title: Losing sight of the shore: how a future integrated American health care organization might look.
abstract: American health care, both nationally and locally, has entered a time of uncertainty, yet with the certainty of change. In this article, the authors take a fresh look at patient/community needs and propose a new level of integration of administration/management, clinical services, education, and public health in the health care organization of the future.
authors.affiliation: Medical Affairs, Saint Joseph Health Center, Kansas City, MO.
authors.forename: K C
authors.initials: KC
authors.lastname: Cummings
authors.forename: R M
authors.initials: RM
authors.lastname: Abell
mesh_terms: D003159:Community-Institutional Relations; D003191:Comprehensive Health Care / Q000458:organization & administration* / Q000639:trends; D003266:Continuity of Patient Care / Q000458:organization & administration; D005544:Forecasting; D006266:Health Education / Q000458:organization & administration; D007373:Interinstitutional Relations; D017146:Models, Organizational; D009096:Multi-Institutional Systems / Q000458:organization & administration / Q000639:trends*; D009937:Organizational Objectives; D014481:United States