community oriented primary care an overview fitzhugh mullan, m.d
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Community Oriented Primary Care
An Overview
Fitzhugh Mullan, M.D.
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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
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COPC is...
A systematic approach to the practice of medicine in the community built on principles of epidemiology and communityorganizing
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COPC blends...
•Public health and personal health care
•Epidemiology and primary care
•The forest and the trees
•The forester and the tree surgeon
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COPC process...
• Community definition
• Community characterization
• Problem prioritization
• Detailed assessment
• Intervention
• Evaluation
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Community Definition
• Geographic community
• Health care coverage “community”
• Special Population Community
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Community Characterization
• Quantitative Information– Demographic– Health data
• Qualitative Information– Focus groups– Key informants
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Problem Prioritization
• Issue triage
• Frequency, severity, and feasibility principles
• Prioritization groups– Community– Staff
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Detailed Assessment
•Develop Community-Specific Information
•Examine Literature and Experience
•Select an Intervention
•Invent No Wheels
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Intervention
To consider...
• Time
• Personnel
• Tracking
• Impact
• “Winning”
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Evaluation
• Process
• Impact
• Outcome
• Community utility
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The Power of COPC
• COPC as a Movement
• COPC as an Ethos
• COPC as an Organizing Principle
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COPC -- A Much Used Term
• “Lower Case” COPC
• “Upper Case” COPC
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Origins of COPC
• Sidney and Emily Kark
• Phoela, Kwazulu Natal, RSA
• Department of Family and Community Health, University of Natal in Durban
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COPC Migration
• Hadassah - Hebrew University, Jerusalem
• Kiryat HaYovel Community Health Center
• International MPH program
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COPC in the United States
• IOM Conference, 1982
• IOM/NAS Publications, 1982-84
• Parkland Hospital, Dallas
• Montifiore Social Medicine Residency Program
• APHA Book
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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
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