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activities air pollution Amsterdam analysis areas automated basic beds benefits brithospj budget Calif Cent clinical comprehensive coordination costs countries Dept discussed disease doctors drug economic effective efficiency environmental evaluation expenditures facilities factors Federal functions funds geriatric health care delivery health centers health education Health Maintenance Organization health services Hlth Hosp hospitals 1971 improve increase industry institutions laboratory Leidschendam major manpower Medicaid medical center medical education medical records medical schools medical students Medicare medicine mental health methods National Health Service Netherlands nursing nursing outlook operation organization outpatient participation patients personnel persons PETER MEDAWAR pharmacist pharmacy physicians population practitioners present problems professional psychiatric public health radiology responsibility role social staff statistics survey teaching treatment unit Univ utilization workers