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When is a health department not a health department? The case of the US department health and human services (Record no. 37651)

000 -LEADER
fixed length control field 01798naa a2200181uu 4500
001 - CONTROL NUMBER
control field 0120812054741
003 - CONTROL NUMBER IDENTIFIER
control field OSt
005 - DATE AND TIME OF LATEST TRANSACTION
control field 20240226172618.0
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 101208s2010 xx ||||gr |0|| 0 eng d
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
Record control number
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Koha item type Periódico
998 ## - LOCAL CONTROL INFORMATION (RLIN)
-- 20101208
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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