CONCLUSION 1The conceptual model of

CONCLUSION 1

The conceptual model of COPC , developed in this report in terms of structure and function, holds promise for a primary care system that is more responsive than current primary care practices in meeting the health needs of communities. To what extent application of this model will result in changes in health status and cost are questions worth testing.

This study of community-oriented primary care grew out of a conference on the subject sponsored by the Institute of Medicine in 1982. The conference provided an opportunity for health professionals from a variety of disciplines and countries to share their ideas and experiences in organizing primary care services in response to the identified needs of a defined population or community. The model developed by Sidney Kark and his colleagues, first in South Africa then in Israel, was used at the conference as a basis for discussion and comparisons. Sixteen case reports illustrating some practical applications of COPC principles contributed to a consensus among the conferees that COPC is feasible in the United States.

There was some coalescence around Kark's model but there was at the same time recognition that it should be modified for application in this country. COPC had to be understood in relation to the current practice of primary care in the United States, and the concept of community had to be defined in a systematic way. Moreover, there seemed to be a need to account theoretically or conceptually for the variety of forms COPC has taken and could take in the United States.

In the early phase of this study, a conceptual model was developed for COPC in the United States. It is a modification of Kark's model based on an understanding and appreciation of how primary care, community orientation, and epidemiologic investigation are likely to develop in the United States in the 1980s. The basic elements of the COPC model are:

practice or service program active in primary care
defined community for which the practice has accepted responsibility for health care
set of functions by which the practice, with the participation of the community, identifies and addresses the major health problems of the community; the functions include:
-- definition and characterization of the community
-- identification of the community's health problems
-- modification of the health care program in response to the community health needs
-- monitoring the impact of program modifications.
In the judgment of the committee, if these four functions were performed systematically and routinely for a defined population in conjunction with the clinical practice of primary care, the result would be a fully developed practice of COPC. Such a practice would hold promise for a more responsive approach to the health needs of a population and, therefore, one that should produce dividends in improved health status.

Elements of COPC have been and continue to be present in the American health care system. Practices or programs exist that either contain several of the elements of COPC in a fairly developed way or contain all of the elements in a limited way. The model developed as part of this study includes a staging mechanism that can be used to estimate the extent to which elements of COPC are present in any particular health care program.

ผลลัพธ์ (อังกฤษ) 2:

Conclusion 1 The conceptual Model of COPC, developed in this Report in terms of structure and function, holds Promise for a primary Care System that is more responsive than the current primary Health Care Practices in Meeting Needs of communities. Application of this to what extent changes in Model Will Result in Health Status and cost are questions Worth Testing. This Study of Community-oriented primary Care grew out of a Conference on the subject Sponsored by the Institute of Medicine in 1982. The Conference provided an. opportunity for health professionals from a variety of disciplines and countries to share their ideas and experiences in organizing primary care services in response to the identified needs of a defined population or community. The model developed by Sidney Kark and his colleagues, first in South Africa then in Israel, was used at the conference as a basis for discussion and comparisons. Sixteen Case reports illustrating Some practical Applications of COPC principles contributed to a consensus among the conferees that COPC is feasible in the United States. There was Some Coalescence Around Kark's Model but there was at the Same time Recognition that it should be Modified for Application in this. country. COPC had to be understood in relation to the current practice of primary care in the United States, and the concept of community had to be defined in a systematic way. Moreover, there seemed to be a theoretically or conceptually Need to Account for the Variety of Forms COPC has taken and could take in the United States. In the Early Phase of this Study, a conceptual Model was developed in the United States for COPC. It is a modification of Kark's model based on an understanding and appreciation of how primary care, community orientation, and epidemiologic investigation are likely to develop in the United States in the 1980s. The Basic Elements of the COPC Model are: Practice or Service Program active in primary Care defined Community for which the Practice has accepted Responsibility for Health Care SET of functions by which the Practice, with the Participation of the Community, identifies the and addresses the Major Health. problems of the community; the functions include: - Definition and characterization of the Community - Identification of the Community's Health Problems - modification of the Health Care Program in response to the Community Health Needs - Monitoring the Impact of Program modifications. In the Judgment of the Committee. , if these four functions were performed systematically and routinely for a defined population in conjunction with the clinical practice of primary care, the result would be a fully developed practice of COPC. Such a Practice Hold Promise for a more responsive approach would to the Health Needs of a population and, therefore, one that should Dividends Produce in Health Status improved. Elements of COPC and have been Continue to be present in the American Health Care System. Practices or programs exist that either contain several of the elements of COPC in a fairly developed way or contain all of the elements in a limited way. The model developed as part of this study includes a staging mechanism that can be used to estimate the extent to which elements of COPC are present in any particular health care program.

ผลลัพธ์ (อังกฤษ) 3:

CONCLUSION 1

The conceptual model, of COPC developed in this report in terms of structure and function holds promise,, For a primary care system that is more responsive than current primary care practices in meeting the health needs of, communities. To what extent application of this model will result in changes in health status and cost are questions worth testing.

.This study of community-oriented primary care grew out of a conference on the subject sponsored by the Institute of Medicine. In 1982. The conference provided an opportunity for health professionals from a variety of disciplines and countries to. Share their ideas and experiences in organizing primary care services in response to the identified needs of a defined population. Or community.The model developed by Sidney Kark and, his colleagues first in South Africa then in Israel was used, at the conference. As a basis for discussion and comparisons. Sixteen case reports illustrating some practical applications of COPC principles. Contributed to a consensus among the conferees that COPC is feasible in the United States.

.There was some coalescence around Kark 's model but there was at the same time recognition that it should be modified for. Application in this country. COPC had to be understood in relation to the current practice of primary care in the United. States and the, concept of community had to be defined in a systematic, Moreover way.There seemed to be a need to account theoretically or conceptually for the variety of forms COPC has taken and could take. In the United States.

In the early phase of, this study a conceptual model was developed for COPC in the United, States. It is a modification of Kark 's model based on an understanding and appreciation of how primary care community orientation,,And epidemiologic investigation are likely to develop in the United States in the 1980s. The basic elements of the COPC. Model are:

practice or service program active in primary care
defined community for which the practice has accepted responsibility. For health care
set of functions by which, the practice with the participation of, the communityIdentifies and addresses the major health problems of the community; the functions include:
- definition and characterization. Of the community
- Identification of the community 's health problems
- modification of the health care program in response. To the community health needs
- monitoring the impact of program modifications.
In the judgment of, the CommitteeIf these four functions were performed systematically and routinely for a defined population in conjunction with the clinical. Practice of primary care the result, would be a fully developed practice of COPC. Such a practice would hold promise for. A more responsive approach to the health needs of a, population and therefore one that, should produce dividends in improved. Health status.

.Elements of COPC have been and continue to be present in the American health care system. Practices or programs exist that. Either contain several of the elements of COPC in a fairly developed way or contain all of the elements in a limited way.The model developed as part of this study includes a staging mechanism that can be used to estimate the extent to which. Elements of COPC are present in any particular health care program.