000			01461naa a2200181uu 4500
001			6804
003			OSt
005			20190211154148.0
008			020911s2001 xx ||||gr |0|| 0 eng d
100	1		_aKOTKIN-JASZI, Suzanne _95700
245	1	0	_aState public health departments and changes in federal policies : _bmanaged care, welfare reform, and privatization
260			_aNew York : _bMarcel Dekker, _c2001
520	3		_aThis manuscript draws a linkage to United States fedral policyand the resulting trend towards greater privatization of state public health services, Medicaid managed care and welfare reform. Findings suggest that the consolidation of publicly funded health services under the auspices of a small number of corporatized Managed Care Organizations (MCOs) has severely constrained the choices avaliable to Medicaid/Medicare recipients and that such adversely affects rural communities and racial/ethnic minorities. Findings also suggest that public health departments are being reduced to training academies for the higher paying MCOs and thus public health department offcials are advised to redefine their roles as public advocates for vulnerable, marginalized communities and individuals
773	0	8	_tInternational Journal of Public Administration- IJPA _g24, 6, p. 511-520 _dNew York : Marcel Dekker, 2001 _xISSN 01900692 _w
942			_cS
998			_a20020911 _bCassio _cCassio
998			_a20100521 _b1013^b _cCarolina
999			_aConvertido do Formato PHL _bPHL2MARC21 1.1 _c6963 _d6963
041			_aeng