Williams R, Foldy S L
Department of Family Medicine, Case Western Reserve University, Cleveland.
Fam Med. 1994 Apr;26(4):232-7.
Although the concept of community-oriented primary care (COPC) has generally been favorably viewed, it does not appear to have been widely applied. Further development of COPC will depend on data regarding the extent of knowledge about COPC, of COPC application and training, and of perceived obstacles to its use.
Surveys of 200 randomly selected board-certified family physicians and 120 randomly selected family practice residency programs were conducted to determine the state of knowledge and use of COPC.
Sixty percent of the physicians and 81% of the training programs responded. Approximately 75% of the responding physicians and 25% of the program directors had not heard of COPC. Despite this, COPC is viewed positively, and some elements of a COPC approach are part of many practice and training sites. Respondents identified several needs for information on COPC, including more information about COPC, practical models of its use, improved methodology of its application, and demonstrations of its efficacy.
COPC is seen as an attractive theoretical model. However, more extensive application of this approach will require more familiarity with the concept, the development of practical methodology and models for its use, and demonstrations of its efficacy.
尽管以社区为导向的初级保健（COPC）概念总体上受到好评，但它似乎并未得到广泛应用。COPC的进一步发展将取决于有关COPC知识范围、COPC应用与培训情况以及其使用中所感知到的障碍的数据。
对200名随机选择的获得委员会认证的家庭医生和120个随机选择的家庭医学住院医师培训项目进行了调查，以确定COPC的知识和使用状况。
60%的医生和81%的培训项目做出了回应。约75%的回应医生和25%的项目主任从未听说过COPC。尽管如此，COPC仍受到积极看待，并且COPC方法的一些要素是许多实践和培训场所的一部分。受访者指出了关于COPC的几个信息需求，包括更多关于COPC的信息、其使用的实际模型、改进的应用方法以及其疗效的证明。
COPC被视为一个有吸引力的理论模型。然而，这种方法的更广泛应用将需要对该概念有更多的熟悉、开发其使用的实际方法和模型以及证明其疗效。
