An autonomous primary care clinic within a health maintenance organization

P. Shvartzman, A. Elhayany, A. Rosentzweig, I. Zmora

Research output: Contribution to journalArticlepeer-review


The health system in Israel, as elsewhere in the world, is facing crises of organization and economics. Israel's largest HMO, which insures some 70% of the population, is a highly centralized body that makes policy decisions without consulting the community-based primary care teams. We describe the process of extending autonomy to a primary care clinic with the object of lowering costs and allowing its staff to prioritize the problems of the patient population and the community they serve.

Original languageEnglish
Pages (from-to)328-332, 392, 391
Issue number6
StatePublished - 15 Mar 1993
Externally publishedYes


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