Saturday, January 22, 2022

Regionalization of Health Services: The Puerto Rican Experience

Arbona, Guillermo, & Annette B. Ramírez de Arellano, Regionalization of Health Services: The Puerto Rican Experience, Oxford: Oxford University Press, 1978.

From the cover:
Puerto Rico began implementing a regional scheme of health services more than thirty years ago. This monograph describes the structural and functional aspects of this effort, including the construction of health facilities of graded complexity, the delineation of tiers of authority and responsibility, and the creation of linkages between institutions to foster the flow of patients, personnel and resources among the different levels. Inevitably, the regionalization process involved overcoming organizational inertia and fighting against professional parochialism, entrenched interests, and highly prized political values. The monograph thus stresses the milieu within which changes took place, and the methods employed – from persuasion to administrative fiat – to bring them about.

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