Show An Effective Paradigm for Preventive Care Marc Babitz D Community Oriented Primary Care COP Marian Bishop Ph SH Abstract Community-Oriented Primary Care COPC can be an effective paradigm for both the inclusion of preventive care in primary care practices especially in rural Utah and the effective teaching of preventive medicine and primary care This article discusses the three major elements of COPC and suggestsfive-step process to incorporate COPC intohealth care professionalpractice that would be applicable for any Utah provider In addition the definition of primary care which was approved by the Institute of Medicine and the World Health Organization is briefly outiined Dr Frame makes the case that the Introduction principles of COPC have value in practice The purpose of this paper is to highlight the However these principles must be key ingredients of Community-Oriented incorporated into the training of health care Primary Care COPC and indicate how professionals early and often throughout these can be effective in teaching preventive their education if the volume and frequency medicine and primary care to health care of effective preventive services provided to providers Paul Frame MD practicing our nationcitizens is to be expanded Ivey family physician in rural New York State has Boufford D and Pat Shonubi SN becomenational leader in the area ofN S have writtenbook on the value preventive health by demonstrating his of and techniques for teaching COPC for ability to fully incorporate these COPC urban practitioners which includeschapter principles intobusy primary care practice discussing preventive education Bouford Further he has written how the broader The Task Force on Shonubi 1986 principles espoused under the tile COPC Residency Curriculum for the Future have positively impacted his practice sponsored by the Society of Teachers of including the delivery of preventive health Family Medicine incorporated the teaching services Frame 1989 Other authors have of COPC into its curriculum noting that it written extensively about the importance of provides an excellent system for teaching the COPC approach in reshaping health community health to family practice care delivery in this country Garr Rhyne residents Merenstein Schulte 1990 Kukulka 1993 Wright 1993 Smith Following the Institute of MedicineAnderson Boumbulian 1991 Insimilar publication of their report on COPC Institute fashion COPC can be an effective tool for of Medicine 1984 the Bureau of Primary the state of Utah which already hasHealth Care of the Health Resources and reputation as one of the more health Services Administration Public Health conscious states in the nation Service DHHS adopted these principles of practice for their grantees including Mainstream medical practice has been slow community health centers migrant health to fully incorporate well accepted preventive centers and health care for the homeless health strategies such as those found in the centers Utahfederally supported healthS Preventive Health Services Task Force centers have been incorporating these Report S Preventive Health Services principles into their practices since that time Task Force 1989 into their day-to-day Al practicing cinicians in Utah can also be care of patients There are many theories encouraged and educated to incorporate for this problem These include the disease COPC into their practices especially those focus of American medicine coupled with in primary care the high percentage approximately 70 of physicians practicing in the sub-specialties COPC as elaborated upon by the Institute American Board of Medical Specialties of Medicine report in 1984 Institute of 1995 the focus of the public on curative Medicine 1984 has three major elements medicine the economic pressures of and requiesfive-step process to medical practice and the lack of training The three incorporate it into practice provided to current practitioners Digital image 2005 Marriott Library University of Utah Al rights reserved |