title: The strategic agenda for community health care organizations.
abstract: This article proposes a vision, strategies, and structure for the organizations that will replace community hospitals. The vision must embrace health rather than health care, and cost reduction as an explicit, measured goal. Strategies must include immediate cost savings, but also longer-term revision of organizations, wage structures, prevention, and medical attitudes. Structures must assure local stakeholders their voice in health issues.
authors.affiliation: Department of Health Management and Policy, University of Michigan, School of Public Health, Ann Arbor, USA.
authors.forename: J R
authors.initials: JR
authors.lastname: Griffith
mesh_terms: D003153:Community Health Services / Q000458:organization & administration* / Q000639:trends; D019058:Community Networks / Q000458:organization & administration*; D003363:Cost Control; D003659:Decision Making, Organizational; D004465:Economic Competition; D005544:Forecasting; D006764:Hospitals, Community / Q000458:organization & administration / Q000639:trends*; D006788:Hospitals, Voluntary / Q000458:organization & administration / Q000639:trends*; D006801:Humans; D017146:Models, Organizational; D009937:Organizational Objectives; D019464:Tax Exemption; D014481:United States