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  1. The transformation of a local health department.

    Article - En anglais

    In 1993, the Health Department serving the city of Amarillo, Texas, and surrounding communities was merged with the city's tax-supported Hospital District, which operated a public hospital and clinics providing medical care to poor people.

    Three years later, the public hospital and clinics were sold to a for-profit corporation, privatizing most medical services for the poor.

    The proceeds from this sale created a community trust fund for the provision of indigent care and eliminated Hospital District taxes.

    The city government reassumed operation of the Health Department, which redefined itself primarily in terms of public health functions not involving the provision of personal health services.

    These functions included communicable disease control, monitoring the health status of the community, identification of public health problems, and health promotion.

    The new Health Department, with a smaller budget and fewer staff members, is now funded by the for-profit corporation that purchased the public hospital, the community trust fund, and grants from the state health department.

    Mots-clés Pascal : Service santé, Echelon local, Privatisation, Financement, Evolution, Homme, Economie santé, Système santé, Politique sanitaire, Texas, Etats Unis, Amérique du Nord, Amérique

    Mots-clés Pascal anglais : Health service, Local scope, Privatisation, Financing, Evolution, Human, Health economy, Health system, Health policy, Texas, United States, North America, America

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 98-0232570

    Code Inist : 002B30A01B. Création : 11/09/1998.