Health Policy

Community Oriented Primary Care : New Directions for Health by Institute of Medicine, Division of Health Care Services

By Institute of Medicine, Division of Health Care Services

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Patients may also resent the assignment About this PDF file: This new digital representation of the original work has been recomposed from XML files created from the original paper book, not from the original typesetting files. Page breaks are true to the original; line lengths, word breaks, heading styles, and other typesetting-specific formatting, however, cannot be retained, and some typographic errors may have been accidentally inserted. Please use the print version of this publication as the authoritative version for attribution.

A health team that works with a small defined population may readily come to know the primary groups4 and health-relevant social networks of the community. If each practitioner or health team has responsibility for a defined population or geographic area, this may counteract one of the major deficiencies of modern health care. Generally no one person or institution accepts the responsibility for the health of a community or population. It is this acceptance of responsibility that distinguishes COPC from much of the primary care that is so common today, characterized by the episodic care of those patients who seek care when sick.

Abramson and Sidney L. Kark Health protection is increasingly seen as a responsibility of society and health care as a right of individuals. The system of financing and organizing health services varies considerably, not only between different countries, but also for different health conditions, income groups, and aspects of health care in the same locality. Health care is usually provided by a variety of discrete and independently functioning services, some of which are located in the community to which they deliver care, while others are not.

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