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In the past decade, the problems of primary health care delivery have encompassed the problems of poverty, illness, fertility, mortality, & preventive medicine. Basic medicine-oriented at the village level by various medical groups, government strategies, & international health programs-or decentralization & expansion of Ur medicine to Ru areas have been the diverse experimental approaches. Many of the programs have not been sustained or successful over the long term. It is necessary to question whether primary health care is then the best form of medicine, or merely the one we are most habituated to & comfortable with. Primary health care, in & of itself, may not be nearly as effective as multidisciplinary approaches integrating SE planning, social sciences, epidemiologists, medical administrators, etc. Trial & error over time & endurance are the best indicators of what will & will not constitute the best approach & delivery of medical service. Present systems of primary health care should not be scrapped, but neither so firmly entrenched as to be unmodifiable. 1 Table. A. Rothman.

Proposals for using 'soc indicators' & 'soc accounting' & for initiating 'soc reports' by gov's have been put forth in the US & certain European countries. These proposals are closely related to the emergence of explosive soc problems in the econ'ly developed countries. But, at the same time, there has been also growing dissatisfaction in econ'ly developing countries with planning based on narrowly construed econ models & with the conspicuous absence of the adjective 'soc' in the definition of 'development.' if both developed & developing countries are now more concerned with the soc aspects of life, then perhaps soc information can be useful in both cases. A cluster of ideas deeply rooted in a certain situation cannot be easily transplanted. The diff's between the soc problems of a developed & a developing situation are so great that entirely diff kinds of soc information are needed in each. Nevertheless, certain ideas contained in the various soc information proposals could prove to be extremely useful for the specific problems of developing countries. HA.