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Remodeling the Municipal Health Services for a Unified System of Ambulatory Medical Care in the Central City
Alfred E. Miller
Vol. 10, No. 5 (Sep. - Oct., 1972), pp. 395-401
Published by: Lippincott Williams & Wilkins
Stable URL: http://www.jstor.org/stable/3763006
Page Count: 7
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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.
Medical Care © 1972 Lippincott Williams & Wilkins