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Site Development Manual: Chapter 2
Exhibit 2-5: Community Oriented Primary Care
Summary
A Definition of COPC
| Community Oriented primary care is defined as the provision of primary care services to a defined community, coupled with systematic efforts to identify and address the major health problems of that community through effective modifications in both the primary care services and other appropriate community health programs. |
Source: Institute of Medicine 1984
Primary Care Practice
Personal Health Services
- Accessible
- Acceptable
- Accountable
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- Comprehensive
- Coordinated
- Continuous
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Public Health Practice
(Population-Based Services)
- Applied Epidemiology
- Population-Based
- Preventive Strategies
- Education
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Community Oriented Primary Care
"A marriage of the principles of epidemiology and the practice of primary care"
Paul A. Nutting, MD
1987
Community Oriented Primary Care
"The reunion of the traditions of Public Health and Personal Clinical Health Services"
Fitzhugh Mullan, MD
1982
Global Perspective
↓
Local Perspective
↓
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C O P C
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Defined Community
Public Health Practice
Primary Care Practice
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Issues from Public Health
- Applied Epidemiology
- Population Based
- Preventive Strategies
- Education
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Issues from Primary Care
(Qualities of Personal Health Care)
- Accessible
- Acceptable
- Accountable
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- Comprehensive
- Coordinated
- Continuous
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Defining the Community
A Definition of COPC
| Community Oriented primary care is defined as the provision of primary care services to a defined community, coupled with systematic efforts to identify and address the major health problems of that community through effective modifications in both the primary care services and other appropriate community health programs. |
Source: Institute of Medicine 1984
Our Patient is
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the Individual
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the Community
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C O P C
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Making
A Community
Diagnosis
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COPC Process
- DEFINE THE COMMUNITY
"User" vs. "Community"
(defines denominator)
- CHARACTERIZE THE COMMUNITY
- Health Status
- Special Health Needs
- Other (cultural, language)
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COPC PROCESS
- DEFINE AND INVOLVE THE COMMUNITY
- CHARACTERIZE THE COMMUNITY
- IDENTIFY COMMUNITY HEALTH PROBLEMS
- DEVELOP EMPHASIS PROGRAMS TO ADDRESS THOSE PROBLEMS
- MONITOR THE IMPACT OF THE PROGRAMS
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