title: Comprehensive primary care at the neighborhood level: an Israeli experiment that failed.
abstract: This paper is an analysis of the first stage of a demonstration program designed to integrate within neighborhood clinics various health and welfare services that were previously provided separately. The program included the active participation of quasi-public, governmental, private, philanthropic, and university institutions. The purpose here is to understand the failure to achieve the original goals and purposes. The analysis takes an organizational perspective, and should contribute to a better understanding of why programs designed to change existing service-delivery systems are inclined to fail. Although this is a case-study of a demonstration program in Israel, the findings should have relevance and interest for academicians and professionals in other countries.
mesh_terms: D003151:Community Health Centers / Q000458:organization & administration*; D003191:Comprehensive Health Care / Q000458:organization & administration*; D006801:Humans; D007557:Israel; D010043:Outcome and Process Assessment, Health Care; D010865:Pilot Projects; D011057:Politics; D011320:Primary Health Care / Q000458:organization & administration*