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November 2002, Vol 92, No. 11 | American Journal of Public Health 1713-1716
© 2002 American Public Health Association

COMMUNITY-ORIENTED PRIMARY CARE

Community-Oriented Primary Care: A Path to Community Development

H. Jack Geiger, MD, MSciHyg

H. Jack Geiger is with the Department of Community Health and Social Medicine, City University of New York Medical School.

Correspondence: Requests for reprints should be sent to H. Jack Geiger, MD, MSciHyg, City University of New York Medical School, City College of New York, 138th St at Convent Avenue, New York, NY 10031 (e-mail: jgeiger{at}igc.org).

Although community development and social change are not explicit goals of community-oriented primary care (COPC), they are implicit in COPC’s emphasis on community organization and local participation with health professionals in the assessment of health problems. These goals are also implicit in the shared understanding of health problems’ social, physical, and economic causes and in the design of COPC interventions.

In the mid-1960s, a community health center in the Mississippi Delta created programs designed to move beyond narrowly focused disease-specific interventions and address some of the root causes of community morbidity and mortality.

Drawing on the skills of the community itself, a selfsustaining process of health-related social change was initiated. A key program involved the provision of educational opportunities.


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