A. THE BASICS

1. Components of COPC

1. a primary care practice or program
2. a defined population (community)
3. a process by which major health problems in a community are addressed

B. THE PRIMARY CARE PRACTICE/PROGRAM

1. single practicing physician
2. group of physicians with the same type of discipline, ie. family medicine
3. group of multi-disciplinary primary care physicians

C. THE COMMUNITY

1. may be limited to the practice population
2. may include family members of the practice population
3. may include members of a given geographical area
4. may be limited by risk-factors, or disease or problem classifications

D. THE COPC PROCESS--Includes a set of activities in four differents areas:

1. Defining and characterizing the community or population
2. Identifying the health problemCOPC

1. by observation
2. by group process
3. by secondary sources of information--CDC, census data, or other databanks

    3. Developing the emphasis program

1. determinging ways to address the problem more effectively
2. modifications to practice
3. interventions in the community

     4. Monitoring the impact of the modifications

1. changes in health status of population
2. changes in utilization of services
3. other

E. PATCH: PLANNED APPROACH TO COMMUNITY HEALTH

1. Definition
2. History
3. Significance to COPC

F. COPC IN A RURAL COMMUNITY

1. Advantages
2. Disadvantages
3. Barriers
4. Solutions to barriers