Community Oriented Primary Care New Directions for Health Services Delivery (1983) / Chapter Skim
Currently Skimming:
Thoughts on Community Oriented Primary Care
Thoughts on Community Oriented Primary Care
Pages 198-206
The Chapter Skim interface presents what we've algorithmically identified as the most significant single chunk of text within every page in the chapter.
Select key terms on the right to highlight them within pages of the chapter.
From page 198... ...
Attention was also given to the roles various health professionals must play in developing effective systems of community oriented care, as well as to how physicians might be educated and trained to be more effective in furthering such programs. Summarizing what has transpired during the conference is an unenviable task.
|
From page 199... ...
. Why have so many developing countries with newly realized resources first opted to build very expensive tertiary care centers—often ignoring basic community services as they attempt to develop a stronger health care system?
|
From page 200... ...
The activities in any modern intensive care unit, the most tertiary of tertiary care, are convincing evidence that the physician is not enough. This is even more true if one examines the needs of those with chronic disease who consume the bulk of medical care resources in the developed world today.
|
From page 201... ...
A community or a nation will willingly and instantly spend millions to rescue a trapped coal miner or the survivors of a downed plane or a sinking ship, but it is much harder to get that same community or nation to spend similar sums to reduce infant mortality rates. Walsh McDermott liked tO emphasize that, tO be effective, community oriented programs had tO attract individuals who have or can develop what he eloquently termed "statistical compassion." By this he meant that people had to gain real personal satisfaction from knowing they had put in place services that would improve the health and welfare of individuals they would never see or know personally.
|
From page 202... ...
Here the private sector can be, and I believe has been, helpful. Examples of such private efforts include the Robert Wood Johnson Clinical Scholars, Nurse Faculty Fellows in Primary Care, Health Policy Fellows, and Family Practice Faculty Programs; the Kaiser Family Foundation and the Robert Wood Johnson Foundation support of primary care physician training programs; the Milbank support of epidemiologic training for established academic internists and the Kellogg support of departments of community medicine.
|
From page 203... ...
The increasing number of physicians means that in the United States access tO medical care services is not the problem that it was a decade ago. This, coupled with the enormous successes in controlling the major microbial diseases of the past and the steady reduction in deaths due to a wide variety of formerly lethal diseases, now affords the Western world the luxury of expanding its areas of concern beyond simply preserving or extending life.
|
From page 204... ...
Clearly it is this kind of informational background against which the effectiveness of medical care should be measured. Such a data base would have enormous payoffs and would enable physicians, other health professionals, and those who seek care to judge how our personal health care system really works best.
|
From page 205... ...
It is rarely realized that this is not the case in primitive societies or in nations that have more nationally or paternalistically oriented health care systems. Americans deeply distrust and dislike paternalism or ground rules of any kind that threaten encroachment of individual rights.
|
Key Terms
This material may be derived from roughly machine-read images, and so is provided only to facilitate research.
More
information on Chapter Skim is available.