:NASA has put people in unique and extreme environments for over six decades. Supporting these individuals with a comprehensive health-care system has evolved over this period. As the Apollo program ended and NASA began to contemplate a space shuttle and space station program, societal pressures in the late 1960s and early 1970s caused federal agencies such as NASA to reconsider how to link the needs of the space program with a growing pressure to address societal needs by forging interagency partnerships. The Space Technology Applied to the Rural Papago Health Care (STARPAHC) project provides an example of how NASA sought to balance these two imperatives in an age of diminishing federal support. This project can provide lessons for today’s uncertain budgetary future for agencies such as NASA, which are once again being asked to find creative and innovative ways to support their missions while demonstrating their larger value to society.

中文翻译：

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大社会暮光中的机构间合作：远程医疗、美国宇航局和帕帕戈国家

: 六年来，NASA 将人们置于独特而极端的环境中。在此期间，通过全面的医疗保健系统支持这些人已经发生了变化。随着阿波罗计划的结束和美国宇航局开始考虑航天飞机和空间站计划，1960 年代末和 1970 年代初的社会压力导致美国宇航局等联邦机构重新考虑如何将太空计划的需求与日益增长的解决问题的压力联系起来通过建立机构间伙伴关系来满足社会需求。应用于农村帕帕戈医疗保健 (STARPAHC) 项目的空间技术提供了一个例子，说明 NASA 如何在联邦支持减少的时代寻求平衡这两个必要条件。该项目可以为美国宇航局等机构今天不确定的预算未来提供经验教训，