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Community Oriented Primary Care : New Directions for Health by Institute of Medicine, Division of Health Care Services

By Institute of Medicine, Division of Health Care Services

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Please use the print version of this publication as the authoritative version for attribution. COMMUNITY ORIENTED PRIMARY CARE: MEANING AND SCOPE 37 The program has been evaluated by comparing the outcome with the findings in a control population. This was done by means of community health surveys of the total CHAD (COPC practice) population and the control population at the commencement of the program and 5 years later. 16–20 The analysis included 2,036 men and women, 35 years and over, 524 in the CHAD population and 1,512 in the control population, who were examined on both occasions.

The changes were more marked in the COPC population and were significant in both sexes for systolic and diastolic BP. Thus the net reduction in mean values, that is, the difference between the reduction in the COPC population and the reduction in the control primary care population, was significant for systolic and diastolic BP for each sex. The net changes did not alter appreciably when the data were standardized by education or region of birth, used as an indicator of ethnic group. Although there were favorable changes in the control population also, these were much smaller than in the COPC population.

Page breaks are true to the original; line lengths, word breaks, heading styles, and other typesetting-specific formatting, however, cannot be retained, and some typographic errors may have been accidentally inserted. Please use the print version of this publication as the authoritative version for attribution.

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