Community-oriented primary care: A path to community development
Community-oriented primary care: A path to community development
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DOI：
10.2105/ajph.92.11.1713
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发表时间：
2002-11-01
影响因子：
12.7
通讯作者：
Geiger, HJ
中科院分区：
文献类型：
--
作者：
Geiger, HJ
虽然社区发展和社会变革不是面向社区的初级保健（COPC）的明确目标，但它们隐含在COPC强调社区组织和当地卫生专业人员参与健康问题评估中。这些目标也隐含在对健康、问题的社会、身体和经济原因的共同理解以及COPC干预措施的设计中。20世纪60年代中期，密西西比三角洲的一个社区卫生中心创建了一些计划，旨在超越狭隘的疾病特异性干预措施，并解决社区发病率和死亡率的一些根本原因。利用社区本身的技能，启动了一个与健康有关的社会变革的自我维持进程。一个关键方案涉及提供教育机会。
Although community development and social change are not explicit goals of community-oriented primary care (COPC), they are implicit in COPC's emphasis on community organization and local participation with health professionals in the assessment of health problems. These goals are also implicit in the shared understanding of health,problems' social, physical, and economic causes and in the design of COPC interventions.In the mid-1960s, a community health center in the Mississippi Delta created programs designed to move beyond narrowly focused disease-specific interventions and address some of the root causes of community morbidity and mortality.Drawing on the skills of the community itself, a self-sustaining process of health-related social change was initiated. A key program involved the provision of educational opportunities.