The increasing fragmentation and rising costs of medical care
highlight the need for new approaches, especially the need for
alternatives for the delivery of a full range of services at the
local level. This book is the first to offer a model for a
comprehensive community-based health practice that can compete
effectively in the health care market. In their analysis of a
health center affiliated with New York Medical College, the authors
present systematic profiles of every aspect of operation, together
with anecdotal accounts contributed by physicians, nursing staff,
patients, and those responsible for third-party payment.
The authors begin with an overview of the organization, its
philosophy, and guiding concepts. In separate chapters they
describe policies and procedures for each functional area, from
patient care and staff functions to facility management and
finance. Four chapters are devoted to anecdotal narratives that
give a picture of the center's operation from the vantage point of
those most closely involved in the delivery of medical services.
The final chapter discusses the potential role of local
comprehensive practice centers in solving our nation's health care
dilemmas and reflects on the policy initiatives that will be
required to implement such a solution. This book will be of
interest to policy-makers, consumer advocacy groups, and those in
the health care field, as well as to scholars and researchers in
medical education, the social sciences, and public
administration.
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