San Diego County’s effort to wean health and social service programs from the threatened federal revenue sharing program moved a step forward Tuesday when county supervisors gave final approval to the 1985-1986 budget for community clinics.

The board voted unanimously to allocate about $1.2 million to 17 private, nonprofit clinics to provide direct medical care for the county’s poor from December, 1985, to July, 1986.

The allocation brought the clinics’ total funding for the fiscal year to $2.3 million, about $350,000 less than a year ago, when the budgets of the clinics and social service agencies were tied to the amount of money the county received through revenue sharing.

But with the Reagan Administration threatening to eliminate revenue sharing, the county this year re-evaluated the services that were funded through the federal program and decided to weigh their worth against all other county services.

That process led county supervisors to decide Aug. 6 that direct medical care provided by the clinics would be given high priority and funded at about the same level as last year. Preventive health services were given a lower priority and not funded at all.


One agency that provided only preventive medicine for county patients--the Chicano Community Clinic--will receive no county funds after Nov. 30. The 17 other clinics will get slightly smaller amounts than a year ago.