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Community Oriented Primary Care

Community Oriented Primary Care

New Directions for Health Services Delivery

  • Publisher: National Academies Press
  • ISBN: 9780309074674
  • eISBN Pdf: 9780309540872
  • Place of publication:  United States
  • Year of digital publication: 1983
  • Month: January
  • Pages: 314
  • Language: English
  • Community Oriented Primary Care
  • Copyright
  • PREFACE
  • Contents
  • Overview and Summary
  • Community Oriented Primary Care: Lessons LEarned in Three Decades
    • CASE # 1: 1955–1960
    • CASE # 2: 1962–1968
    • CASE # 3: 1970-PRESENT
    • CASE # 4: 1980-PRESENT
    • REFERENCES
  • PART I THEORETICAL ISSUES
    • Community Oriented Primary Care: Meaning and Scope
      • GENERAL CONSIDERATIONS
        • Primary Health Care and Community Medicine
          • Basic Features of COPC
          • The Need for Coordination or Integration of Community Health Services
          • Community-Based Primary Health Care
      • SOME SPECIAL FEATURES OF COPC
        • Clinical Epidemiology in COPC
          • Case Illustration of Clinical Epidemiology
          • Determining Priorities
          • Community Diagnosis and Epidemiologic Surveillance
          • Evaluation
          • A Note on Other Programs in This COPC
        • Social and Behavioral Aspects of COPC
          • Community Involvement in COPC
        • Training for COPC
          • From Solo Practice to Group Practice and the Health Team
          • The Preparation of Physicians for COPC
          • Training Centers
      • PROCESSES IN THE DEVELOPMENT OF COPC
        • Preliminary Steps
        • Community Health Diagnosis
        • Planning of Intervention
        • Implementation
        • Evaluation
        • Decision Making for Future Action
      • References
    • The Meaning of Community Oriented Primary Care in the American Context
      • DEFINITIONS: THE IDEOLOGY OF COMMUNITY MEDICINE
      • SIX FALLACIES IN SEARCH OF A DEFINITION
        • The Geographic Fallacy
        • The Demographic Fallacy
        • The Organizational Fallacy
        • The Community Orientation/Awareness Fallacy
        • The Community Involvement Fallacy
        • The Epidemiologic Fallacy
      • CRITERIA FOR COMMUNITY ORIENTED PRIMARY CARE
      • COPC AND THE UNITED STATES SYSTEM: A PROBLEM LIST
      • STARTING WHERE WE ARE, WITH THE PEOPLE AND PROGRAMS WE HAVE
        • Community Health Centers and COPC: History and Impact
          • Variation in COPC: Two Examples
      • SOME SPECIFIC PROPOSALS
        • Education and Training
        • Service Programs
      • CONCLUSION: A NOTE ON DREAMS AND NECESSITIES
      • References
    • Discussants
    • Community Oriented Primary Care: An International Perspective
      • MOVEMENTS INFLUENCING COPC
        • The Family Medicine Movement
        • The Community Medicine Movement
        • The Primary Care Movement
      • REFLECTIONS ABOUT COPC PROJECTS EXTRACTED FROM THE CALI EXPERIENCE
        • An International Perspective on COPC
        • An Attempt to Improve the Surgical Care Delivery in the Cauca Valley
      • References
    • Discussants
      • References
    • Opportunities and Constraints for Community Oriented Primary Care
      • References
    • Discussants
    • Health Worker Roles in Community Oriented Primary Care
      • COMMUNITY INVOLVEMENT IN COPC
        • Some False Assumptions
        • Examples of Community Involvement in COPC
          • South End Settlement
        • Mound Bayou
      • LESSONS LEARNED
      • References
    • Discussants
      • Bibliography
    • Medical Education and Training for Community Oriented Primary Care
      • MEDICAL EDUCATION AND MEDICAL PRACTICE
      • MEDICAL EDUCATION AND COPC
        • Primary Care Experiences—Undergraduate
        • Primary Care Experiences—Graduate
        • Community “Oriented” Educational Experiences
        • Training in Principles and Skills of Community Medicine
        • Team Approach and COPC
      • STRATEGIES FOR MEDICAL EDUCATION AND TRAINING FOR COPC
        • Developing Faculty Role Models
        • Developing Role Practice Opportunities for Students and Residents
        • Developing an Integrated Curriculum for COPC
        • Influencing Societal Values and the Values of Medical Education in Favor of COPC
      • References
    • Discussants
      • References
    • Thoughts on Community Oriented Primary Care
  • PART II PRACTICAL APPLICATIONS
    • Promoting COPC through a Rural Health Care Network: Marshfield Clinic
    • COPC in the Texas Valley
    • Elements of COPC in the UMWA Health and Retirement Funds Program
      • SPECIFIC ELEMENTS OF COPC IN THE UMWA PROGRAM
      • SOME LESSONS FOR COPC
    • COPC and a State Health Department: West Virginia's Experience
    • Columbia University-Harlem Hospital Primary Care Network
    • COPC in a Hospital-Affiliated Health Center
    • Denver Health and Hospitals Experience
    • Partnership for Health: The Family Nurse Practitioner/Family Physician Team
    • The Patient Advisory Council Concept
    • The Application of COPC Principles in a Welsh Mining Village
      • THE BLOOD PRESSURE PROGRAM
      • ANTICIPATORY CARE
      • RESEARCH
      • References
    • Training for COPC in the Netherlands and around the World
      • THE MAASTRICHT PROGRAM
        • Educational Principles
        • The Teaching Program
        • Structure of the Learning Program
        • Hospital Internships
        • Evaluation
      • THE NETWORK OF COMMUNITY ORIENTED EDUCATIONAL INSTITUTIONS FOR HEALTH SCIENCES
      • CONCLUSIONS
    • Can Area Health Education Centers Promote COPC? The Colorado Experience
    • Departments of Family Practice as Vehicles for Promoting COPC
    • New Mexico's Primary Care Curriculum
    • The Beersheva Experience in COPC
    • The Upper Peninsula Medical Education Program
  • PART III WORKSHOP DISCUSSION SUMMARIES
    • Workshop A
    • Workshop B
    • Workshop C
    • Workshop D
    • Workshop E
    • Participants

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