This paper describes the planning efforts of a community agency that was ultimately unsuccessful in converting two primary care centers from the traditional fee-for-service Medicaid reimbursement system to a per-capita prepaid Medicaid reimbursement system. We analyze how the community agency prepared its plan, the barriers it encountered in trying to implement a demonstration project, the ambiguous messages community organizations receive from policy-makers, and the role the Mount Sinai School of Medicine played in the conversion effort.

Community Health Centers↗

PubMedDate not supplied

The international role of a U.S. medical school in developing health services.

This paper discusses the educational approach taken by the Department of Community Medicine of the Mount Sinai School of Medicine in providing technical assistance in foreign countries. Using a specific project in the Dominican Republic as an example, the paper describes the role and different functions assumed by the department in planning and developing a health care system in the eastern region of that country.

Dominican Republic↗

PubMedDate not supplied

Technical assistance offered to community health programs through a resource model.

A multidisciplinary unit in the Department of Community Medicine, Mount Sinai School of Medicine, consists of a core group of specialists who plan, develop, and evaluate community health care programs. The primary tools used by the staff of the Services Coordination Unit, epidemiology and behavioral and management sciences, result in improved organization and coordination of health services and community resources. The small unit of specialists functions as a resource group, helping community groups address the complex problems of planning, organization, delivery, and financing of health services. By offering technical assistance rather than day-to-day health care services, the unit has established an education and training program in New York's East Harlem, which surrounds the medical school. Over the last 10 years, that approach has enhanced the administrative and financial viability of existing health programs in East Harlem. Since the unit's establishment, it has collaborated with a broad variety of community groups. More than 20 programs have resulted. The income generated by the unit completely covers the expenses and has done so since 1976; "seed money" was used for startup and the first 3 years of operation. The unit is paid for long-term services and for most consultations.

Community Health Services↗

PubMedDate not supplied

The Mount Sinai-HIP joint program.

Explore the source record for details and available documents.

Community Health Services↗

PubMedDate not supplied

The community medicine-primary care connection.

Community medicine is defined as an academic discipline, the practice of which addresses the identification and solution of health problems in population groups and emphasizes such disciplines as epidemiology and biostatistics and behavioral and management sciences in relation to their bearing on problems of health care delivery and environmental health. The essential components of a community-based system of medical care are highlighted. The place of primary care in that system is discussed and the contributions that community medicine can make toward enhancing primary care within the community-based system of medical care are outlined.

Community Health Services↗