Community Oriented Primary Care

1. Community Oriented Primary Care By:Tahima Salam Mentor:Nubaha Chowdhury City College

2. Community Oriented Primary Care (COPC) • approach to health care that takes the reponsibility of a population in certain area • Process that improves community’s health by using public health,epidemiology and primary care

3. Four steps of COPC • The population must be defined • The needs of the population should be looked at • An effective intervention should be planned • The success of the intervention should be evaluated

4. History of Parkchester • The first name of a housing development • Later metropolitan Insurance company took over Parkchester • First large scale commercial housing complex in US Figure 1: Macy’s Complex in Parkchester . Source: bobbalogh.com/brieflookatthebronx.html .Accessed July 19, 2006

5. Demography • Demography is the study of the characteristics of human populations, such as size, growth, density, distribution, and statistics of human births, deaths and health. (http://demography.anu.edu.au/VirtualLibrary) • Age structure is the first aspect of demography.

6. 1990 Age Structure

7. 2000 Age Structure

8. Socio-Economics • The socioeconomic status is made up of two aspects, one includes income and the other includes one’s status in the community. More importantly, socioeconomic status is based on education, income, wealth, as well as social class

9. Education • Education is an important factor because someone with a higher educational level has the opportunity to get a better job and a higher social rank, thus leading to a higher socioeconomic status, which is related to a longer and healthier life.

10. ; Health Indices • The study of Parkchester history, demography, socio-economic status are factors that affect the health of the community. • The health indices include data on mortality, morbidity, health of infants and ambulatory care. • The purpose of examining these data is to get a sense of the most important health concerns in the community, that will give insight on the proper health care programs that are needed.

11. Age Adjusted Death • The age-adjusted death rates for the leading causes can then be compared to a standard or a goal that is set out by Healthy People 2010 (HP2010). • Healthy People 2010 is a series of objectives put together to promote the development of programs to improve health in communities. The goals of HP2010 include increasing life expectancy, improving the quality of life, and eliminating health disparities among different groups within a population. • The use of Healthy People 2010 is important because it provides a set of standards that can be used to assess the community’s health.

12. Leading cause of Death

13. Major Health Concerns • Coronary Heart Disease -includes ischemic heart disease, hypertensive heart disease, and other heart disease • GI Neoplasm -Colorectal neoplasm is the most common in the Unites States, and it is the second leading cause of cancer mortality • AIDS -Last stage of HIV disease

14. Reference • Longlett S. Community-Oriented Primary Care: Historical Perspective. Available at: http://www.medscape.com/viewarticle/405829. 2001. Accessed July 16, 2006. • Wagner P. Department of Family Medicine Community Oriented Primary Care. Available at: http://www.mcg.edu/som/fmfacdev/fd_copc.htm. 2004. Accessed July 16, 2006. • Kruse J. Community Oriented Primary Care: Historical Perspective. Volume.14 No.1 Available at: medscape.com/viewarticle/. Accessed July 16 2006. • Parkchester. The Columbia Gazetteer of North America. Available at: http://www.bartleby.com/69/94/P01594.html. 2000.Accessed July 17, 2006. • A systematic approach to health improvement. Available at: http://www.healthypeople.gov/document/html/uih/uih_2.htm. Assessed July 20, 2006. • HIV. Available at:http://www.hiv.com/. 1998. Accessed August 8, 2006

15. Acknowledgements • Professor • Nubaha Chowdhury • Dr.Sat • Harlem Children Society • MSKCC • Gateway Program Thank You