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PUBLIC HEALTH AND PRIMARY CARE Two Solitudes or S isters/Brothers-in-Arms. Needs/Challenges. Access to primary care: effective comprehensive continuous Understanding/coordinating PC/PH roles: clinical services preventive services environmental support policy advocacy.
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PUBLIC HEALTH AND PRIMARY CARETwo SolitudesorSisters/Brothers-in-Arms
Needs/Challenges • Access to primary care: effective comprehensive continuous • Understanding/coordinating PC/PH roles: clinical services preventive services environmental support policy advocacy
Needs/Challenges • Mandatory Program Guidelines • Priority-setting and planning • Timely, effective communication • Accountability to communities: • programs and services • health outcomes
Opportunities • Community expectations • Health system restructuring • Measurement of health indicators and outcomes • Expert Panel on Health Professional Human Resources • Stresses on primary care practitioners
Opportunities • Primary care reform - pilot sites • Family Health Networks • Growing role of nurse practitioners • Information technologies: • coordination of care • communication • community-oriented primary care