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

COPC is the intersection of Public Health and Primary Care

Primary Care Practice
Personal Health Services

  • Accessible
  • Acceptable
  • Accountable
  • Comprehensive
  • Coordinated
  • Continuous

Public Health Practice
(Population-Based Services)

  • Applied Epidemiology
  • Population-Based
  • Preventive Strategies
  • Education

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

↓
COPC is the intersection of Public Health and Primary Care

Local Perspective

↓
COPC is the intersection of Community Involvement and Primary Care

C

O

P

C

Defined Community

Public Health Practice

Primary Care Practice

Issues from Public Health

  • Applied Epidemiology
  • Population Based
  • Preventive Strategies
  • Education

Issues from Primary Care
(Qualities of Personal Health Care)

  • Accessible
  • Acceptable
  • Accountable
  • Comprehensive
  • Coordinated
  • Continuous

Defining the Community

Chart showing overlapping medical providers

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

the Individual

the Community

C

O

P

C

Making

A Community

Diagnosis

COPC Process

  1. DEFINE THE COMMUNITY

    "User" vs. "Community"
    (defines denominator)

  2. CHARACTERIZE THE COMMUNITY
    1. Health Status
    2. Special Health Needs
    3. Other (cultural, language)

COPC PROCESS

  1. DEFINE AND INVOLVE THE COMMUNITY
  2. CHARACTERIZE THE COMMUNITY
  3. IDENTIFY COMMUNITY HEALTH PROBLEMS
  4. DEVELOP EMPHASIS PROGRAMS TO ADDRESS THOSE PROBLEMS
  5. MONITOR THE IMPACT OF THE PROGRAMS