Longlett S K, Kruse J E, Wesley R M
Department of Family and Community Medicine, Southern Illinois University School of Medicine, Quincy 62301, USA.
J Am Board Fam Pract. 2001 Mar-Apr;14(2):141-7.
Community-oriented primary care (COPC) is a systematic approach to health care based on principles derived from epidemiology, primary care, preventive medicine, and health promotion that has been shown to have positive health benefits for communities in the United States and worldwide.
MEDLINE was searched using the key phrase "community-oriented primary care." Other sources of information were books and other documents.
Because of lack of predictable reimbursement for COPC services and difficulties encountered incorporating COPC in medical and residency curricula, widespread application of COPC has not occurred. Recent trends in public health initiatives, managed health care, and information technology provide an environment ripe for application of COPC in medical practice. Also, recent recommendations made by the Strategic Planning Working Group of the Academic Family Medicine Organizations and the Association of Family Practice Residency Directors regarding specific community competencies for residency training have direct bearing on COPC and family medicine educators. These trends and recommendations, properly configured, will produce a medical training and practice environment conducive to COPC.
以社区为导向的初级保健（COPC）是一种基于流行病学、初级保健、预防医学和健康促进原则的系统保健方法，在美国和全球范围内已被证明对社区具有积极的健康益处。
使用关键词“以社区为导向的初级保健”检索MEDLINE。其他信息来源包括书籍和其他文献。
由于COPC服务缺乏可预测的报销，且在医学和住院医师课程中纳入COPC存在困难，COPC尚未得到广泛应用。公共卫生倡议、管理式医疗保健和信息技术的最新趋势为COPC在医疗实践中的应用提供了成熟的环境。此外，学术家庭医学组织战略规划工作组和家庭医学住院医师主任协会最近就住院医师培训的特定社区能力提出的建议与COPC和家庭医学教育工作者直接相关。这些趋势和建议经过适当配置，将产生有利于COPC的医学培训和实践环境。
