Medically directed agencies, particularly health departments, are the most suitable for operating official health programs, because they have the longest experience and most comprehensive objectives in medical administration. No other type of official agency has the diversity of professional health personnel and organizational setup to operate an integrated clinical, home, and field program. When health programs are dispersed piecemeal among nonmedically directed agencies, the result is fragmentation and deterioration of services, duplication and rivalry of administrative organizations, and depreciation of the physician in the scheme of community health services. The alliance of health departments and organized medicine is essential to regaining medical leadership in community health programs.
Freedman B. Governmentally Operated Health and Medical ProgramsThere is Still Time and Opportunity for the Medical Profession to Reassert Its Talents in Assuming Its Traditional Role of Vigorous Leadership in Solving Community Health Problems. JAMA. 1960;174(14):1841–1844. doi:10.1001/jama.1960.03030140063014
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