title: Linkages among organizations: considerations and consequences.
abstract: The continuing concern about integration and coordination of health care services can lead to intensive linkages that may have undesirable effects on the participating organizations. A case study of three neighborhood health centers in a large urban area demonstrates the potential stresses such linkages create for personnel. Research and administrative efforts toward mitigating such  problems are suggested.
mesh_terms: D003151:Community Health Centers / Q000458:organization & administration*; D003153:Community Health Services / Q000458:organization & administration*; D003657:Decision Making; D003695:Delivery of Health Care; D005381:Financing, Organized; D006801:Humans; D009935:Organizational Affiliation; D011340:Problem Solving; D014481:United States; D014505:Urban Population