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r -I <br />BOOK 98 165 <br />FUTURE OF MEDICAL SERVICES - BEVERLY O'NEILL <br />COMMISSIONER EGGERT ASKED ME TO TALK ABOUT THE FUTURE, I REALLY <br />WISHED THAT I HAD A MARVELOUS CRYSTAL BALL TO FORESEE THE FUTURE.% <br />MARKET REFORMS, FEDERAL AND STATE HEALTH CARE REFORM EFFORTS, WELFARE <br />REFORM ARE PUSHING PROVIDERS, DOCTORS, HOSPITALS AND MANAGED CARE PLANS <br />TO NEW FORMS OF COLLABORATION -CREATE SYSTEMS THAT CAN BE HELD <br />ACCOUNTABLE FOR COST EFFECTIVE CARE AND QUALITY. <br />THERE IS GREATER EMPHASIS ON OUTPATIENT CARE AND EXTENDED CARE. <br />WITH THE HINT OF SOME INCENTIVES TO KEEP PEOPLE WELL. <br />WE NEED TO SEE BEHAVIORAL CHANGE IN OUR COMMUNITY TO REDUCE SOCIETALLY - <br />INDUCED HEALTHCARE EXPENDITURES. WE NEED TO EDUCATE AND ENCOURAGE <br />RESIDENTS TO MAKE LIFESTYLE CHOICES IN THE AREA OF DIET, EXERCISE, DRUG ABUSE, <br />AUTO SAFETY, TEEN PREGNANCY, DOMESTIC VIOLENCE, AND SEXUAL BEHAVIOR TO NAME <br />A FEW. <br />PROMOTING HEALTH AND BUILDING A HEALTHIER COMMUNITY WILL CAUSE US TO LOOK <br />CAREFULLY AT OUR COMMUNITY HEALTH RESOURCES - <br />PHYSICAL RESOURCES OF FACILITIES, TOOL, AND TECHNOLOGY <br />FINANCIAL RESOURCES OF FINANCES, CASH WEALTH, ACCESS TO CAPITAL <br />HUMAN RESOURCES OF SKILLS AND CAPABILITIES OF PEOPLE <br />SOCIAL RESOURCES OR RELATIONS AMONG PERSONS AND ORGANIZATIONS THAT <br />FACILITATE AND DIRECT ACTION. <br />POPULATION BASED PLANNING FOR HEALTH STATUS IMPROVEMENT IS IMPERATIVE. <br />THE PREVENTION AND REDUCTION FOR THE NEED OF MEDICAL INTERVENTIONS CAN <br />OCCUR IF WE PROTECT AND PROMOTE HEALTH AND HEALTHY LIFESTYLES. <br />WE NEED TO FORGE NEW COLLABORATIVE EFFORTS WITH THE GOAL ALWAYS TO <br />IMPROVE THE HEALTH STATUS OF THE COMMUNITY. <br />WE NEED TO MEASURE AND REPORT HEALTH STATUS AND ASSURE ACESS TO PRIMARY. <br />PREVENTIVE AND EDUCATIONAL SERVICES. <br />15 <br />MAY 229 1996 <br />