Decentralization in the New York City Department of Health

Reorganization of a public health agency

Bibliographic Data

ID11038720
AuthorsA C Mustalish, G Eidsvold, L F Novick
Year1976
Volume66
Issue12
Pages1149-1154
Publication date1976-12-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.66.12.1149
PMID795307
OpenAlexW1965235550
LanguageEN
Citations received7
References cited2

Since the World War I era there has existed within the New York City Department of Health a basic internal struggle between staff directing the bureaus at the central office and the district health officers operating field health centers throughout the city. Recently, in a five-year period, there was a dramatic reorganization of the Department which markedly affected its orientation and programs. In 1972 a new Commissioner initiated a reorganization of the Department which succeeded in decentralizing field operations in contrast to earlier efforts which had failed to reach this objective. The roles of bureaus and districts were redefined, with the latter receiving budgetary authority, authority to supervise personnel, assignment of health managers, and the implementation of a district cost accounting system. While operational decentralization has occurred, policy setting and resource allocation in response to local needs remain central functions

Administration (probate law) · Agency (philosophy) · Business · Decentralization · Economic growth · Economics · Health department · Political science · Public health · Sociology · Healthcare Policy and Management · Law · Medicine · Nursing · Primary Care and Health Outcomes · Public Administration · Public Health Policies and Education

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