What Is Community-Oriented Primary Care?

Primary Health Care is the basic health care generally available to individuals and families in the community. Such health care must be obtained in a way that they can accept and participate fully, and the community and the country can bear the costs incurred. Primary health care is both a core component of the national health system and an integral part of the overall social and economic development of the community.

Basic Information

Chinese name: Primary health care
Foreign name: Primary Health Care

Attributes: health care
Grade: primary

Primary health care background

Primary health care

International background for primary health care

In 1978, WHO and UNICEF held the International Conference on Primary Health Care (Almaty Conference) in Almaty, Kazakhstan. The "Almaty Declaration" issued at the meeting clearly stated that the promotion of primary health care (PHC) is the key and basic way to achieve the strategic goal of "Health for All in 2000". So there is an internal relationship between "Health for All in 2000" and "Primary Health Care". The former is the goal of the global health strategy, and the latter is the basic approach and basic strategy to achieve this strategic goal.

Domestic background for primary health care

As the initiator and one of the main member countries of the WHO, our government clearly stated its commitment to the global strategic goals advocated by the World Health Organization in 1986. In October 1988, the Prime Minister of the Government further stated that achieving health care for all was China's social and economic development in 2000. Part of the overall goal. The Minister of Health also stated: "My country should be at the forefront of the world in achieving the strategic goal of health care for all in 2000." Medical Education Network

In 1990, the Chinese Ministry of Health, the National Planning Commission, the Ministry of Agriculture, the National Environmental Protection Agency, and the National Patriotic Health Campaign Committee jointly issued the "On the Implementation of the" Planning Goals for Health Care for All in 2000 "in China's rural areas." The spirit of primary health care, as elaborated in the Almaty Declaration, defines the definition of primary health care as follows: "Primary health care refers to the most basic, accessible to everyone, and embodying equal rights of society, Affordable health care services for the people and the government. "And profoundly pointed out:" The basic approach and basic strategy to achieve health care for all in rural China is to implement primary health care among all rural residents. "" Implementing primary health care Health care is the cause of the whole society and an important aspect of the purpose of serving the people. " ^[1]

Definition of primary health care

Primary health care remains a strategy for achieving health care for all. Primary health care is a basic form of health care. It relies on practicable, academically reliable and popular methods and technologies. It is generally available to individuals and families in the community through active participation. The cost is also a community or country's self-reliance-based health service. It is not only an integral part of the national health system and socio-economic development, it is the central function of the national health system, and it is also the first step for individuals, families, and communities to contact the national health system, and the initial level of the ongoing health care process.

Primary health care (code PHC) is a concept put forward by the World Health Organization at the International Primary Health Care Conference held in Almaty in the former Soviet Union in September 1978. The definition of "Almaty Declaration" for primary health care is that primary health care is generally enjoyable through the active participation of individuals and families in the community, relying on practical and academically reliable methods and technologies that are welcomed by society And in the spirit of self-reliance and self-determination at various stages of development, the masses and the state can afford a basic health care. Implementing primary health care is the basic approach and basic strategy to achieve the goal of "Health for All in 2000"

Primary health care implications

Primary health care includes at least the following four meanings:

(1) From the perspective of the needs and interests of residents: 1. The most basic and indispensable for residents; 2. Available to residents groups, families, and individuals; 3. Low-cost, health care that the masses are willing to accept.

(2) Judging from its status and role in health work: 1. Applying practical and academically reliable methods and technologies; 2. The most basic front-line health care work; 3. One of the national health systems Important components and foundations; 4. Based on the concept of general health, the work area is wider and the content is wider.

(3) From the perspective of government responsibilities and tasks: 1. Common responsibilities of governments at all levels and relevant departments; 2. People's governments at all levels serve the people wholeheartedly and care about the sufferings of the people; And effective forms of participation in health care activities from all walks of life and society.

(4) From the perspective of social and economic development: 1. The achievement component of the overall socio-economic layout must develop in sync with the social economy; 2. The important signs and concrete manifestations of the construction of socialist spiritual civilization; 3. The rural social security system important parts of.

Four aspects of primary health care

Primary health care health promotion

Health promotion: including health education, protecting the environment, reasonable nutrition, drinking safe and hygienic water, improving sanitation facilities, carrying out physical exercises, promoting mental health, and developing a good lifestyle.

Primary health care preventive care

Preventive health care: On the basis of studying the objective laws of the health and disease of social populations and their interrelationships with the population's internal and external environment and human social activities, take active and effective measures to prevent the occurrence, development and epidemic of various diseases.

Reasonable treatment for primary health care

Reasonable treatment: early detection of disease, timely provision of medical services and effective medicines to avoid the development and deterioration of the disease, promote an early recovery and recovery, prevent infection (worms) and chronic development. The application of drugs is based on the principle of "saving and effective", and the concepts of "more and more effective" and "more and better" are wrong. Drug use not only causes drug waste, increases the financial burden on patients, but also increases the possibility of adverse drug reactions. (Collected by Medical Education Network)

Community Rehabilitation in Primary Health Care

Community rehabilitation: For people with disabilities who have lost their normal functions or are functionally defective, through medical, educational, vocational and social comprehensive measures, try to restore their functions and regain their ability to live, learn and participate in social activities . ^[2]