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Health Services Research and the City

  • Chapter
Handbook of Urban Health

8.0. Conclusion

There is a rich and extensive literature on health services in cities. A host of studies explore health services for the urban poor, racial and ethnic minorities and a variety of other “special” populations. A growing number of studies compare health systems across cities, but few provide a comprehensive analysis of urban health care systems. While cities have a disproportionate number of vulnerable populations and organizations that serve them, they also serve as centers of medical excellence with a concentration of academic medical centers, other hospitals, physicians and other health care professionals. We have argued that the field of health services research should adopt a broader perspective on cities and attempt to provide a more balanced assessment of urban health systems. Moreover, we have proposed an initial framework that addresses the relationships between cities and their health systems.

The World Cities Project illustrates this approach to the comparative analysis of urban health systems for an important category of cities. We hope it will stimulate others to extend the approach to these cities and apply it to many more.

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Authors and Affiliations

  1. The World Cities Project at the International Longevity Center-USA, New York, New York

    Michael K. Gusmano

  2. Health Policy and Management, Robert F. Wagner Graduate School of Public Policy at the New York University, New York, New York

    Victor G. Rodwin

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  1. Center for Urban Epidemiologic Studies, New York Academy of Medicine, New York

    Sandro Galea  & David Vlahov  & 

  2. Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, New York

    Sandro Galea  & David Vlahov  & 

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Gusmano, M.K., Rodwin, V.G. (2005). Health Services Research and the City. In: Galea, S., Vlahov, D. (eds) Handbook of Urban Health. Springer, Boston, MA . https://doi.org/10.1007/0-387-25822-1_16

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  • DOI: https://doi.org/10.1007/0-387-25822-1_16

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-0-387-23994-1

  • Online ISBN: 978-0-387-25822-5

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