The three hospitals involved in the A.H.C. complex-Peter Bent Brigham, Boston Hospital for Women, and the Robert Breck Brigham-currently handle 90,000 out-patient visits per year.

The proposed 135,000 visits in the new complex are a projection of anticipated growth among the persons presently being served by the hospitals.

There is no provision in current plans for a significant increase in size of the population to be served on an out-patient basis in the new complex.

The primary source of service to the community is the out-patient resources of the new complex. With continuing financial difficulties, this was cut 46 per cent and the plans for a new ambulatory care center serapped.

The in-patient, acute care portion of the new medical center's resources was cut back 15 per cent from 900 beds to a currently proposed 770 beds.

In the face of these cuts in resources for community care, there is growing concern among residents, students and some of the younger faculty that the A.H.C.'s alleged commitment to in-creased community service is only talk.

However, Richard Wittrup, who replaced Brown as executive vice president, stresses that planning for community health care delivery is still underway and has a top priority. Wittrup reports further plans in this area can be expected in the next six to eight weeks.

There is reason to believe the A.H.C. is considering turning 100 beds of the current Peter Bent Brigham into a community hospital and establishing a network of community clinics in the areas to be served.

Harvard's attempts to remain uninvolved in the issues of community health as they relate to plans for the A.H.C. are beginning to crumble.

In recent weeks citizen groups from Jamaica Plain and Roxbury have met with the Associate Dean of the Medical School for Urban Affairs, Dr. Stephen Miller, to press demands for primary and ambulatory care in the community.

Harvard's Center for Community Health and Medical Care has been work with the A.H.C. staff on organization of ambulatory services.

Last week, Dr. George Thorn, Hersey Professor of the Theory and Practice of Physics and chief of medicine at the Peter Bent Brigham Hospital, met with the staff of the center for community health.

Many observers view this meeting as the beginning of a growing involvement by the Harvard center in the community care plans of the A.H.C.

It is clear that what care is delivered to the citizens of Roxbury and Jamaica Plain will come in large part from staff members of the A.H.C. who hold Harvard appointments from professors on down.

There is mounting evidence that distinguished members of the Harvard medical faculty are dissatisfied with the plans of the A.H.C. for delivery of medical care to the Boston community: