Comment 18524

By towngownguy (anonymous) | Posted February 15, 2008 at 09:18:49

The HHS plan is the classic vote for the centralized "silo" organizational model vs. the more decentralized community based model.

There are advantages and disadvantages to each model, and typically organizations swing back and forth from these two extreme vsions, depending what is " in vogue" at the time.

Current community models trumpeted by many urban planners call for smaller community based resources to be developed. The implication in this type of structure is more local access points for services which address the vast majority of the community needs.The HHS plan seems to be moving in the opposite direction, influenced by the current popular medical model of service consolidation.

I look forward to the upcoming public sessions.
As a west end resident, I see the removal of a community service (adult emergency services)replaced by a "silo" service. If Mac womens and childrens clinic needs more space, perhaps HHS should think more outside the box in coming up with alternatives that actually improve west end residents community access to emergency services that address the vast majority of issues that arise.

Giving family physicians more afterhour tools to address patient issues could be one area to explore further.

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