Community-oriented primary care (COPC) originated in South Africa during the 1940s and 1950s, where it served to inform local church-based and nongovernmental organization–based initiatives during the apartheid years. During the 1990s, COPC played an inspirational role in the process of national health policy formulation.Yet COPC’s contribution to current health practice remains more symbolic than substantive. Despite a policy framework that favors the widespread introduction of COPC, various political, structural, managerial, and human resource obstacles constrain its effective implementation.Notwithstanding a rapidly changing health care environment and well-established health transition from infections and nutritional disorders to non-communicable diseases and injury, COPC and its variants remain abidingly relevant to South Africa’s—and Africa’s—health care reality. (Am J Public Health. 2002;92:1725–1728)
展开▼
机译：面向社区的初级保健（COPC）起源于1940年代和1950年代的南非，在种族隔离时期，它为当地基于教会和非政府组织的计划提供了信息。在1990年代，COPC在国家卫生政策制定过程中发挥了鼓舞作用。然而，COPC对当前卫生实践的贡献仍然具有象征意义而不是实质意义。尽管制定了有利于广泛引入COPC的政策框架，但各种医疗，政治，结构，管理和人力资源方面的障碍仍然限制了COPC的有效实施。尽管医疗环境瞬息万变，并且已经从感染，营养失调向非传染性疾病建立了良好的健康过渡在疾病和伤害方面，COPC及其变体仍然与南非以及非洲的医疗保健现实息息相关。 （Am J Public Health。2002; 92：1725–1728）
展开▼
