THE ROLES AND RESPONSIBILITIES OF LOCAL PUBLIC-HEALTH SYSTEMS IN URBAN HEALTH

In recent years, policy analysts have paid much attention to the preca rious state and uncertain future of Local public health departments an d so-called safely net providers, usually treating each separately. Th is payer explores the ways in which these systems are converging, are adapting to a changing health marketplace, and are interacting with ne w private sector competitors and partners Although threatened by polic y, competitive, and financial forces; many of these local organization s are adapting successfully. An agenda for transforming these entities is described; the agenda emphasizes leadership, democratization, and partnerships with communities.