When is a health department not a health department? The case of the US department health and human services (Record no. 37651)
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control field | 20240226172618.0 |
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999 ## - SYSTEM CONTROL NUMBERS (KOHA) | |
Koha Dewey Subclass [OBSOLETE] | PHL2MARC21 1.1 |
041 ## - LANGUAGE CODE | |
Language code of text/sound track or separate title | eng |
100 1# - MAIN ENTRY--PERSONAL NAME | |
9 (RLIN) | 8711 |
Personal name | Radin, Beryl A. |
245 10 - TITLE STATEMENT | |
Title | When is a health department not a health department? The case of the US department health and human services |
260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
Place of publication, distribution, etc. | Oxford : |
Name of publisher, distributor, etc. | Wiley-Blackwell, |
Date of publication, distribution, etc. | April 2010 |
520 3# - SUMMARY, ETC. | |
Summary, etc. | Given the current policy debate over health reform in the United States, it is not possible to describe the organizational structure that might emerge from this process. This article explores five of the attributes that underpin the context for a discussion of the structure and operation of a health bureaucracy in the USA. First, ambivalence in the US society about a public commitment to health and a general scepticism about a significant public sector in this area. Second, separation within the system between types of activities (e.g. health research activities, provision of services, and financing of health efforts). Third, the health system operates in the context of a government with shared powers as well as federalism and an assumption that some issues belong to states, and sometimes localities, and not to the federal government. Fourth, difficulty in the US system when it attempts to focus on prevention activities. And fifth, the structure of HHS creates tensions between management initiatives and professional expertise and standards. The article concludes with a discussion of possible organizational alternatives |
773 08 - HOST ITEM ENTRY | |
Title | Social Policy & Administration |
Related parts | 44, 2, p. 142-154 |
Place, publisher, and date of publication | Oxford : Wiley-Blackwell, April 2010 |
International Standard Serial Number | ISSN 01445596 |
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942 ## - ADDED ENTRY ELEMENTS (KOHA) | |
Koha item type | Periódico |
998 ## - LOCAL CONTROL INFORMATION (RLIN) | |
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Operator's initials, OID (RLIN) | 1205^b |
Cataloger's initials, CIN (RLIN) | Jaqueline |
998 ## - LOCAL CONTROL INFORMATION (RLIN) | |
-- | 20110119 |
Operator's initials, OID (RLIN) | 1144^b |
Cataloger's initials, CIN (RLIN) | Carolina |
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