Contents

• COMMITTEE ON COMMUNITY ORIENTED PRIMARY CARE
• Preface
• Overview and Summary
• Community Oriented Primary Care: Lessons Learned in Three Decades
• Part I. Theoretical Issues
  • Community Oriented Primary Care: Meaning and Scope
    • GENERAL CONSIDERATIONS
    • SOME SPECIAL FEATURES OF COPC
    • PROCESSES IN THE DEVELOPMENT OF COPC
    • REFERENCES
  • The Meaning of Community Oriented Primary Care in the American Context
    • DEFINITIONS: THE IDEOLOGY OF COMMUNITY MEDICINE
    • SIX FALLACIES IN SEARCH OF A DEFINITION
    • CRITERIA FOR COMMUNITY ORIENTED PRIMARY CARE
    • COPC AND THE UNITED STATES SYSTEM: A PROBLEM LIST
    • STARTING WHERE WE ARE, WITH THE PEOPLE AND PROGRAMS WE HAVE
    • SOME SPECIFIC PROPOSALS
    • CONCLUSION: A NOTE ON DREAMS AND NECESSITIES
    • REFERENCES
    • Discussants
  • Community Oriented Primary Care: An International Perspective
    • MOVEMENTS INFLUENCING COPC
    • REFLECTIONS ABOUT COPC PROJECTS EXTRACTED FROM THE CALI EXPERIENCE
    • REFERENCES
    • Discussants
  • Opportunities and Constraints for Community Oriented Primary Care
  • Health Worker Roles in Community Oriented Primary Care
    • COMMUNITY INVOLVEMENT IN COPC
    • LESSONS LEARNED
    • REFERENCES
    • Discussants
  • Medical Education and Training for Community Oriented Primary Care
    • MEDICAL EDUCATION AND MEDICAL PRACTICE
    • MEDICAL EDUCATION AND COPC
    • STRATEGIES FOR MEDICAL EDUCATION AND TRAINING FOR COPC
    • REFERENCES
    • Discussants
  • Thoughts on Community Oriented Primary Care
• PART II. Practical Applications
  • Promoting COPC Through a Rural Health Care Network: Marshfield Clinic
  • COPC in the Texas Valley
  • Elements of COPC in the UMWA Health and Retirement Funds Program
    • SPECIFIC ELEMENTS OF COPC IN THE UMWA PROGRAM
    • SOME LESSONS FOR COPC
  • COPC and a State Health Department: West Virginia's Experience
  • Columbia University-Harlem Hospital Primary Care Network
  • COPC in a Hospital-Affiliated Health Center
  • Denver Health and Hospitals Experience
  • Partnership for Health: The Family Nurse Practitioner/Family Physician Team
  • The Patient Advisory Council Concept
  • The Application of COPC Principles in a Welsh Mining Village
    • THE BLOOD PRESSURE PROGRAM
    • ANTICIPATORY CARE
    • RESEARCH
    • REFERENCES
  • Training for COPC in the Netherlands and Around the World
    • THE MAASTRICHT PROGRAM
    • THE NETWORK OF COMMUNITY ORIENTED EDUCATIONAL INSTITUTIONS FOR HEALTH SCIENCES
    • CONCLUSIONS
  • Can Area Health Education Centers Promote COPC? The Colorado Experience
  • Departments of Family Practice as Vehicles for Promoting COPC
  • New Mexico's Primary Care Curriculum
  • The Beersheva Experience in COPC
  • The Upper Peninsula Medical Education Program
• PART III. Workshop Discussion Summaries
  • Workshop A
  • Workshop B
  • Workshop C
  • Workshop D
  • Workshop E
  • Participants

Supported by the United States Public Health Service Contract No. 282-80-0043, T.O. 10, The Commonwealth Fund, and The Henry J. Kaiser Family Foundation.

The Institute of Medicine was chartered in 1970 by the National Academy of Sciences to enlist distinguished members of the appropriate professions in the examination of policy matters pertaining to the health of the public. In this, the Institute acts under both the Academy's 1863 congressional charter responsibility to be an adviser to the federal government and its own initiative in identifying issues of medical care, research, and education.