Community Oriented Primary Care -- Copyright -- PREFACE -- Contents -- Overview and Summary -- Community Oriented Primary Care: Lessons LEarned in Three Decades -- CASE # 1: 1955-1960 -- CASE # 2: 1962-1968 -- CASE # 3: 1970-PRESENT -- CASE # 4: 1980-PRESENT -- REFERENCES -- PART I THEORETICAL ISSUES -- Community Oriented Primary Care: Meaning and Scope -- GENERAL CONSIDERATIONS -- Primary Health Care and Community Medicine -- Basic Features of COPC -- The Need for Coordination or Integration of Community Health Services -- Community-Based Primary Health Care -- SOME SPECIAL FEATURES OF COPC -- Clinical Epidemiology in COPC -- Case Illustration of Clinical Epidemiology -- Determining Priorities -- Community Diagnosis and Epidemiologic Surveillance -- Evaluation -- A Note on Other Programs in This COPC -- Social and Behavioral Aspects of COPC -- Community Involvement in COPC -- Training for COPC -- From Solo Practice to Group Practice and the Health Team -- The Preparation of Physicians for COPC -- Training Centers -- PROCESSES IN THE DEVELOPMENT OF COPC -- Preliminary Steps -- Community Health Diagnosis -- Planning of Intervention -- Implementation -- Evaluation -- Decision Making for Future Action -- References -- The Meaning of Community Oriented Primary Care in the American Context -- DEFINITIONS: THE IDEOLOGY OF COMMUNITY MEDICINE -- SIX FALLACIES IN SEARCH OF A DEFINITION -- The Geographic Fallacy -- The Demographic Fallacy -- The Organizational Fallacy -- The Community Orientation/Awareness Fallacy -- The Community Involvement Fallacy -- The Epidemiologic Fallacy -- CRITERIA FOR COMMUNITY ORIENTED PRIMARY CARE -- COPC AND THE UNITED STATES SYSTEM: A PROBLEM LIST -- STARTING WHERE WE ARE, WITH THE PEOPLE AND PROGRAMS WE HAVE -- Community Health Centers and COPC: History and Impact -- Variation in COPC: Two Examples -- SOME SPECIFIC PROPOSALS.

Education and Training -- Service Programs -- CONCLUSION: A NOTE ON DREAMS AND NECESSITIES -- References -- Discussants -- Community Oriented Primary Care: An International Perspective -- MOVEMENTS INFLUENCING COPC -- The Family Medicine Movement -- The Community Medicine Movement -- The Primary Care Movement -- REFLECTIONS ABOUT COPC PROJECTS EXTRACTED FROM THE CALI EXPERIENCE -- An International Perspective on COPC -- An Attempt to Improve the Surgical Care Delivery in the Cauca Valley -- References -- Discussants -- References -- Opportunities and Constraints for Community Oriented Primary Care -- References -- Discussants -- Health Worker Roles in Community Oriented Primary Care -- COMMUNITY INVOLVEMENT IN COPC -- Some False Assumptions -- Examples of Community Involvement in COPC -- South End Settlement -- Mound Bayou -- LESSONS LEARNED -- References -- Discussants -- Bibliography -- Medical Education and Training for Community Oriented Primary Care -- MEDICAL EDUCATION AND MEDICAL PRACTICE -- MEDICAL EDUCATION AND COPC -- Primary Care Experiences-Undergraduate -- Primary Care Experiences-Graduate -- Community "Oriented" Educational Experiences -- Training in Principles and Skills of Community Medicine -- Team Approach and COPC -- STRATEGIES FOR MEDICAL EDUCATION AND TRAINING FOR COPC -- Developing Faculty Role Models -- Developing Role Practice Opportunities for Students and Residents -- Developing an Integrated Curriculum for COPC -- Influencing Societal Values and the Values of Medical Education in Favor of COPC -- References -- Discussants -- References -- Thoughts on Community Oriented Primary Care -- PART II PRACTICAL APPLICATIONS -- Promoting COPC through a Rural Health Care Network: Marshfield Clinic -- COPC in the Texas Valley -- Elements of COPC in the UMWA Health and Retirement Funds Program.

SPECIFIC ELEMENTS OF COPC IN THE UMWA PROGRAM -- SOME LESSONS FOR COPC -- COPC and a State Health Department: West Virginia's Experience -- Columbia University-Harlem Hospital Primary Care Network -- COPC in a Hospital-Affiliated Health Center -- Denver Health and Hospitals Experience -- Partnership for Health: The Family Nurse Practitioner/Family Physician Team -- The Patient Advisory Council Concept -- The Application of COPC Principles in a Welsh Mining Village -- THE BLOOD PRESSURE PROGRAM -- ANTICIPATORY CARE -- RESEARCH -- References -- Training for COPC in the Netherlands and around the World -- THE MAASTRICHT PROGRAM -- Educational Principles -- The Teaching Program -- Structure of the Learning Program -- Hospital Internships -- Evaluation -- THE NETWORK OF COMMUNITY ORIENTED EDUCATIONAL INSTITUTIONS FOR HEALTH SCIENCES -- CONCLUSIONS -- Can Area Health Education Centers Promote COPC? The Colorado Experience -- Departments of Family Practice as Vehicles for Promoting COPC -- New Mexico's Primary Care Curriculum -- The Beersheva Experience in COPC -- The Upper Peninsula Medical Education Program -- PART III WORKSHOP DISCUSSION SUMMARIES -- Workshop A -- Workshop B -- Workshop C -- Workshop D -- Workshop E -- Participants.