This text investigates the operational framework and implementation strategies required to establish effective community-oriented primary care programs within urban environments. Jo Ivey Boufford draws upon the successful clinical and administrative models developed at Montefiore Hospital to provide a structured approach to community-based medicine. The book argues that integrating diagnostic techniques with community needs assessment is essential for sustainable health service delivery.

Experts recognize this work as a foundational manual for practitioners and administrators seeking to bridge the gap between clinical medicine and community health. Readers frequently note the practical utility of the included surveys and organizational templates for those establishing new health programs.