Community Oriented Primary Care : New Directions for Health by Institute of Medicine, Division of Health Care Services

By Institute of Medicine, Division of Health Care Services

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By Institute of Medicine, Division of Health Care Services

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About this PDF file: This new digital representation of the original work has been recomposed from XML files created from the original paper book, not from the original typesetting files. Page breaks are true to the original; line lengths, word breaks, heading styles, and other typesetting-specific formatting, however, cannot be retained, and some typographic errors may have been accidentally inserted. Please use the print version of this publication as the authoritative version for attribution.

A list or register of the total eligible population may be invaluable not only for epidemiological planning and organizational purposes, but also for the identification of specific individuals who may require follow-up or care, such as elderly people with whom there has been no contact for some time. The information that may be collected includes the following: 1. Demographic information on the community or the population eligible for the service—the size of the population, its demographic characteristics, such as its age, sex, and ethnic distribution, and its mobility.

Critical to the diagnosis is a judgment as to whether the patient has a disease or not. If so, what is the nature of the disease, its natural history and hence the patient's prognosis, and the management needed? If not, the patient is often reassured, and the practitioner's task is ended for that particular event. This division of health into two distinct categories—disease and no disease, illness or wellness—is becoming more difficult to define or even conceptualize. Advances in measurement of various health-relevant characteristics, somatic, psychological, or social, make it increasingly difficult to divide the universe into two discrete groups, the healthy and the sick.

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