Williams R L, Flocke S A, Zyzanski S J, Mettee T M, Martin K B
Department of Family Medicine, Case Western Reserve University, Cleveland, OH, USA.
Fam Med. 1995 Jan;27(1):39-43.
Community-oriented primary care (COPC) is considered an attractive concept by many but has had limited implementation due to a lack of practical methodology. An important step in COPC is assessment of a community's health status, using health indicators as one means of assessment. Currently, there is no easy way to combine these indicators and examine their distribution over a community. This study analyzed a process for doing that by using a personal computer.
For the community studied, all available community-based health indicators were identified. A process for combining these indicators, using commonly available database and spreadsheet software, was developed and analyzed for cost, clinical utility, and problems encountered.
Problems were encountered with collecting and combining some data, but a clinically useful tool was produced. Costs, including purchase of all software (with mapping software), were $1,500-$2,000.
With efforts to reduce the initial costs, this is a practical and clinically useful tool for viewing the geographic distribution of community health indicators. Such practical methodology is essential for COPC development.
社区导向基层医疗（COPC）被许多人视为一个有吸引力的概念，但由于缺乏实用方法，其实施受到限制。COPC的一个重要步骤是使用健康指标作为评估手段之一来评估社区的健康状况。目前，尚无简便方法来整合这些指标并研究它们在社区中的分布情况。本研究分析了一种利用个人计算机来实现这一目的的方法。
对于所研究的社区，确定了所有可用的基于社区的健康指标。开发了一种利用常用数据库和电子表格软件整合这些指标的方法，并对其成本、临床实用性及遇到的问题进行了分析。
在收集和整合一些数据时遇到了问题，但生成了一个具有临床实用性的工具。成本，包括购买所有软件（含地图软件），为1500美元至2000美元。
通过努力降低初始成本，这是一个用于查看社区健康指标地理分布的实用且具有临床实用性的工具。这种实用方法对于COPC的发展至关重要。
