Gofin J, Gofin R, Knishkowy B
Department of Social Medicine, Hadassah Medical Organization, Jerusalem, Israel.
Fam Med. 1995 Jan;27(1):28-34.
A workshop on community-oriented primary care (COPC) has been integrated into Hebrew University's family practice residency program for several years. The participants of the first three workshops did an evaluation to assess subsequent application of the COPC approach.
The main objectives of the 45-hour workshop are: a) to learn the principles and practice of COPC as illustrated by the Hadassah Community Health Center programs, and b) to learn skills required in the COPC programs' various stages of development. In the workshop, physicians are required to work in groups of 5-6 to carry out the planning of COPC programs, which will be implemented in their practices. A structured questionnaire was sent 2-4 years after workshop completion to each of the 45 physicians who participated in these workshops.
Thirty-six of the 45 physicians responded to the questionnaire. Of the 36 respondents, 75% reported that the content of the workshop was relevant to their daily work. Eighty percent of the physicians who were involved in intervention programs reported that participation in the workshop improved their ability to plan community programs. Fifty-five percent of the respondents reported the application of elements learned in the workshop to their current work, mainly in the performance of three COPC functions: definition of the community, identification of health problems, and planning community health interventions. Few (28%) were involved in evaluation measurements.
A COPC workshop characterized by work groups of family physicians, epidemiological analysis of their practices' data, and the planning of a community program in their communities was positively evaluated according to the reported application of COPC functions by family physicians and residents in their daily work.
面向社区的初级保健（COPC）研讨会已融入希伯来大学的家庭医学住院医师培训项目数年。前三期研讨会的参与者进行了一项评估，以评估COPC方法的后续应用情况。
这个45小时的研讨会的主要目标是：a）学习哈达萨社区健康中心项目所展示的COPC原则和实践，以及b）学习COPC项目不同发展阶段所需的技能。在研讨会上，要求医生分成5至6人的小组，开展COPC项目的规划，并将在他们的实践中实施。在研讨会结束2至4年后，向参加这些研讨会的45名医生每人发送了一份结构化问卷。
45名医生中有36人回复了问卷。在36名受访者中，75%报告称研讨会的内容与他们的日常工作相关。参与干预项目的医生中有80%报告称，参加研讨会提高了他们规划社区项目的能力。55%的受访者报告将在研讨会上学到的内容应用到了他们目前的工作中，主要是在履行COPC的三项职能方面：社区定义、健康问题识别以及社区健康干预规划。很少有人（28%）参与评估测量。
根据家庭医生和住院医师在日常工作中对COPC职能的应用报告，以家庭医生工作小组、对其实践数据进行流行病学分析以及在其社区规划社区项目为特点的COPC研讨会得到了积极评价。
