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Study Methods
Pages 19-26

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From page 19...
... METHODS AND APP=AC~3S Development of an Operational Def inition Construction of the operational definition of COPC was accomplished by the Institute of Medicine study staff and ache committee. The model was developed in an iterative process that began win a careful review of the modest literature that describes the features and characteristics of COPC.
From page 20...
... the presence of an active medical practice that placed emphasis on (but was not necessarily limited to} primary care ache assumption of responsibility for ache health care of ~ defined community, the definition of which extended beyond the active users of the practice 3) The use of systematic {though not necessarily quantitative)
From page 21...
... The data requirements derived from the conceptual model and sought to confirm the presence of the two structural criteria, i.e., the practice of primary care directed at a defined community. Because the varying characteristics of the structural elements across ache study sites wan expected to influence the expression of the COPC model, information was sought to characterize the three dimensions of the environment (organization of the provider group, organization of financing, and the type of community served)
From page 22...
... Similarly, a local gavernment agency like the public health department could theoretically be ~ COPC by combining their public health and community medicine functions with the actual provision of a full range of primary care service';. Bowever, these groups were not the focus of this study.
From page 23...
... Because primary care is the one part of medical care that is left to the consumer or the patient to initiate and direct, it is important that the providers under stand the needs of the entire group and the group understands what services being provided by the practitioners. If one does not assume that pr ivory care services ar e desirable, and feels that episodic and disconnected ambulatory services are adequate until specialists are required, then he/she will see little if any advantage in COPC.
From page 24...
... Pp. 21-59 in Community Oriented Primary Care~New Directions for Health Services Delivery.
From page 25...
... 1983. The meaning of community oriented primary care in an American context.
From page 26...
... 1983. An evaluation of subsidized rural primary care programs: I


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