Roux J P
S Afr Med J. 1977 Oct 15;52(17):686-8.
In the past, health care was predominantly curative and was directed mostly at the individual. It largely neglected the community and the true object of health services, i.e. to improve the health of the entire population. A comprehensive health service should meet all the health needs of a community and should not be orientated solely towards disease and hospital care. The importance of community participation in the social rehabilitation of individuals recovering from mental or organic diseases is emphasized, and the role of primary health care in helping to relieve pressure on hospital services by caring for more people at the community level should be recognized. In training health personnel greater emphasis needs to be placed on promoting more flexible attitudes of mind to fit professional skills covering all problems confronting the community. The social function of health services should be recognized and accepted in order to ensure that health technology is developed and applied in harmony with this social function.
过去，医疗保健主要是治疗性的，且大多针对个体。它在很大程度上忽视了社区以及卫生服务的真正目标，即改善全体民众的健康状况。全面的卫生服务应满足社区的所有健康需求，而不应仅仅以疾病和医院护理为导向。强调社区参与对从精神或器质性疾病中康复的个体进行社会康复的重要性，同时应认识到初级卫生保健通过在社区层面照顾更多人来帮助减轻医院服务压力的作用。在培训卫生人员时，需要更加重视培养更灵活的思维态度，以使其专业技能适用于解决社区面临的所有问题。应认识并接受卫生服务的社会功能，以确保卫生技术的开发和应用与其社会功能相协调。
