University of Illinois College of Medicine Rockford, National Center for Rural Health Professions, 1601 Parkview Avenue, Rockford, IL, 61107, USA.
University of Illinois Chicago College of Pharmacy, 1601 Parkview Avenue, Rockford, IL, 61107, USA.
BMC Med Educ. 2024 Oct 25;24(1):1215. doi: 10.1186/s12909-024-06190-8.
The Community Oriented Primary Care Project Model (COPC) has been well studied globally as well as in the United States as a way to provide both community-centered primary care and to engage in community based research. Rural trainees through the University of Illinois College of Medicine's Rural Medical Education Program (RMED) and Rural Pharmacy Education Program (RPHARM) students through the University of Illinois Chicago College of Pharmacy have participated in a COPC project as a capstone to a four month longitudinal, immersive community-based experience in a rural primary care setting. The purpose of this study was to assess the type of projects implemented through a rural health professions curriculum over a 30 year project period. .
A research team reviewed projects on 30 elements; including topic and demographics. Patterns in COPC topics and rurality of the location in which the COPC project were also examined by using 2021 U.S. Census Bureau population data and Rural Urban Commuting Area (RUCA) Code.
COPC projects were categorized into 31 main topic areas with mental health being the most prevalent topic area covered by projects (n = 67, 15.7%) followed by 43 (10.1%) projects that focused on nutrition/exercise, and 41 (9.6%) focused on substance use (presented as a separate category from mental health in this analysis).
For three decades, COPC themes reflect priority health issues in rural communities while providing a scholarly activity for health profession student trainees Past projects have also been implemented in highly rural areas where research is not often conducted. The COPC research process can be easily replicated in other trainee models such as to fulfill ACGME requirements of scholarly activity and can provide a template for trainees of this model to implement community-engaged research in the future.
社区定向初级保健项目模式（COPC）已在全球范围内以及美国得到充分研究，作为提供以社区为中心的初级保健和进行基于社区的研究的一种方式。伊利诺伊大学医学院农村医学教育计划（RMED）的农村学员和伊利诺伊大学芝加哥药学院农村药学教育计划（RPHARM）的学生通过在农村初级保健环境中进行为期四个月的纵向沉浸式社区体验，参与了 COPC 项目。本研究的目的是评估在 30 年项目期间通过农村卫生专业课程实施的项目类型。
研究小组审查了 30 个项目要素，包括主题和人口统计学。还通过使用 2021 年美国人口普查局人口数据和农村城市通勤区（RUCA）代码，研究了 COPC 项目的主题模式和项目所在地点的农村性。
COPC 项目分为 31 个主要主题领域，心理健康是项目涵盖的最常见主题领域（n=67，15.7%），其次是 43 个（10.1%）关注营养/运动的项目，以及 41 个（9.6%）关注物质使用（在本分析中，从心理健康中单独列出）。
三十年来，COPC 主题反映了农村社区的优先健康问题，同时为卫生专业学生提供了学术活动。过去的项目也已在研究活动较少的高度农村地区实施。COPC 研究过程可以很容易地在其他学员模式中复制，例如满足 ACGME 对学术活动的要求，并为该模式的学员提供一个模板，以便他们在未来实施社区参与式研究。
