Korean J Fam Pract 2015; 5(3): 173-178  
Community Based Health Care Service Design on Chronic Disease for Enhancing Primary Care and the Status of Community Based Primary Care Project
Jung-Jin Cho1,*, Yong-Jin Kwon2, Sung-Hoon Jung3
1Department of Family Medicine, Hallym University Dongtan Sacred Heart Hospital, Hwaseong; 2Center for Public Health, National Medical Center, Seoul; 3Division of Health Policy, Ministry of Health and Welfare, Sejong, Korea
Received: September 14, 2015; Accepted: September 18, 2015; Published online: September 30, 2015.
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The importance of chronic disease management in a rapidly aging society has emerged. One of limitations in existing government’s project for chronic disease management is lack of role for primary physicians. Since November 2014, the community based primary care project for strengthening primary care is being implemented in four regions. Chronic care model for community based primary care project focus on the educational counseling by clinic doctors. This projects include fee for service to doctors for education and counselling and referral activity to primary care support center. During 7 months, the education were conducted for 10,500 patients in 162 registered clinics. The result of survey for participated doctors and patients show that the patient satisfaction is very high and the counselling hours by doctors is prolongated and then the doctor patent rapport is improving. Therefore, this project is seen as ultimately contribute to enhancing primary health care.
Keywords: Primary Health Care; Hypertension; Diabetes Mellitus; Education; Counseling

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