[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.
Shvartzman
P
P
Dept. of Family Medicine, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheba.
Elhayany
A
A
Rosentzweig
A
A
Zmora
I
I
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*