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March 22, 1985, Vol 253, No. 12 >
ARTICLE | March 22, 1985

Community-Oriented Primary Care in the United States: Title and subTitle BreakA Status Report FREE

Paul A. Nutting, MD; Maurice Wood, MD; Eileen M. Conner, MPH
[+] Author Affiliations

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JAMA. 1985;253(12):1763-1766. doi:10.1001/jama.1985.03350360089025
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References

Community-oriented primary care (COPC) is a variation on the primary care model, which is characterized by the complementary use of epidemiologic and primary care skills to systematically address the health care needs of a defined population. A study by the Institute of Medicine developed an operational model of COPC and examined its feasibility under differing organizational and financial arrangements. Although COPC is usually associated with publicly funded programs for underserved populations, the study demonstrated its presence in the private sector as well. However, the financial structure of the practice remains a critical factor determining the particular expression of the model. The study points to the need for data describing the marginal cost and health impact of COPC, if this promising innovation is to become an important form of primary care practice.

(JAMA 1985;253:1763-1766)

REFERENCES

1 +
Conner EC, Mullan F (eds): Community-Oriented Primary Care: New Directions for Health Services . Washington, DC, National Academy Press, 1983;.
2 +
Mullan F:  Community-oriented primary care: An agenda for the 80s . N Engl J Med 1982;;307:1076-1078.
3 +
Rogers DE:  Community-oriented primary care . JAMA 1982;;248:1622-1625.
4 +
Deuschle KW:  Community-oriented primary care: Lessons learned in three decades . J Community Health 1982;;8:13-22.
5 +
Madison DL:  The case for community-oriented primary care . JAMA 1983;;249:1279-1282.
6 +
Kark SL: Community-Oriented Primary Health Care . New York, Appleton-Century-Crofts, 1981;.
7 +
Kark SL, Abramson JH:  Community-focused health care . Isr J Med Sci 1981;;17:65-70.
8 +
Kark SL:  From medicine in the community to community medicine . JAMA 1974;;228:1585-1586.
9 +
Institute of Medicine: Community-oriented Primary Care: A Practical Assessment, vol 1, The Committee Report . Washington, DC, National Academy Press, 1984;.
10 +
Institute of Medicine: Community-oriented Primary Care: A Practical Assessment, vol 2, The Case Studies . Washington, DC, National Academy Press, 1984;.
11 +
Institute of Medicine: A Manpower Policy for Primary Health Care . Washington, DC, National Academy of Sciences, 1978;.
12 +
Abramson JH, Gofin R, Hopp C, et al:  Evaluation of a community program for the control of cardiovascular risk factors: The CHAD program in Jerusalem . Isr J Med Sci 1981;;17:201-212.
13 +
Abramson JH, Gofin J, Hopp C, et al:  Control of cardiovascular risk factors in the community: The CHAD programme in Jerusalem . Read before the Franco-Israeli Symposium on Epidemiology and Community Health Planning, Paris, Dec 8, 1983 .
14 +
Hart JT:  A new kind of doctor . J R Soc Med 1981;;74:871-883.
15 +
Watt G:  The application of COPC principles in a Welsh mining village , in Community-Oriented Primary Care: New Directions for Health Services Delivery . Washington, DC, National Academy Press, 1983;, pp 243-249.
16 +
Davis K, Schoen C: Health and the War on Poverty: A Ten-Year Appraisal . Washington, DC, The Brookings Institution, 1978;.
17 +
Goldman F, Grossman M: 1982: The Impact of Public Health Policy: The Case of Community Health Centers , working paper No. 1020. Cambridge, Mass, National Bureau of Economic Research, 1982;.
18 +
Gordis L:  Effectiveness of comprehensive-care programs in preventing rheumatic fever . N Engl J Med 1973;;289:331-335.
19 +
Chabot A:  Improved infant mortality rates in a population served by a comprehensive neighborhood health program . Pediatrics 1971;; 47:989-994.
20 +
Nutting PA, Barrick JE, Logue SC:  The impact of a maternal and child health care program on the quality of prenatal care: An analysis by risk group . J Community Health 1979;;4:267-279.
21 +
Nutting PA, Strotz CR:  Reduction of gastroenteritis morbidity in high-risk infants . Pediatrics 1975;;55:354-358.
22 +
Greenlick MR:  Medical service to poverty groups , in Somers AB (ed): The Kaiser-Permanente Medical Care Program: A Symposium . New York, The Commonwealth Fund, 1971;, pp 138-151.
23 +
Freeborn DK, Mullooly JP, Colombo T, et al:  The effect of outreach workers' services on the medical care utilization of a disadvantaged population . J Community Health 1978;;3:306-320.
24 +
Colombo TJ, Saward EW, Greenlick MR:  The integration of an OEO health program into a prepaid comprehensive group practice plan . Am J Public Health 1969;;59:641-650.
25 +
Colombo TJ, Freeborn DK, Mullooly JP, et al:  The effect of outreach workers' educational efforts on disadvantaged preschool children's use of preventive services . Am J Public Health 1979;;69:465-468.
26 +
Greenlick MR, Lamb SJ, Carpenter TM, et al:  Kaiser-Permanente's Medicare Plus project: A successful Medicare prospective payment demonstration . Health Care Finan Rev 1983;;4:85-97.

Figures

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Interactive Graphics

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

1 +
Conner EC, Mullan F (eds): Community-Oriented Primary Care: New Directions for Health Services . Washington, DC, National Academy Press, 1983;.
2 +
Mullan F:  Community-oriented primary care: An agenda for the 80s . N Engl J Med 1982;;307:1076-1078.
3 +
Rogers DE:  Community-oriented primary care . JAMA 1982;;248:1622-1625.
4 +
Deuschle KW:  Community-oriented primary care: Lessons learned in three decades . J Community Health 1982;;8:13-22.
5 +
Madison DL:  The case for community-oriented primary care . JAMA 1983;;249:1279-1282.
6 +
Kark SL: Community-Oriented Primary Health Care . New York, Appleton-Century-Crofts, 1981;.
7 +
Kark SL, Abramson JH:  Community-focused health care . Isr J Med Sci 1981;;17:65-70.
8 +
Kark SL:  From medicine in the community to community medicine . JAMA 1974;;228:1585-1586.
9 +
Institute of Medicine: Community-oriented Primary Care: A Practical Assessment, vol 1, The Committee Report . Washington, DC, National Academy Press, 1984;.
10 +
Institute of Medicine: Community-oriented Primary Care: A Practical Assessment, vol 2, The Case Studies . Washington, DC, National Academy Press, 1984;.
11 +
Institute of Medicine: A Manpower Policy for Primary Health Care . Washington, DC, National Academy of Sciences, 1978;.
12 +
Abramson JH, Gofin R, Hopp C, et al:  Evaluation of a community program for the control of cardiovascular risk factors: The CHAD program in Jerusalem . Isr J Med Sci 1981;;17:201-212.
13 +
Abramson JH, Gofin J, Hopp C, et al:  Control of cardiovascular risk factors in the community: The CHAD programme in Jerusalem . Read before the Franco-Israeli Symposium on Epidemiology and Community Health Planning, Paris, Dec 8, 1983 .
14 +
Hart JT:  A new kind of doctor . J R Soc Med 1981;;74:871-883.
15 +
Watt G:  The application of COPC principles in a Welsh mining village , in Community-Oriented Primary Care: New Directions for Health Services Delivery . Washington, DC, National Academy Press, 1983;, pp 243-249.
16 +
Davis K, Schoen C: Health and the War on Poverty: A Ten-Year Appraisal . Washington, DC, The Brookings Institution, 1978;.
17 +
Goldman F, Grossman M: 1982: The Impact of Public Health Policy: The Case of Community Health Centers , working paper No. 1020. Cambridge, Mass, National Bureau of Economic Research, 1982;.
18 +
Gordis L:  Effectiveness of comprehensive-care programs in preventing rheumatic fever . N Engl J Med 1973;;289:331-335.
19 +
Chabot A:  Improved infant mortality rates in a population served by a comprehensive neighborhood health program . Pediatrics 1971;; 47:989-994.
20 +
Nutting PA, Barrick JE, Logue SC:  The impact of a maternal and child health care program on the quality of prenatal care: An analysis by risk group . J Community Health 1979;;4:267-279.
21 +
Nutting PA, Strotz CR:  Reduction of gastroenteritis morbidity in high-risk infants . Pediatrics 1975;;55:354-358.
22 +
Greenlick MR:  Medical service to poverty groups , in Somers AB (ed): The Kaiser-Permanente Medical Care Program: A Symposium . New York, The Commonwealth Fund, 1971;, pp 138-151.
23 +
Freeborn DK, Mullooly JP, Colombo T, et al:  The effect of outreach workers' services on the medical care utilization of a disadvantaged population . J Community Health 1978;;3:306-320.
24 +
Colombo TJ, Saward EW, Greenlick MR:  The integration of an OEO health program into a prepaid comprehensive group practice plan . Am J Public Health 1969;;59:641-650.
25 +
Colombo TJ, Freeborn DK, Mullooly JP, et al:  The effect of outreach workers' educational efforts on disadvantaged preschool children's use of preventive services . Am J Public Health 1979;;69:465-468.
26 +
Greenlick MR, Lamb SJ, Carpenter TM, et al:  Kaiser-Permanente's Medicare Plus project: A successful Medicare prospective payment demonstration . Health Care Finan Rev 1983;;4:85-97.

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