Paul A. - Community-Oriented Primary Care: From Principle to Practice

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title	:	Community-oriented Primary Care : From Principle to Practice
author	:	Nutting, Paul A.
publisher	:	University of New Mexico
isbn10 | asin	:	0826312306
print isbn13	:	9780826312303
ebook isbn13	:	9780585211374
language	:	English
subject	Community health services, Community health services--United States, Community Health Services--United States, Delivery of Health Care--United States, Primary Health Care--United States.
publication date	:	1990
lcc	:	RA425.C773 1990eb
ddc	:	362.1/0425
subject	:	Community health services, Community health services--United States, Community Health Services--United States, Delivery of Health Care--United States, Primary Health Care--United States.

Page iii Community-Oriented Primary Care From Principle to Practice Edited by Paul A. Nutting, M.D. University of New Mexico Press Albuquerque

Page iv Library of Congress Cataloging-in-Publication Data Community-oriented primary care: from principle to practice / edited by Paul A. Nutting. p. cm. Reprint. Originally published: [Rockville, Md. ?]: U.S. Dept. of Health and Human Services, Public Health Service, Health Resources and Services Administration, Office of Primary Care Studies, 1987. Includes bibliographical references. ISBN 0-8263-1230-6: $19.95 1. Community health services. 2. Community health servicesUnited States. I. Nutting, Paul A. [DNLM: 1. Community Health Services United States. 2. Delivery of Health Care United States. 3. Primary Health Care United States. WA 546 AA-C6853 1987a] RA425.C773 1990 362.1'0425dc20 DNLM/DLC for Library of Congress 90-12627 CIP First published in 1987 by the Government Printing Office for the Office of Primary Care Studies, Health Resources and Services Administration, U.S. Public Health Service, Department of Health and Human Services. University of New Mexico Press edition published 1990.

Page v ACKNOWLEDGMENTS This book could not have been produced except for the efforts of a number of people. I am grateful to the authors for their commitment to primary care and for laboring under the burden of an unreasonable publication schedule. Their enthusiasm for this project has made the task of editor an experience of pure delight. I am indebted to James Calvert, Kaia Gallagher, and Douglas Kamerow for their editorial assistance and wise counsel and to Ron Carlson for his support of the total effort. The preparation of the manuscript proceeded smoothly, despite the very right schedule, due to the skill and diligence of James Walker and Peter L. Petrakis. A special note of gratitude is due Sue Nagel, Doris Martin, and Jacqueline Painter, without whose effort neither the conference that allowed the authors to compare notes, nor the book would have been possible. PAUL A. NUTTING, M.D. EDITOR

Page vii TABLE OF CONTENTS List of Contributors xiii Preface xix Introduction: Community-Oriented Primary Care: From Principle to Practice Paul A. Nutting, M.D. xxi Part I. Perspectives on COPC 1 1. William N. Pickles, M.D.: A Country Doctor with a Naturalist's Interest in Illness Thomas M. Mettee, M.D. 2 2. COPC as a Marketing Strategy David R. Garr, M.D. 6 3. Reflections on Financing COPC William L. Kissick, M.D., Dr. P.H. 10 4. The Use of COPC Techniques in Health Maintenance Organizations James F. Calvert, M.D. 16 5. COPC: Doing Something Is Better Than Doing Nothing Marc E. Babitz, M.D. 23 6. COPC and the Challenge of Public Health Fitzhugh Mullan, M.D. 28 Part II. Defining and Characterizing the Community 31 Introduction 32 7. The Community-Defining Process in COPC A. H. Strelnick, M.D. 35 8. The Active Patients in a Clinical Practice: The First Step Toward a Definable Community David L. Hawk, M.D., M.P.H. James F. Calvert, M.D. 40 9. Defining a Practice Community: An Approach to COPC for Family Medicine Paul A. Nutting, M.D. 45 10. The School-Age Community: Addressing a Predefined Population Frank M. Reed, M.D. 48 11. Community Diagnosis: A Tool for COPC Thomas M. Mettee, M.D. 52 12. Defining the Practice Population with Census Data Robert L. Rhyne, M.D. Richard Kozoll, M.D., M.P.H. Brian Stewart, P.A., M.P.H. 60 13. The Denominator Problem in COPC Norman Hearst, M.D., M.P.H. 71 14. A Sampling Method for Defining Community in a Metropolitan Area Stephen Zyzanski, Ph.D. Sim S. Galazka, M.D. 76 15. How Representative Is Your Practice Population of the Community? Sim S. Galazka, M.D. Stephen Zyzanski, Ph.D. 83 16. Practical Applications of Demography in COPC

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