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Private Sector Health Care Organizations and Public Health: Potential Effects onthe Practice of Local Public Health. Executive Summary

机译:私营部门卫生保健组织和公共卫生:对地方公共卫生实践的潜在影响。执行摘要

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Until recently, the worlds of medical care and public health, and theirconcomitant agents in the public and private sectors, tended to operate in parallel universes. As Molly Joel Coye has noted, when the sectors considered each other at all, it was with mutual suspicion. However, independent trends in both sectors are causing a convergence of public and private goals and objectives and, theoretically at least, should be forging an increasing public health and prevention emphasis on all sides. In the public sector, the Institute of Medicine (IOM) study, the Future of Public Health, advocated that public health agencies emphasize three core functions of public health--assessment, policy development, and assurance. State and local agencies that take the IOM's counsel to heart will be de-emphasizing their traditional focus on service delivery to indigent and special populations and redeploying their time and resources to these core functions. Concurrently, in the private sector, restructuring of the health care industry and changes in the nature of reimbursement for health care services are generating increased interest in public health models.

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