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Related Concept Videos

Restorative Care01:19

Restorative Care

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Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
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Interdisciplinary Care: The Health Care Team-II01:18

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An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care. Here are a few more healthcare professionals.
Physical Therapist
A physical therapist (PT) aims to restore function or prevent additional impairment in a patient following an injury or disease. Massage, heat, cold, water, sonar waves, exercises, and electrical stimulation are some treatments used by PTs to treat...
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Nursing Implementation01:15

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Implementation is the execution of the nursing care plan developed during the planning phase.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
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Healthcare Agencies II01:17

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There are various healthcare agencies in the United States—some of which are managed by religious institutions and others by different government branches.
Parish nursing is a growing specialty nursing profession that focuses on holistic healthcare, health promotion, and illness prevention. It blends professional nursing practice with a health ministry, focusing on health and healing within the context of a Christian community. Parish nurses serve as health educators, referral sources,...
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Discharge Summary Forms01:31

Discharge Summary Forms

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The discharge summary is crucial as it enables a smooth transition from a healthcare facility to a patient's home or another care setting. This critical document facilitates seamless continuity of care, ensuring patients receive the necessary support and attention.
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
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Nursing Clinical Information System01:27

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Nursing Clinical Information System (NCIS)
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
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Related Experiment Video

Updated: Apr 30, 2026

Improving IV Insulin Administration in a Community Hospital
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The end of managed care.

J C Robinson1

  • 1School of Public Health, University of California, Berkeley, CA 94720-7360, USA. jamie@socrates.berkeley.edu

JAMA
|May 23, 2001
PubMed
Summary

Managed care, an attempt to control healthcare costs, succeeded economically but failed politically. Consumers are now driving healthcare priorities due to distrust and technological advancements.

Area of Science:

  • Health Services Research
  • Healthcare Economics
  • Public Policy

Background:

  • Managed care emerged as a strategy by employers, insurers, and medical professionals to prioritize healthcare resource allocation.
  • A decade of implementation revealed managed care as an economic success but a political failure, causing widespread dissatisfaction.

Purpose of the Study:

  • To analyze the outcomes of managed care initiatives.
  • To identify the factors driving the shift in healthcare priority setting.

Main Methods:

  • Qualitative analysis of the managed care experiment.
  • Examination of economic, political, and technological factors influencing healthcare.
  • Assessment of the evolving role of consumers in healthcare decision-making.
Keywords:
Health Care and Public Health

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Main Results:

  • Managed care strategies, such as comprehensive benefits coupled with utilization review, led to significant stakeholder frustration.
  • Key players in managed care are retreating, reverting to traditional fee-for-service models and expanding provider networks.
  • Governmental bodies are hesitant to implement new resource allocation policies due to political volatility.

Conclusions:

  • The healthcare landscape is shifting towards consumerism, with individuals increasingly setting priorities.
  • This shift is fueled by skepticism towards established institutions, economic prosperity enhancing autonomy, and the internet's role in information access and customization.