Nutting P A, Connor E M
Am J Public Health. 1986 Mar;76(3):279-81. doi: 10.2105/ajph.76.3.279.
Community-oriented primary care (COPC) represents a specific variation on the general primary care model. Seven case studies from vastly different health care settings were examined and this report describes the diversity of expression of the principles of COPC observed. The results suggest that COPC is not limited to publicly funded programs, but can find expression in the private sector as well. The organization of financing and the lack of feasible quantitative tools hinder the full development of the model.
以社区为导向的初级保健(COPC)是一般初级保健模式的一种特殊变体。研究了来自截然不同的医疗保健环境的七个案例研究,本报告描述了所观察到的COPC原则表达的多样性。结果表明,COPC并不局限于公共资助项目,在私营部门也能有所体现。融资的组织方式以及缺乏可行的定量工具阻碍了该模式的全面发展。