Improving Health Care for the Poor: Lessons From the 1980s
JAMA. 1994 Feb 9; 271(6): 464-467.
Although the details of the Clinton Health Security Plan have yet to be debated and acted on by the Congress, it is reasonably certain that the country is on its way to providing coverage for essential health care services to all Americans. Accordingly, it may be both timely and helpful to report the findings of a study of the changing US health care delivery system seen through the mirror of the nation's four largest metropolitan areas -- New York, NY, Chicago, Ill, Houston, Tex, and Los Angeles, Calif. The study was undertaken by the Eisenhower Center staff at Columbia University, New York, in the late 1980s in collaboration with three field associates with the support of the Robert Wood Johnson Foundation. Our primary focus was the changing structures for delivering health care services to the poor, and we believe that the findings hold lessons for the nation as it seeks to ensure that the system works effectively for all.
Community Services; Education; Emergency Care; Financial Support; Government; Health; Health Care; Health Care Delivery; Health Care Reform; Health Insurance; Health Maintenance Organizations; Hospitals; Indigents; Insurance; Mass Media; Medical Education; Minority Groups; National Health Insurance; Nurses; Organizations; Physicians; Political Activity; Primary Health Care; Public Hospitals; Public Policy; Quality of Health Care; Refusal to Treat; State Government;
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