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Free Content Disease control in primary health care: a historical perspective

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Abstract:

Summary

The effectiveness of disease control by mobile teams decreased when countries became independent. Early case-finding and continuity of care require permanently accessible health care facilities where rationalization by professionals and participation of the users are well balanced. The Primary Health Care concept, a plea for this equilibrium, has been discredited by different types of misapplication. Correctly functioning and accessible first line health services, completed by a referral level, are a precondition for effective participation of the users. Where ‘ideal health districts’ cannot be realized, a form of steady exchanges between generalists and the specialists of the referral level has lead to diverse ‘functional districts’.

Keywords: disease control; health district; health policy; primary health care; systems approach; users participation

Document Type: Research Article

DOI: http://dx.doi.org/10.1111/j.1365-3156.2004.01261.x

Publication date: June 1, 2004

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