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Community Oriented Primary Care New Directions for Health Services Delivery (1983) / Chapter Skim
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Overview and Summary
Pages 1-5

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From page 1...
... Part I, "Theoretical Issues," covers the meaning and scope of COPC in an historical context, an international perspective on COPC, the problems and opportunities presented by COPC in the current economic and political climate, the role of health workers in COPC, and the education and training of providers of COPC. Part II presents summaries of 16 case reports illustrating the application of COPC principles to medical education and health services delivery in a variety of settings—urban, rural, public, and private.
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From page 2...
... Moreover, the worldwide commitment to a broad definition of primary care expressed formally at a 1978 World Health Organization conference on primary care in Alma-Ata, U.S.S.R., serves to reinforce and underscore the relevance of COPC. The increase in the number and distribution of physicians and health professionals that has occurred in the last decade and that appears to be continuing has the potential for creating an atmosphere conducive to COPC.
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From page 3...
... In the recent past, programs in this country that have most closely resembled the COPC model have been those programs designed to meet the needs of the underserved inner-city minorities, rural populations, and migrant workers, to name a few. As a result of this association, COPC tends to be thought of as a way to organize services for the disadvantaged rather than as a general approach to primary care delivery for a broad base of the population.
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From page 4...
... The feasibility and effectiveness of such a team and consequently of COPC depends on the cooperative abilities of all the participants. This kind of multidisciplinary team approach, with direction coming from a variety of sources rather than from the physician alone, requires a basic reorientation of everyone involved including the patient or consumer of health services.
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From page 5...
... Second, the participants suggested that a network of primary care practices affiliated with academic medical centers doing research and training in COPC should be established. This network would function as the basis for collaborative studies and cooperative training programs to further develop COPC principles and produce COPC practitioners.
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Key Terms

  • health center
  • health education
  • care delivery
  • individual patients
  • academic medical

  • current economic
  • medical centers
  • clinica familiar
  • copc principles
  • care practice

  • economic climate
  • copc data
  • copc role
  • applying theory
  • expanding practice

  • services delivery
  • neighborhood health
  • cooperative training
  • copc model
  • hospitalization resulting

  • valuable attempts
  • resources encouraged
  • role models
  • chad project
  • debilitating diseases

  • historical context
  • health agencies
  • expressed formally
  • major papers
  • programs designed


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