Access

You are not currently logged in.

Access your personal account or get JSTOR access through your library or other institution:

login

Log in to your personal account or through your institution.

Remodeling the Municipal Health Services for a Unified System of Ambulatory Medical Care in the Central City

Alfred E. Miller
Medical Care
Vol. 10, No. 5 (Sep. - Oct., 1972), pp. 395-401
Stable URL: http://www.jstor.org/stable/3763006
Page Count: 7
  • More info
  • Cite this Item
Remodeling the Municipal Health Services for a Unified System of Ambulatory Medical Care in the Central City
Preview not available

Abstract

The problem of health care delivery in inner city poverty areas with overcrowded OPD's and fragmented care demands a remodeling of our municipal health services. A commonly suggested change is merger of preventive and curative services. This is an important step but fraught with difficulty because of the necessarily different organizational structure of the two kinds of services. The broad information gathering base and uniform service demanded of the health department leads to a "mediating technology" or service bureaucracy. The individual care problems of the hospital and OPD lead to an "intensive technology" with a very different communication and decision-making structure. Merger of these two structures requires an adequate management system to see that the necessary functions of both are preserved.

Page Thumbnails

  • Thumbnail: Page 
395
    395
  • Thumbnail: Page 
396
    396
  • Thumbnail: Page 
397
    397
  • Thumbnail: Page 
398
    398
  • Thumbnail: Page 
399
    399
  • Thumbnail: Page 
400
    400
  • Thumbnail: Page 
401
    401