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Columbia University-Harlem Hospital Primary Care Network
Pages 225-226

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From page 225...
... As the major provider of health services the hospital embarked upon a program to deliver a decentralized yet coordinated system of primary health care services within the community. The planning for the program began in the spring of 1978, when an article in the New York Times concerning the health status of the population of Central Harlem generated considerable local and federal government interest.
From page 226...
... To develop a new primary care program in a disadvantaged urban community during an economic recession and during a general government retrenchment in its approach to social policy has required a pragmatic if not opportunistic approach tO planning and implementation. The experience in the development of this project suggests that in the contemporary climate any innovation in the health care delivery system will need not only a conceptual basis but also extraordinary flexibility, imagination, and persistence.


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