The community diagnosis informs not only individual clinical practice, but also community-wide efforts to promote health. 11 COPC was originally developed in the 1940s by the Karks in South Africa and was described by them as “a practice of social medicine.” 12 COPC begins with a community diagnosis, which is often based on detailed community maps. 8 Consistent with the principles of social medicine, 9, 10 we have adopted an approach incorporating elements of Community Oriented Primary Care (COPC). Diabetes and obesity are important problems in the predominantly working-class and immigrant communities served by the Department of Family and Social Medicine at Montefiore Medical Center.
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