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COPC in the Texas Valley
Pages 214-216

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From page 214...
... Medical care providers, including physicians, nurse midwives, nurse practitioners, and physician assistants, are organized in health teams that relate to outreach, social, and nutrition services. Taking special note of the demographic characteristics of itS population and their health care needs, SCF has emphasized and been innovative in developing maternal-child health services and outreach, counseling, and health services for adolescents.
From page 215...
... First, stability, competence, collective consciousness, and credibility of a community oriented practice depend significantly upon its ability to retain providers and key managers for long terms. Those community oriented practices organized as community health centers have particular difficulties in securing the full support and commitment of their own providers, whose needs are often not readily accommodated in a system where providers are not dominant, where they have little authority to shape the institutional environment of patient care, and where they tend to be isolated from their professional peers in the larger community outside the practice.
From page 216...
... During the formal training process, through didactic exercises, experiences with role models, and apprenticeships, providers and managers must get solid clinical, organizational/managerial, interactive, and survival skills. And, perhaps more importantly over the long term, a support network and/or organization must develop to specifically and continuously support the work of community oriented practices.


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