The Mobilization of Bias in Primary Care Policy: The Case of Neighborhood Health Centers
In: Policy studies journal: an international journal of public policy, Band 9, Heft 2, S. 206-212
ISSN: 0190-292X
Power relationships in US primary care policy are discussed, focusing on the "mobilization of bias" by dominant interest groups against structural alternatives. The structure of the primary care sector is briefly reviewed, noting the dominance of private enterprise, the separation of individual from population health responsibility, & the primacy of MDs in the decision-making process. The initiation of neighborhood health center projects in the mid-1960s is discussed as a challenge to this structure; while the centers were designed to serve all members of the immediate community, it is demonstrated that bias mobilization established them as access points for lower income people, thus preserving the structure of mainstream health care. Modified Author Conclusion.