Community-oriented-primary-care

1、Community oriented primary careCONTENTSPart1 : Definition & 3 elementsPart2 : History of COPCPart3 : How to finish COPCPart4 : The present situation of COPCDefinition a method and model that combines public health methods and primary medical practices. It provides comprehensive primary health se

2、rvices to individuals and groups It combines individual-based medical services and community-based health interventions.Basic elementsprimary medical unit specific group (community)processIt has formed a new community-based, prevention-oriented primary medical service model service modelHistory1920s

3、1960s1980sThe term was first coined by Kark COPC developed rapidlythe first two community health centers were fundedCONTENTSPart1 : Definition & 3 elementsPart2 : History of COPCPart3 : How to finish COPCPart4 : The present situation of COPCPart3 HOW TO FINISH COPCSix steps : “CHOPDC”HOW TO FINI

4、SH ITCheckDoPlanOne problemHealth surveyCoummuntity12COMMUNITYchoose a specific community at the beginning consider the health problem of the whole communityIncluding those who dont visist doctor often.12Health surveydoing a health survey helps us to find health problemsSex ratiothe ranking for deat

5、h causesthe main health problemsan example a health survey of A1 community Date:2008 03 21Sign:Sex ratioMen: 51.9%Women: 48.1%The first five death causes1. CVD 2. tumor 3. poisoning4. Respiratory diseases 5. Cardiovascular diseaseThe main health problems1. Hypertension 2. Diabetes 3.COPD12One Proble

6、mconcentrate on just one problemEven though you could find many health problems in the surveyRome was not built in one dayJust do itCheckDoPlanPart4 THE PRESENT SITUATION OF COPC IN AMERICAAsking for a new innovationsIncreased Demand87% of Americans aged 65-79 live with at least one chronic conditio

7、n. LESS PRIMARY CARE PHYSCIANSexpanding health insurance coverage to 34 million people by 2020= increased the projected deficit of community oriented primary care.DOCTORS vs PHYSCIANS10010052052% percent more than primary physciansDOCTORS vs PHYSCIANSonly 7 percent of graduates chose a career in pri

8、mary care60 million peoples+OHIO FloridaNorthCarolinaNewYork 203040506019701980199020002010Today, fewer than one in three do.One in five ONLY 30%21.7h amount of time per dayA team modelget physicians to think about delivering primary care in a team modelA single clinical settingturn the Patient-cent

9、ered medical home into a centralize care at a single clinical setting.New sitesNew sites offering primary care services :retail clinics, worksitesHealth information technologyHealth information technology electronic medical records online-prescription orderingto free up physician time during visits Pay-for-performancechangepay-for-outcomes into