转型中的城市医疗保健：洛杉矶县面临的挑战
Urban health care in transition: challenges facing Los Angeles County.
作者信息
Long S K, Zuckerman S
机构信息
Urban Institute, Washington, DC 20037, USA.
出版信息
Health Care Financ Rev. 1998 Fall;20(1):45-58.
The authors examine the Medicaid Section 1115 Demonstration Project currently underway in Los Angeles County. The waiver was designed as part of a response to a financial crisis the Los Angeles County Department of Health Services (LACDHS) faced in 1995. It provides financial relief to give the county time to restructure its system for serving the medically indigent population. Los Angeles County's goal is to reduce its traditional emphasis on emergency room and hospital care by building an integrated system of community-based primary, specialty, and public health care. This case study describes activities completed through the spring of 1997, approximately 1 year after the waiver was approved.
作者们研究了目前正在洛杉矶县开展的医疗补助第1115条示范项目。该豁免是作为对洛杉矶县卫生服务部（LACDHS）在1995年面临的金融危机的回应的一部分而设计的。它提供财政救济，以使该县有时间重组其为医疗贫困人群服务的系统。洛杉矶县的目标是通过建立一个基于社区的初级、专科和公共卫生保健综合系统，减少其对急诊室和医院护理的传统重视。本案例研究描述了截至1997年春季（豁免获批约1年后）完成的活动。
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