Community Oriented Primary Care New Directions for Health Services Delivery (1983) / Chapter Skim
Currently Skimming:
Partnership for Health: The Family Nurse Practitioner/Family Physician Team
Partnership for Health: The Family Nurse Practitioner/Family Physician Team
Pages 234-238
The Chapter Skim interface presents what we've algorithmically identified as the most significant single chunk of text within every page in the chapter.
Select key terms on the right to highlight them within pages of the chapter.
From page 234... ...
A look at the current approaches to primary care in the United States with their narrow focus, physician dependency, predominance of low-risk cases, illness orientation, valuable management quality, and sense of competition with other caregivers in the community points to the need for new organizational models if true COPC is to exist. The elements of a new organizational model for COPC are listed in Table 1.
|
From page 235... ...
The collaborative practice model allows each practice the freedom to increase the amount of services, broaden the scope of services rendered, TABLE 1 Essentials of New Organizational Models in Community Oriented Primary Care Nonprofit corporation Broad focus: Patient and community oriented primary illness/wellness continuum Not dependent on a particular physician Team approach Humanistic, with sound management Noninstitutional base Decentralized system Medical and nonmedical linkages Flexibility for experimentation Strong professional leadership and administration Reinvest health dollars in primary care Pluralistic funding Source: Andrus, L.H., and Voelm, G An Approach to the Organization of Primary Care.
|
From page 236... ...
These findings suggest the ability of the family practice team to exhibit more promise for delivery of COPC in a variety of communities. Although study TABLE 3 Comparison of Family Physicians Working With Family Nurse Practitioners Versus Family Physicians Working Without a Family Nurse Practitioner P ract icel C o m m ~ n ity A ctivities Increased preventive health services Increased home visits Increased elder care activities Increased prenatal classes Increased group education classes Increased community health programs Increased CPR training Source: O'Hara Devereaux, M., Andrus, L.H., Quilter-Dervin, P., and Dervin, J.V.
|
From page 237... ...
Epidemiology and community health need to be integrated into clinical curricula so that primary care providers learn to relate to health in the larger context. TABLE 4 Problems of New Models of Community Oriented Primary Care Difficulties in financial viability of clinics in underserved areas Low reimbursement for primary care and nonillness care Public view community clinic = Free clinic/welfare clinic Nonprofit = Okay to show a loss (expected)
|
From page 238... ...
There is no evidence that isolated community clinics and practices are going to be able to effectively meet and develop alternative models to the continuing trend toward institutionalization. There is little evidence that institutional-based systems offer true COPC, but rather they develop primary care—or a likeness—as one aspect of their secondary and tertiary programs within the medical model.
|
Key Terms
This material may be derived from roughly machine-read images, and so is provided only to facilitate research.
More
information on Chapter Skim is available.