Nutting P A
Institute of Medicine, Washington, D.C.
Am J Prev Med. 1986 May-Jun;2(3):140-7.
Community-oriented primary care (COPC) has been widely discussed as an approach by which a primary care program may modify and more specifically address the health care needs of its service population. However, efforts to achieve COPC have been inconsistent and based on an incomplete operational model. This paper presents an operational definition of COPC that identifies discrete steps that may be taken by any primary care practice or program as it attempts to more fully develop a community-oriented approach to primary care. The model provides a conceptual basis for further progress in research, education, and the practice of COPC.
以社区为导向的初级保健（COPC）作为一种初级保健项目可以调整并更具体地满足其服务人群医疗保健需求的方法，已得到广泛讨论。然而，实现COPC的努力一直不一致，且基于不完整的运作模式。本文提出了COPC的一个操作性定义，确定了任何初级保健实践或项目在试图更全面地发展以社区为导向的初级保健方法时可能采取的离散步骤。该模式为COPC在研究、教育和实践方面的进一步发展提供了概念基础。
