Document Detail

Community oriented primary care: origins, evolution, applications.
MedLine Citation:
PMID:  2035039     Owner:  NLM     Status:  MEDLINE    
Community oriented primary care is a commonly used term applied to a variety of situations and programs. Its use frequently extends beyond an understanding of its specific elements or an appreciation of its history and development. This article discusses the origins and evolution of the ideas, theory and practice of community oriented primary care. In South Africa in the 1940s a team headed by Sidney Kark embarked on work in the Pholela region of Natal that became the forerunner of ideas that were later formalized and systematized under the rubric of community oriented primary care. Widespread implementation took place in South Africa but was prematurely curtailed following the accession to power of the National Party. By the early 1960s many in the team had moved to Jerusalem where the theoretical basis of the concept was strengthened and came to describe a form of practice in which aspects of primary medical care and community health are integrated and systematically applied to a defined community. Experience with community oriented primary care in the United States and elsewhere is growing. This experience is reviewed and an assessment and critique offered.
S Tollman
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Publication Detail:
Type:  Historical Article; Journal Article    
Journal Detail:
Title:  Social science & medicine (1982)     Volume:  32     ISSN:  0277-9536     ISO Abbreviation:  Soc Sci Med     Publication Date:  1991  
Date Detail:
Created Date:  1991-06-24     Completed Date:  1991-06-24     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8303205     Medline TA:  Soc Sci Med     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  633-42     Citation Subset:  IM; Q    
Department of Population Sciences, Harvard School of Public Health, Boston, MA 02115.
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MeSH Terms
Community Health Services / history,  organization & administration*
History, 20th Century
Primary Health Care / history,  organization & administration*
South Africa
United States

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