In OT service delivery for primary care, which of the following is emphasized?

• A. Integrated, accessible care; prevention; health promotion; funding
• B. Prevention; health promotion; funding; care coordination
• C. Integrated care; prevention; health promotion; funding
• D. Prevention; health promotion; funding; integrated care

Answer: (D)

Focusing on prevention and health promotion as the driving aims of OT in primary care captures what this practice environment strives to achieve: helping people stay independent and participate in daily life, and preventing disability before it starts or worsens. Prevention targets reducing risk factors and limiting the onset or impact of health problems, while health promotion broadens the effort to enhance overall well-being and function.

Integrated care is the framework that makes this possible across the care continuum. It means OT works smoothly with other professionals and settings—clinic, home, community—to coordinate services, share information, and provide seamless, person-centered support. This integration is essential for delivering comprehensive, real-world care that aligns with a person’s goals.

Funding matters because it underpins the ability to deliver these prevention and promotion activities within an integrated system. Sustainable funding ensures OT services can be offered, evaluated, and scaled within primary care, rather than relying on episodic or ad hoc support.

So the combination of prevention, health promotion, funding, and integrated care best reflects how OT service delivery is emphasized in primary care: prevention and promotion are front-line goals, supported by a funding base, and carried out within an integrated care framework.