As rural communities struggle to sustain health services locally, innovative alternatives to traditional programs are being developed.
A significant adaptation is the rural health network or alliance that links local health departments and community health centers.
The authors describe how a rural local health department and community health center, the core organisations in publicly sponsored primary care, came to share a building and administrative and service activities.
Both the details of this alliance and its development are examined.
The case history reveals that circumstance and State involvement were the catalysts,for senice integration, more so than the need,for or the benefits of the arrangement.
Mots-clés Pascal : Milieu rural, Service santé, Soin santé primaire, Coopération, Organisation santé, Système santé, Etats Unis, Amérique du Nord, Amérique, Homme
Mots-clés Pascal anglais : Rural environment, Health service, Primary health care, Cooperation, Public health organization, Health system, United States, North America, America, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 93-0269360
Code Inist : 002B30A01B. Création : 199406.