When C. C. Chen graduated from the Rockefeller Foundation-sponsored Peking Union Medical College in China in 1929, more than 85 percent of Chinese lived in villages, almost entirely beyond the reach of modern medical care. Western missionary hospital When C. C. Chen graduated from the Rockefeller Foundation-sponsored Peking Union Medical College in China in 1929, more than 85 percent of Chinese lived in villages, almost entirely beyond the reach of modern medical care. Western missionary hospitals were urban centered and their patients predominantly city dwelling Chinese. Dr. Chen's major concern, in a distinguished career spanning nearly six decades, has been to develop a means of introducing scientific medical care into a predominantly rural society. This highly personal account brings the perspective of a dedicated clinician to challenge of alleviating health problems in often widely scattered and undereducated village populations.
It is the story of practical experimentation in rural health development, a story of trial and error and a continuing search for the best solutions to difficult problems. In particular it focuses in the period 1928-1937 and the pioneering work at Dingxian that led into post-Liberation developments including the emergence of the "barefoot doctor" in the 1960s. Principles such as community responsibility and self help, now promoted in most primary health care programs, were fully recognized by Dr. Chen and his associates more than 40 years before the World Health Assembly declaration at Alma Ata in the Soviet Union in 1977, which called for "health for all by the year 2000".
Dr. Chen wrote this book to communicate his thinking to friends around the world, hoping to create a dialogue on the question that has so centrally occupied his life. Although he speaks primarily to other "workers in public health, community medicine, and medical education, especially those working in developing countries", his account is equally interesting as the "inside story" of a physician who, together with most of his family, lives and works today in the People's Republic of China. ...Continua Nascondi