Improving Health Care Access for the Poor: A case Study of the Washington DC Public Health Care Systems Reforms (B)

  • Reference: P-1047-E

  • Year: 2001

  • Geographic Setting: Estados Unidos

  • Publication Date: Sep 6, 2002

  • Source: IESE (España)

  • Type of Document: Case

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Description

The Major of Washington must decide how to restructure the health care of the District of Columbia, which has suffered from severe financial crisis. The availability of resources contrasts with its poor health outcomes. The main provider of health care to the uninsured, the Health and Hospitals Public Benefit Corporation is forecasted to exhaust its FY2001 subsidy by the middle of March. A commission has submitted its recommendations, which include the improvement of the health care delivery system from institution-centered to community care-, the broadening of the health insurance coverage, and strengthening the public health infrastructure. The Major is considering how to proceed. A contested proposal suggests the closure of the main hospital, the District of Columbia General Hospital. Reforming health systems to move from hospital-centered care to community primary care often face the problem of hospital overcapacity with outdated facilities. Dealing effectively with these issue is an important factor in the success of the reforms.

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