Gofin Jaime, Gofin Rosa
School of Public Health and Community Medicine, Hadassah and Hebrew University, Jerusalem, Israel.
Rev Panam Salud Publica. 2007 Feb-Mar;21(2-3):177-84. doi: 10.1590/s1020-49892007000200012.
The community-oriented primary care (COPC) model strives to efficiently distribute, organize, and systematize existing health care resources. In addition to promoting healthy lifestyles within the community, the COPC model enables the health care team and the community to cooperate in identifying and prioritizing health issues. Together they develop and implement prevention and treatment plans for those priority areas. With COPC, the health services assume responsibility for the health of a defined population. The health services not only treat diseases but also develop programs for health promotion, protection, and maintenance. Taking this approach, COPC integrates individual and family clinical care with public health, reflecting the spirit of the International Conference on Primary Health Care held in Alma-Ata in 1978. COPC is a systematic process, with flexible principles and methodologies that can be modified to meet the specific challenges of any health care team and community. An analysis of various countries' experiences with COPC shows that applying the model appropriately can improve the general health status of the community and its members.
以社区为导向的基层医疗（COPC）模式致力于高效地分配、组织和系统化现有的医疗资源。除了在社区内推广健康的生活方式外，COPC模式还使医疗团队和社区能够合作识别健康问题并确定其优先顺序。他们共同为这些优先领域制定并实施预防和治疗计划。通过COPC，医疗服务承担起为特定人群的健康负责的责任。医疗服务不仅治疗疾病，还制定促进、保护和维持健康的计划。采用这种方法，COPC将个体和家庭临床护理与公共卫生相结合，体现了1978年在阿拉木图举行的国际初级卫生保健会议的精神。COPC是一个系统的过程，具有灵活的原则和方法，可以根据任何医疗团队和社区的具体挑战进行调整。对各国COPC经验的分析表明，适当地应用该模式可以改善社区及其成员的总体健康状况。
