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January 1971

One Medical School's Involvement in New Health Care Delivery Models: Its Problems and Its Pleasures

Author Affiliations


From the Office of the Dean, the Department of Medicine, and the Office of the Health Care Program, Johns Hopkins University School of Medicine, Baltimore.

Arch Intern Med. 1971;127(1):57-64. doi:10.1001/archinte.1971.00310130061005

There is general agreement in the United States that our system of medical care is ailing. Those who practice medicine, those who are the recipients of medical services, and those responsible for broad social policy have all examined the patient, pronounced him sick, and advanced various diagnoses. The most commonly recurring diagnoses include the following: (1) low output failure (our problems are the result of our inability to train adequate numbers and kinds of health professionals), (2) high output failure (rising and excessive consumer demands have led to the present illness), and (3) failure of the patient to develop a mature integrated nervous system (maldistribution of health professionals and lack of appropriate integrated responses to obvious health needs).

While the arguments about the precise nature of the malady continue, the signs and symptoms of the sickness are clear to all who have examined the patient. These include the following:

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