The beauty of the community health centre model is that it's responsive to the local community. For example, in the CHC where I'm the director, there is a large Asian community, so it was a no-brainer for us to have an acupuncturist as a part of our comprehensive team. To understand the needs of a particular community is to know what kinds of interventions fit best with that particular community. That's one of the advantages of this model.
Who decides? I think it should be a group of residents on a board, working with staff, assessing community needs and resource requirements. Is there a high concentration of people with type 2 diabetes? Do we need to help people deal with COPD? It's an iterative process, a community engagement process. I wear my bias with pride. That's why the CHC model has this kind of community engagement focus.