Nutting P A, Nagle J, Dudley T
Division of Primary Care, US Public Health Service, Rockville, MD.
Fam Med. 1991 Mar-Apr;23(3):218-26.
Community-oriented primary care (COPC) has been described as an application of the principles of epidemiology to the practice of primary care. Yet further development of COPC practice within family practice has been hampered by difficulties in defining a target population that can be addressed in the variety of practice settings typical of family practice. This paper describes the application within a residency practice of the principles of COPC to the practice population, consisting of all members of the households of active patients. The results suggest that this approach is feasible, applicable in virtually any practice setting, and likely to reveal a large number of health and health care problems that can be remedied but that might otherwise have been unnoticed. The implications of this approach to COPC on the practice and training of family physicians are discussed.
以社区为导向的初级保健（COPC）被描述为将流行病学原理应用于初级保健实践。然而，家庭医疗实践中COPC的进一步发展受到了阻碍，原因在于难以确定在家庭医疗典型的各种实践环境中能够解决的目标人群。本文描述了在住院医师实践中，将COPC原则应用于实践人群的情况，该实践人群由活跃患者家庭的所有成员组成。结果表明，这种方法是可行的，几乎适用于任何实践环境，并且可能揭示大量可以得到补救但否则可能被忽视的健康和医疗问题。本文还讨论了这种COPC方法对家庭医生实践和培训的影响。
