Community Oriented Primary Care An Overview Fitzhugh Mullan

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Community Oriented Primary Care An Overview Fitzhugh Mullan, M. D.

Community Oriented Primary Care An Overview Fitzhugh Mullan, M. D.

COPC is. . . • A basic method for the practice of community medicine

COPC is. . . • A basic method for the practice of community medicine • A blending of public health practice and clinical medicine • A training discipline for community based academicians

COPC is. . . A systematic approach to the practice of medicine in the

COPC is. . . A systematic approach to the practice of medicine in the community built on principles of epidemiology and community organizing

COPC blends. . . • Public health and personal health care • Epidemiology and

COPC blends. . . • Public health and personal health care • Epidemiology and primary care • The forest and the trees • The forester and the tree surgeon

COPC process. . . • Community definition • Community characterization • Problem prioritization •

COPC process. . . • Community definition • Community characterization • Problem prioritization • Detailed assessment • Intervention • Evaluation

Community Definition • Geographic community • Health care coverage “community” • Special Population Community

Community Definition • Geographic community • Health care coverage “community” • Special Population Community

Community Characterization • Quantitative Information – Demographic – Health data • Qualitative Information –

Community Characterization • Quantitative Information – Demographic – Health data • Qualitative Information – Focus groups – Key informants

Problem Prioritization • Issue triage • Frequency, severity, and feasibility principles • Prioritization groups

Problem Prioritization • Issue triage • Frequency, severity, and feasibility principles • Prioritization groups – Community – Staff

Detailed Assessment • Develop Community-Specific Information • Examine Literature and Experience • Select an

Detailed Assessment • Develop Community-Specific Information • Examine Literature and Experience • Select an Intervention • Invent No Wheels

Intervention To consider. . . • Time • Personnel • Tracking • Impact •

Intervention To consider. . . • Time • Personnel • Tracking • Impact • “Winning”

Evaluation • Process • Impact • Outcome • Community utility

Evaluation • Process • Impact • Outcome • Community utility

The Power of COPC • COPC as a Movement • COPC as an Ethos

The Power of COPC • COPC as a Movement • COPC as an Ethos • COPC as an Organizing Principle

COPC -- A Much Used Term • “Lower Case” COPC • “Upper Case” COPC

COPC -- A Much Used Term • “Lower Case” COPC • “Upper Case” COPC

Origins of COPC • Sidney and Emily Kark • Phoela, Kwazulu Natal, RSA •

Origins of COPC • Sidney and Emily Kark • Phoela, Kwazulu Natal, RSA • Department of Family and Community Health, University of Natal in Durban

COPC Migration • Hadassah - Hebrew University, Jerusalem • Kiryat Ha. Yovel Community Health

COPC Migration • Hadassah - Hebrew University, Jerusalem • Kiryat Ha. Yovel Community Health Center • International MPH program

COPC in the United States • IOM Conference, 1982 • IOM/NAS Publications, 1982 -84

COPC in the United States • IOM Conference, 1982 • IOM/NAS Publications, 1982 -84 • Parkland Hospital, Dallas • Montifiore Social Medicine Residency Program • APHA Book

DC and COPC • COPC track at GWSPHHS, 1997 • CNMC General Academic Pediatric

DC and COPC • COPC track at GWSPHHS, 1997 • CNMC General Academic Pediatric Fellowship Program, 1997 • GW-Hebrew University International Certificate Program, 1998 • Medical University of Southern Africa partnership, 1999