Rethinking Public Ambulatory Care in America
New England Journal of Medicine. 1987 Feb 26; 316(9): 544-546.
Concerned about the fragmented nature of health care for the poor in the United States, Mullan proposes the creation of new state-level agencies that would coordinate and improve delivery of care to the medically indigent. These state health service authorities would unify the two large systems of public ambulatory care already in place in this country--the federally supported primary care programs, such as Community and Migrant Health Centers, and the public health offices of state and local governments. The health service authorities would be mandated and governed by federal legislation, administered by state governments, and supported by both federal and state funds. Mullan cautions that his proposal is for structural reform and that a complete strategy for funding and delivering care to poor Americans is still needed. (KIE abstract)
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