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November 2002, Vol 92, No. 11 | American Journal of Public Health 1728-1732
© 2002 American Public Health Association

COMMUNITY-ORIENTED PRIMARY CARE

Community-Oriented Primary Care in Action: A Dallas Story

Sue Pickens, MEd, Paul Boumbulian, DPA, MPH, Ron J. Anderson, MD, Samuel Ross, MD and Sharon Phillips, RN

Sue Pickens, Samuel Ross, Sharon Phillips, and Ron J. Anderson are with the Parkland Health & Hospital System, Dallas. Paul Boumbulian is with the Dallas Regional Program, University of Texas School of Public Health, Dallas.

Correspondence: Requests for reprints should be sent to Sue Pickens, MEd, Parkland Health & Hospital System, 5201 Harry Hines Blvd, Dallas, TX 75235 (e-mail: picke{at}parknet.pmh.org).

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.




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