Journal ArticleDOI
Community-Based Health Care: Contradictions and Challenges
TLDR
The financial insecurity of community clinics is an inherent feature of the private-public duality that affects the entire health-care system and community clinics and public hospitals offer a potential for broader organizing and empowerment.Abstract:
Social contradictions, including uneven economic development and the private-public duality, make community-based provision of health care difficult. The unrestricted expansion of private medical centers has been criticized from several perspectives including inadequate coordination of services, high costs, and negative effects on urban housing and living conditions. Corporate and professional control over health policy, monopolization, and public subsidization foster expansion of private institutions. While private facilities enlarge, public health-care institutions deteriorate, close, or shift to private management. Many clients eligible for care at public hospitals do not receive adequate attention in the private sector. Despite their achievements, community clinics have problems that threaten their survival. The financial insecurity of community clinics is an inherent feature of the private-public duality that affects the entire health-care system. Community clinics and public hospitals offer a potential for broader organizing and empowerment.read more
Citations
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Journal ArticleDOI
Two-class medicine returns to the United States: impact of Medi-Cal reform.
TL;DR: Five case studies illustrate the reduction in access to health care for the poor, aged, and unemployed that has resulted from the decreased funding of Medi-Cal, California's public health insurance program.
Journal ArticleDOI
Truth's search for power in health policy: critical applications to community-oriented primary care and small area analysis.
Waitzkin H,Hubbell Fa +1 more
Journal ArticleDOI
From Patients to Populations: Rhetorical Considerations for a Post-Compliance Medicine
Daniel Skinner,Berkeley Franz +1 more
TL;DR: It is argued that this model is being challenged in especially dramatic ways with the increased focus on populations and communities, and not just for a better understanding of the causes of noncompliance, but for a post-compliance conception of medicine.
Journal ArticleDOI
Assessment of aboriginal health services
TL;DR: Reviewing the literature and using descriptive evidence from Aboriginal communities in eastern Australia shows that the individual patient care provided is attuned to the needs of both the individual and the community.
Journal ArticleDOI
Factors enhancing and inhibiting the development of primary medical care in commuity health centres
TL;DR: It is confirmed that primary medical care within community health centres represents a viable, alternative model of general practice in Australia and identified some factors that could strengthen it further.
References
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Journal ArticleDOI
The Contribution of Specialists to the Delivery of Primary Care
Linda H. Aiken,Charles E. Lewis,John M. Craig,Robert C. Mendenhall,Robert J. Blendon,David E. Rogers +5 more
TL;DR: This study suggests that, despite the current shortage of generalist-physician services, continuing specialist participation in primary care will lead to sufficient generalist medical services by the mid-1980's.
Journal ArticleDOI
The Changing Geographic Distribution of Board-Certified Physicians
TL;DR: In this article, the authors studied the distribution of board certified specialists among cities and towns of different sizes between 1960 and 1977, and the diplomates of the eight specialty boards that they studied.
BookDOI
Community Oriented Primary Care
Eileen Connor,Fitzhugh Mullan +1 more
TL;DR: An Agenda for the '80s The landscape of health services has changed dramatically in the past 20 years, with the number of new physicians graduated annually now more than double what it was in 1960.
Journal ArticleDOI
Access to Health Care for the Poor: Does the Gap Remain?
TL;DR: If the task of assuring access to health care has been largely accom plished, further expansion of federal health care programs to promote access would be unwarranted and targeted policies to close remaining gaps may be warranted for selected population groups.