Determinants of Medical Care — A Plan for the Future

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Abstract
The medical profession is no longer the determinant of its destiny. The American public is demanding ready access to the best medical care, and the Government is responding. Shortages of manpower and changes in the modes of practice have developed because the capacity to recognize, prevent and treat illness has expanded so tremendously in the last 60 years. In addition, improved methods of transportation and communication have altered the geographic requirements of health facilities. The basic elements of an integrated system of medical practice visualized for the future are regionalization, health-care units of integrated practice throughout a region, and one or more health centers, integrated in practice, education and research with these units. The health system must provide not just for the prevention and treatment of illness but also for the education of those who deliver the care, and for support of the research through which it is improved.

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