- Copyright -- Preface -- Contents -- Brief Summary of Recommendations -- Executive Summary -- ORGANIZATIONAL GOALS AND MISSIONS -- PLANNING AND PRIORITY SETTING -- DEMONSTRATION AND INFORMATION DISSEMINATION PROGRAMS -- DUPLICATION, REPLICATION, AND COMPLEMENTARITY -- FINAL THOUGHTS -- 1 Introduction -- DEFINITION OF KEY TERMS USED IN THE STUDY -- ORGANIZATION OF THE REPORT -- ORGANIZATION AND MANAGEMENT OF THE FIVE PHS AGENCIES NOTES -- ORGANIZATION AND MISSION OF THE FIVE PHS AGENCIES -- Office of the Assistant Secretary for Health -- National Institutes of Health -- Alcohol, Drug Abuse, and Mental Health Administration -- Health Resources and Services Administration -- Centers for Disease Control -- Agency for Health Care Policy Research -- NOTES -- 2 A Brief History of ADAMHA and Previous Studies of Its Organization -- OVERVIEW -- EARLY HISTORY -- THE 1960S -- THE GARDNER REPORT AND THE BIRTH OF ADAMHA -- ADAMHA -- The Lewin Report -- The Anti-Drug Abuse Act of 1988 -- NOTES -- 3 Methodology -- OVERVIEW -- CATEGORICAL ANALYSES (CASE STUDIES) -- Underlying Principles for the Case Study Method -- NOMENCLATURE AND CLASSIFICATION -- Difficulties in Grant Classification -- CASE STUDY OF ALZHEIMER'S DISEASE -- CASE STUDY OF SUBSTANCE-ABUSING PREGNANT WOMEN -- CASE STUDY OF DOPAMINE RESEARCH: SCHIZOPHRENIA AND PARKINSON'S DISEASE -- FUNCTIONAL ANALYSES -- Planning, Priority Setting, and Budgeting -- Organizational Arrangements for Health Services Research in Federal Agencies -- Research and Service Demonstrations and Block Grants -- Information Dissemination -- Constituency Group Relations with Federal Agencies -- Linkage Mechanisms Between Research and Service Programs -- The Research Process: Replication and Duplication -- History of the Public Health Service.

Authorizations, Missions, and Appropriations -- Allocations to Health Research and Service Programs -- NOTES -- 4 Co-Administration of Research and Services -- OVERVIEW -- RESEARCH AND SERVICES MISSIONS OF THE PHS -- THE RESEARCH-SERVICES CONTINUUM -- CO-ADMINISTRATION OF RESEARCH AND SERVICE PROGRAMS -- PLANNING, PRIORITY SETTING, AND BUDGETING -- At the Department and PHS Level -- Within PHS Agencies -- EFFECTIVENESS OF DEMONSTRATION AND INFORMATION DISSEMINATION PROGRAMS -- ORGANIZATIONAL CAPACITY AND PROGRAM PLACEMENT -- FINAL THOUGHTS -- NOTES -- ADDITIONAL BIBLIOGRAPHY -- 5 Duplication, Replication, and Complementarity -- INTRODUCTION -- DEFINITIONS -- REPLICATION, DUPLICATION, AND COMPLEMENTARITY IN THE CASE STUDIES -- Alzheimer's Disease Case Study -- Schizophrenia and Parkinson's Disease: Dopamine Research -- Substance-Abusing Pregnant Women -- GUARDING AGAINST DUPLICATION -- NOTES -- Appendix B Nomenclature for Research and Service Activities -- NOTES -- Appendix C Task Forces and Liaison Committee -- TASK FORCE ON ALZHEIMER'S DISEASE CASE STUDY -- TASK FORCE ON DOPAMINE CASE STUDY -- TASK FORCE ON SUBSTANCE-ABUSING PREGNANT WOMEN CASE STUDY -- TASK FORCE ON THE HISTORY OF RESEARCH -- TASK FORCE ON METHODOLOGY -- TASK FORCE ON SCIENTIFIC METHODOLOGY -- PUBLIC HEALTH SERVICE LIAISON COMMITTEE -- Appendix D Interview List.