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November 2002, Vol 92, No. 11 | American Journal of Public Health 1717-1721
© 2002 American Public Health Association

COMMUNITY-ORIENTED PRIMARY CARE

The Jerusalem Experience: Three Decades of Service, Research, and Training in Community-Oriented Primary Care

Leon Epstein, MB, ChB, MPH, Jaime Gofin, MD, MPH, Rosa Gofin, MD, MPH and Yehuda Neumark, PhD, MPH

The authors are with the Department of Social Medicine, Hadassah Medical Organization, and the Hebrew University-Hadassah Braun School of Public Health and Community Medicine, Jerusalem, Israel.

Correspondence: Requests for reprints should be sent to Leon Epstein, MB, ChB, MPH, Department of Social Medicine, Hadassah Medical Organization, PO Box 12000, Jerusalem 91120, Israel (e-mail: leon{at}hadassah.org.il).

Community-oriented primary care (COPC) developed and was tested over nearly 3 decades in the Hadassah Community Health Center in Jerusalem, Israel. Integration of public health responsibility with individual-based clinical management of patients formed the cornerstone of the COPC approach.

A family medicine practice and a mother and child preventive service provided the frameworks for this development. The health needs of the community were assessed, priorities determined, and intervention programs developed and implemented on the basis of detailed analysis of the factors responsible for defined health states. Ongoing health surveillance facilitated evaluation, and the effectiveness of interventions in different population groups was illustrated.

The center’s international COPC involvement has had effects on primary health care policy worldwide.




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