Community Oriented Primary Care New Directions for Health Services Delivery (1983) / Chapter Skim
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Can Area Health Education Centers Promote COPC? The Colorado Experience
Can Area Health Education Centers Promote COPC? The Colorado Experience
Pages 258-263
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From page 258... ...
In addressing the health manpower situation at that time, the commission suggested that new health science centers may be appropriate in specific parts of the country; in other parts, however, institutions training health professionals should focus on the more adequate distribution of their resources within their states, without costly new construction and duplication. To this end, the commission recommended that academic health science centers develop AHECs in those regions of their states that were without the resources and services of academic health sciences centers.
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From page 259... ...
In 1980, two-thirds of the AHECtrained primary care residents remained in the state to practice. Between 1973 and 1978, the improvement in North Carolina's physician-to-population ratio was 20 percent compared to 15 percent for the rest of the United States.
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From page 260... ...
A required primary care clerkship involving 70 senior medical students each year is served in urban health experiences in underserved inner cities. There is a significant focus in the expansion of the family medicine residency program on urban and community health issues and needs.
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From page 261... ...
The educational benefits that accrue to students from AHEC rotations include a more realistic view of primary care delivery than a tertiary care university system is able to provide; more personal attention from the preceptor and/or attending physician than the student has in a crowded university setting; and a more complete understanding of community health systems, including social services, than are evident at the university level. The student also sees more cost-effective health care at the local level.
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From page 262... ...
There is a brief curriculum that is presented to students focusing on the particular health problems of migrant farm workers, including the cultural and language barriers that frequently prevent adequate health care from being delivered. Junior medical students have multiple opportunities to receive their required clerkships (medicine, pediatrics, psychiatry, obstetrics-gynecology, and surgery)
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From page 263... ...
If public financing for medical care is reoriented to support the principles of COPC more fully than the highly technical, tertiary, machine-oriented care that is provided for such things as heart transplant experimentation, kidney dialysis, etc., then COPC will grow and flourish. In the meantime, some focus needs to be brought to maintain the concept and continue its definition and advocacy in the various forums that help determine national health policy.
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