The community-oriented primary care experience in the United kingdom.
The UK National Health Service has long delivered public health programs through primary care. However, attempts to promote Sidney Kark's model of community-oriented primary care (COPC), based on general practice populations, have made only limited headway. Recent policy developments give COPC new resonance. Currently, primary care trusts are assuming responsibility for improving the health of the populations they serve, and personal medical service pilots are tailoring primary care to local needs under local contracts. COPC has yielded training packages and frameworks that can assist these new organizations in developing public health skills and understanding among a wide range of primary care professionals.
Gillam
Stephen
S
Primary Care Programme, King's Fund, London, England. s.gillam@kingsfund.org.uk
Schamroth
Alan
A
D040343:Behavioral Risk Factor Surveillance System; D018672:Community Health Planning / Q000458:organization & administration*; D005194:Family Practice / Q000458:organization & administration*; D018166:Health Care Reform; D006293:Health Promotion / Q000458:organization & administration*; D006302:Health Services Research; D006801:Humans; D007857:Leadership; D020380:Needs Assessment; D010348:Patient Care Team; D010865:Pilot Projects; D011159:Population Surveillance; D011320:Primary Health Care / Q000458:organization & administration*; D024382:Professional Role; D011634:Public Health / Q000193:education*; D012936:Social Medicine / Q000458:organization & administration*; D013222:State Medicine / Q000458:organization & administration*; D006113:United Kingdom