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Study Methods
Pages 17-24

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From page 17...
... primary care 2) assumption of responsibility for the health care of a defined community, the definition of which was not limited to the active users of the practice 3)
From page 18...
... Thus, East Boston represents the blending of community control and the concentration of skills in population-based research within a primary care program -- a blend of elements that have Supported an innovative program of COPC.
From page 20...
... those related principally to the concept, rather than to the environment. The Tarboro-Edgecombe Health Services System represents an innovative approach to mounting a community-oriented primary care program from the components of the health care system that already exist within many communities.
From page 21...
... Finally, the site visit format was structured to enlist the study site in providing either hard data or estimates of both the marginal cost and impact of their COPC activities. It was anticipated and eventually realized that these data would be particularly difficult to obtain in the site visits, because the practice sites would have no reason to account for cost or impact of those components of their program that are uniquely COPC, as opposed to simply good primary care practice.
From page 22...
... First, the primary care program is described in terms of the organization of the practitioners, the organization of financing, and other characteristics of the primary care programs that may influence the ability to implement COPC. At the outset it was assumed that the organization of data (availability of and capability to manipulate data)
From page 23...
... m e analytic portion of each case report examines the examples of COPC activities in terms of the five stages of development described in the operational model, and then analyzes the effect of the environmental variables on the performance of the COPC function. Staging the level of development of the COPC functions at each s ite helps to compare the development of COPC across study site, and across function within study site.


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