Private sector health care organizations and essential public health services: potential effects on the practice of local public health
Chapel, T.J.; Stange, P.V.; Gordon, R.L.; Miller, A.
Journal of Public Health Management and Practice Jphmp 4(1): 36-44
1998
ISSN/ISBN: 1078-4659 PMID: 10183196 DOI: 10.1097/00124784-199801000-00008Document Number: 249643
This article focuses on the activities of eight private health care organizations undertaking public health and prevention activities. Few activities were motivated by or integrated into the business or operating strategy of the organizations and poor integration with the business strategy puts the long-term future of these activities in jeopardy. The lack of integrated activity can be attributed to: slow pace of managed care implementation; low penetrance of full-risk capitated reimbursement; and fragmented, competitive health care markets. Purchaser pressure, quality assurance requirements, community benefit standards, and government mandates are among the levers available to encourage such activities by the private sector.