[An autonomous primary care clinic within a health maintenance organization].
The health system in Israel, as elsewhere in the world, is facing crises of organization and economics. Israel's largest HMO, which insures some 70% of the population, is a highly centralized body that makes policy decisions without consulting the community-based primary care teams. We describe the process of extending autonomy to a primary care clinic with the object of lowering costs and allowing its staff to prioritize the problems of the patient population and the community they serve.
Dept. of Family Medicine, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheba.
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Shvartzman
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Elhayany
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Rosentzweig
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Zmora
D000554:Ambulatory Care Facilities / Q000191:economics / Q000458:organization & administration; D005610:Freedom; D006279:Health Maintenance Organizations / Q000191:economics / Q000458:organization & administration*; D006801:Humans; D007557:Israel; D011320:Primary Health Care / Q000191:economics / Q000458:organization & administration*