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Pages 1-6

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From page 1...
... The priority disessebased institutes enable Congress to understand, appreciate, and support the research accompI ishments and goals of the institutes, ant also to exposes concerns and priorities about the need for further research . The study sect ions, on the other hand, cut across institute lines and ensure that appropriate scientific ealene and items are brought to bear on the prob leme.
From page 2...
... committed individuals with ~ vision for the field. There are ~ ny ways for NIH to be responsive to health needs and scientific opportunities without changing its organizational structure In the last decade, for instance, NIH's research menasea at style has shifted from one driven primarily by scientific develops nts and individual researchers to one in which NIH staff coop rate with the research community through the planning procces and, on this bests , take ~ more active role in setting research priorities and developing new research areas Concomitantly, most of the institutes have switched from a research mechanism-oriented internal structure to program-oriented one To respond to treat th needs without changing its organizational structure, NIH must improve its ability to · sense the emerging concerns of the pub tic, the research community, and Congress; · ensure through research planning that the emerging needs are addressed by NIH's research program; respond to the identified needs with activities etched to the magnitude and urgency of she teeny ~ pp .
From page 3...
... ~ recent years, for instance, there here been proposals to create in NTH new institutes for disease prevention and nursing research, and to transfer into NIH existing agencies concerned with research on occupational safety and health, health statistics, mental health, and the provision of treat th services. Such organizational changes would expand the boundaries of the NIH research mission, and perhaps involve NIH in the provis ion of health services and research in support of regulatory activities.
From page 4...
... Additionally in response to constituent pressures and ·ooetimes because of a perception that NIH would not initiate action on its own Congress often has proposed new institutes or other organizational changes to emphasize particular diseases or health problems NIH has consistently opposes these changes and thus has acquired an image of being opposed to innovations proposed fro. outside the agency O "anizational changes should not be the only Deans or even the primary means of implementing changes in research priorities Therefore there should be an effective mechanism for jutting the need for organizacions1 changes as a means of addressing priorities using the criteria suggested above and for suggesting appropr ate alternatives In order to accommodate changes in the policy environment of NIH the committee recommends that a Health Science Board be established , .
From page 5...
... limited authority to transfer up to 0.5 percent of the NIH budget across institute lines in response to a public health emerzencv p. 32 ; The current Director's Advisory Committee should be converted to a stronger and more independent NIH Policy and Planning Council to provide for the Director a continuous evaluation of the resear_h mission and function of NIH, and to advise the Director in the formulation of long-term plans and in setting research priorities tfull text on pp.
From page 6...
... 35-36~. program The NIH Director should assume overall responsibility for informin members of each institute 8 Board of Scientif institute's response to its recommendation)

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