title: Providing public health services through an integrated delivery system.
abstract: This article examines a recently implemented strategy to transfer responsibility for local public health service delivery from a county health department to a hospital-based integrated delivery system. Innovative quality management efforts at both local and state levels offer opportunities for sustained improvement in the availability and adequacy of public health services under this arrangement.
authors.affiliation: Carolinas Healthcare System, Charlotte, NC, USA.
authors.forename: S R
authors.initials: SR
authors.lastname: Keener
authors.forename: J W
authors.initials: JW
authors.lastname: Baker
authors.forename: G P
authors.initials: GP
authors.lastname: Mays
mesh_terms: D003284:Contract Services / Q000458:organization & administration; D019033:Delivery of Health Care, Integrated / Q000458:organization & administration* / Q000592:standards; D006075:Governing Board; D006783:Hospitals, State / Q000458:organization & administration / Q000592:standards; D006801:Humans; D017146:Models, Organizational; D009657:North Carolina; D009936:Organizational Innovation; D011332:Privatization / Q000191:economics / Q000458:organization & administration*; D011635:Public Health Administration / Q000592:standards / Q000639:trends*; D012040:Regional Health Planning / Q000458:organization & administration / Q000592:standards; D017749:Total Quality Management