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Community-oriented primary care: New relevance in a changing world

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  • Mullan, F.
  • Epstein, L.

Abstract

Since its inception in rural, pre-apartheid South Africa, community-oriented primary care (COPC) has intrigued and informed public health and primary care leaders worldwide. COPC has influenced such programs as the US community health center movement, the general practice movement in the United Kingdom, and recent reforms in the public health system of South Africa. We provide a global overview of COPC, tracing its conceptual roots, reviewing its many manifestations, and exploring its future prospects as an organizational paradigm for the democratic organization of community health services. We examine the pitfalls and paradoxes of COPC and suggest its future utility. COPC has important values and methods to offer disparate but powerful movements in public health worldwide.

Suggested Citation

  • Mullan, F. & Epstein, L., 2002. "Community-oriented primary care: New relevance in a changing world," American Journal of Public Health, American Public Health Association, vol. 92(11), pages 1748-1755.
    • Handle: RePEc:aph:ajpbhl:2002:92:11:1748-1755_9
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    Cited by:

    1. Frankie Fair & Liselotte Raben & Helen Watson & Victoria Vivilaki & Maria van den Muijsenbergh & Hora Soltani & the ORAMMA team, 2020. "Migrant women’s experiences of pregnancy, childbirth and maternity care in European countries: A systematic review," PLOS ONE, Public Library of Science, vol. 15(2), pages 1-26, February.
    2. Cabral, Jorge & Dussault, Gilles & Buchan, James & Ferrinho, Paulo, 2013. "Scaling-up the medical workforce in Timor-Leste: Challenges of a great leap forward," Social Science & Medicine, Elsevier, vol. 96(C), pages 285-289.

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