In this commentary,we elucidate two distinctive characteristics of China's primary health care system relative to the global primary health care framework:a more narrowly defined patient population and scope of services,along with a diminished clinical capacity in primary care.Building upon this foundation,we critically examine and juxtapose the two quintessential theoretical-practical models of the 20th century that are intimately linked with the integration of medication and prevention.They are the"Community-Oriented Primary Care"Model and the"Barefoot Doctor"Model.Additionally,leveraging a series of practical cases observed within Shanghai's primary care settings in the fourth quarter of 2023,we deliberate on viable approaches for adapting and applying these models in China's primary care infrastructure.We further delineate the requisite external conditions for such a transformation and offer targeted recommendations for the deployment of these models across diverse locales.
关键词
初级卫生保健/基本医疗/医防融合/赤脚医生/社区导向
Key words
Primary health care/Primary care/Medication and prevention integration/Barefoot doctor/Community-oriented
维普
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