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COPC(Community-Oriented Primary Care)

COPC(Community-Oriented Primary Care)

COPC



Japanese version of Primary Care Assessment Tool
(JPCAT)

 JPCAT
Japanese version of Primary
Care Assessment Tool

JPCAT

Primary Care Assessment Tool(PCAT)

 JPCAT
Japanese version of Primary
Care Assessment Tool

30
 JPCATQI


JPCAT

QI
JPCAT
QI

Priority Matri
1

0.5

0
0
50 100

COPC


COPC

COPC

(STEP1) Community

(STEP2)

(STEP34)

 COPC
A continuous process by which primary health care
is provided to a defined community on the basis of
its assessed health needs by the planned integration
of public health with primary care
Mullan F, Epstein L. Community-oriented primary care: New relevance in a changing
world. Am J Public Health 2002; 92(11): 1748-55.

COPC

 COPC5

COPC

n Gofin J, Gofin R. Essentials of global community health. Sudbury, MA: Jones and Bartlett Learning, 2011.
 COPC

 COPC

1920Will Pickles
1940Sydney Kark

1960Jack Geiger

1980IOM
COPC

 COPC

Community

 COPC

(Social Determinants of

Health:SDH)


<>

100%


Blane D, Brunner E, and Wilkinson RG. Health and Social Organization. 1996: 26







20 10
5 30
20 40

55 20



20 10
5 30
20 40

55 20

ICU





 COPC

40%
40%
20%

0%

0%
0%
0.1%0.1%
 STEP1

COPC

 Community

Community

communitycommunity

Nutting P, Wood M, Connor E. Communityoriented primary care in the United States. JAMA 1985;
253(12): 17631766.
 Community

Nutting P, Wood M, Connor E. Communityoriented primary care in the United States. JAMA 1985;
253(12): 17631766.
Community
 Community

 Geographic Retrofitting

 Geographic Retrofitting
7075%long tail
 Geographic Retrofitting
penetration=

Hp

335 844 140 16.6%
378 884 167 18.9%
315 691 121 17.5%
485 1,094 114 10.4%

612 1,288 144 11.2%

633 1,369 138 10.1%
232 497 64 12.9%
2,990 6,667 888 13.3% 60
2,711 6,132 532 8.7%
112 157 6 3.8%
2,823 6,289 538 8.6% 35
 Geographic Retrofitting
Mapion


1.
2.
3. JAMA The Rational Clinical Examination
KeiMiyazaki.MD@gmail.com
 STEP2

COPC

Subjective

Objective


Assessment
Plan




&















http://homepage3.nifty.com/NPO/s_top/s_cont/tiiki/assess/assess01.html


http://homepage3.nifty.com/NPO/s_top/s_cont/tiiki/assess/assess01.html

(key informant interview)

NPO

Focus group

610

Mullan F, Focht C, Hayashi S, Gofin J, Gofin R, Neumark Y, Epstein L. Community oriented primary care:
An implementation guide.


Delphi

Ringi

Nutting PA editor. Communitiy-oriented primary caer: From principle to practice.

Washington, DC: US Department of Health and Human Services, 1987.


HIV/AIDS

1 3.2 4.8 3.7 11.7

2 4.8 4.7 4.2 13.7

3 4.3 3.5 3.2 11
4 4.1 4.1 2.1 10.3

5 4.6 4.5 4.1 13.2

 STEP3

STEP4

 COPC















 SMART Objectives

Specific

Measurable

Attainable

Realistic

Timely
 :Central Question

Central Question
outcome
%

%
 :

 :STEP3, STEP4

Central Question

STEP


COPCQISDH

(STEP1) CommunityGeographic
Retrofitting

(STEP2) data

(STEP34)


Robert Graham Center COPC Curriculum

http://www.graham-center.org/rgc/maps-data-tools/tools/copc.html