Skip to main content
PMC home page
Public Health Reports logoLink to Public Health Reports
. 1985 Jan-Feb;100(1):25–30.

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

R Merino, E Fischer, S J Bosch
PMCID: PMC1424705  PMID: 3940153

Abstract

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.

Full text

PDF
25

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Acheson E. D. University, medical school, and community. Br Med J. 1970 Jun 20;2(5711):683–687. doi: 10.1136/bmj.2.5711.683. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Backett E. M. Community medicine and the improvement of health services. A model for the university contribution to innovation. Lancet. 1969 Jul 5;2(7610):39–41. doi: 10.1016/s0140-6736(69)92610-5. [DOI] [PubMed] [Google Scholar]
  3. Bergen S. S., Jr, Schatzki M. New directions for an urban hospital. JAMA. 1971 Feb 8;215(6):935–938. [PubMed] [Google Scholar]
  4. Bosch S. J. An experimental to change medical education and medical care in Argentina (a personal essay). Soc Sci Med. 1973 May;7(5):375–386. doi: 10.1016/0037-7856(73)90046-2. [DOI] [PubMed] [Google Scholar]
  5. Bosch S. J., Deuschle K. W. The role of a medical school in the organization of health-care services. Bull N Y Acad Med. 1977 Jun;53(5):449–464. [PMC free article] [PubMed] [Google Scholar]
  6. Bosch S. J., Fischer E., Deuschle K. W. A framework for participation: the contribution of a medical school to local health planning. Mt Sinai J Med. 1979 Nov-Dec;46(6):552–555. [PubMed] [Google Scholar]
  7. Bosch S. J., Fischer E. The role and functions assumed by a department of community medicine in planning a group practice. Health Policy Educ. 1981 Sep;2(2):167–176. doi: 10.1016/0165-2281(81)90014-x. [DOI] [PubMed] [Google Scholar]
  8. Bosch S. J., Merino R., Daniels M. S., Fischer E. P., Rosenthal M. A proposed network to improve access to high-quality health care for Medicaid-eligible families. J Community Health. 1979 Summer;4(4):302–311. doi: 10.1007/BF01319024. [DOI] [PubMed] [Google Scholar]
  9. Bosch S. J., Merino R., Zambrana R. Training of a community board to increase the effectiveness of a health center. Public Health Rep. 1979 Jun;94(3):275–280. [PMC free article] [PubMed] [Google Scholar]
  10. DEUSCHLE K. W., FULMER H. S. Community medicine: a "new" department at the University of Kentucky College of Medicine. J Med Educ. 1962 May;37:434–445. [PubMed] [Google Scholar]
  11. Davis M. S., Tranquada R. E. A sociological evaluation of the Watts neighborhood health center. Med Care. 1969 Mar-Apr;7(2):105–117. doi: 10.1097/00005650-196903000-00004. [DOI] [PubMed] [Google Scholar]
  12. Deuschle K. W., Bosch S. J. Primary care and community medicine. Mt Sinai J Med. 1977 Sep-Oct;44(5):639–644. [PubMed] [Google Scholar]
  13. Ebert R. H. Medical education and community needs. J Pediatr. 1966 Nov;69(5):876–879. doi: 10.1016/s0022-3476(66)80477-8. [DOI] [PubMed] [Google Scholar]
  14. Fischer E. P., Bernstein R., Holstein E. C., Josi-Langer C., Dolan E., Bosch S. J. An experiment to test the feasibility of integrating occupational health services into an HMO. J Public Health Policy. 1981 Sep;2(3):261–273. [PubMed] [Google Scholar]
  15. GRANT J. B. Medical regionalization and education. J Med Educ. 1955 Feb;30(2):73–80. doi: 10.1097/00001888-195502000-00001. [DOI] [PubMed] [Google Scholar]
  16. Haggerty R. J. Community pediatrics. N Engl J Med. 1968 Jan 4;278(1):15–21. doi: 10.1056/NEJM196801042780104. [DOI] [PubMed] [Google Scholar]
  17. Haggerty R. J. The university and primary medical care. N Engl J Med. 1969 Aug 21;281(8):416–422. doi: 10.1056/NEJM196908212810805. [DOI] [PubMed] [Google Scholar]
  18. Maloney W. F. The Tufts Comprehensive Community Health Action Program. JAMA. 1967 Oct 30;202(5):411–414. [PubMed] [Google Scholar]
  19. McNulty M. F., Jr, Sheps C. G., Knapp R. M. The role of the teaching hospital in community service. J Med Educ. 1970 Jun;45(6):403–410. doi: 10.1097/00001888-197006000-00003. [DOI] [PubMed] [Google Scholar]
  20. Merino R., Rose D. N., Boch S. J. A medical school's involvement in the development of a community-based health center. J Community Health. 1982 Winter;8(2):130–140. doi: 10.1007/BF01326557. [DOI] [PubMed] [Google Scholar]
  21. Popper H., Koffler D. The goal. J Mt Sinai Hosp N Y. 1967 Jul-Aug;34(4):401–407. [PubMed] [Google Scholar]
  22. Standard K. L., Ennever O. "Community medicine in the commonwealth Caribbean". West Indian Med J. 1971 Mar;20(1):1–4. [PubMed] [Google Scholar]
  23. Stoeckle J. D., Candib L. M. The neighborhood health center--reform ideas of yesterday and today. N Engl J Med. 1969 Jun 19;280(25):1385–1391. doi: 10.1056/NEJM196906192802505. [DOI] [PubMed] [Google Scholar]
  24. Stokes J., 3rd Community medicine at the University of California, San Diego. Postgrad Med. 1970 Sep;48(3):273–277. doi: 10.1080/00325481.1970.11693570. [DOI] [PubMed] [Google Scholar]
  25. White K. L. The medical school and the community. Yale J Biol Med. 1967 Jun;39(6):383–394. [PMC free article] [PubMed] [Google Scholar]
  26. Wise H. Physicians in health centers. Postgrad Med. 1970 Jun;47(6):130–137. doi: 10.1080/00325481.1970.11697525. [DOI] [PubMed] [Google Scholar]

Articles from Public Health Reports are provided here courtesy of SAGE Publications

RESOURCES