Community-oriented primary care in action: a Dallas story.
Dallas County, Texas, is the site of the largest urban application of the community-oriented primary care (COPC) model in the United States. We summarize the development and implementation of Dallas's Parkland Health & Hospital System COPC program. The complexities of implementing and managing this comprehensive community-based program are delineated in terms of Dallas County's political environment and the components of COPC (assessment, prioritization, community collaboration, health care system, evaluation, and financing). Steps to be taken to ensure the future growth and development of the Dallas program are also considered. The COPC model, as implemented by Parkland, is replicable in other urban areas.
Pickens
Sue
S
Parkland Health & Hospital System, Dallas, TX 75235, USA. picke@parknet.pmh.org
Boumbulian
Paul
P
Anderson
Ron J
RJ
Ross
Samuel
S
Phillips
Sharon
S
D002391:Catchment Area, Health; D003151:Community Health Centers / Q000458:organization & administration* / Q000600:supply & distribution; D018672:Community Health Planning / Q000458:organization & administration*; D003256:Community Participation; D003159:Community-Institutional Relations; D006284:Health Plan Implementation; D006292:Health Priorities; D006779:Hospitals, Public / Q000458:organization & administration*; D006784:Hospitals, Teaching / Q000458:organization & administration*; D006801:Humans; D017146:Models, Organizational; D020380:Needs Assessment; D011057:Politics; D011320:Primary Health Care / Q000458:organization & administration*; D015397:Program Evaluation; D015980:Public Health Practice; D012936:Social Medicine / Q000458:organization & administration*; D013781:Texas; D017664:Uncompensated Care