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Bringing community oriented primary care into an academic training setting: A qualitative study.

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  • 1Case Western Reserve School of Medicine, Department of Population and Quantitative Health Sciences, Cleveland, OH, United States.

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Patients want healthcare providers to understand the Black experience and be visible in the community. This patient-informed approach is key for implementing community oriented primary care (COPC) in urban clinics.

Keywords:
Community health centersPrimary carePublic health interventionsQualitative study

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Area of Science:

  • Primary Care Research
  • Community Health
  • Qualitative Health Research

Background:

  • Implementing community oriented primary care (COPC) requires understanding patient perspectives.
  • Urban academic medical centers face unique challenges in engaging with diverse communities.

Purpose of the Study:

  • To identify patient-informed strategies for implementing COPC principles in an urban resident continuity clinic.
  • To explore patient views on healthcare provider community involvement and knowledge.

Main Methods:

  • A descriptive phenomenological approach using semi-structured telephone interviews with 21 patients.
  • Constant comparative analysis of interview themes to understand patient perspectives.

Main Results:

  • Patients emphasized the importance of clinicians being knowledgeable about the Black experience.
  • Patients desire healthcare providers to be visible within the community, outside the clinic setting.
  • A key theme was "knowing my community is knowing me," highlighting the personal connection between community and individual health.

Conclusions:

  • Designing with a community in mind is crucial but insufficient for COPC implementation.
  • Clinician visibility in community settings is essential for successful COPC.