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Related Concept Videos

Introduction To Health Care Delivery System01:18

Introduction To Health Care Delivery System

The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
Issues And Trends In Healthcare Delivery System01:29

Issues And Trends In Healthcare Delivery System

The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Health Information Technology and Healthcare Information System01:30

Health Information Technology and Healthcare Information System

Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Types of Reports I: Hand-off Report01:25

Types of Reports I: Hand-off Report

A hand-off report, also known as a change-of-shift report, is a crucial nursing process that ensures the smooth transition of patient care responsibilities between nursing staff.
Following are the key components and categories of hand-off reports:
Purpose and Process:
Methods Of Healthcare Delivery System01:26

Methods Of Healthcare Delivery System

At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
Purpose of Health Records II01:19

Purpose of Health Records II

Health records serve various essential purposes in the healthcare system. Here are some key purposes:

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Related Experiment Video

Updated: Jul 7, 2026

The Participant-Reported Implementation Update and Score (PRIUS): A Novel Method for Capturing Implementation-Related Data Over Time
06:05

The Participant-Reported Implementation Update and Score (PRIUS): A Novel Method for Capturing Implementation-Related Data Over Time

Published on: February 19, 2021

A progress report on state health access reform.

John E McDonough1, Michael Miller, Christine Barber

  • 1Health Care for All, Massachusetts, USA. mcdonough@hcfama.org

Health Affairs (Project Hope)
|January 31, 2008
PubMed
Summary

Since 2006, 39 states enacted laws to expand health insurance coverage. Thirteen states are pursuing major reforms to cover half their uninsured, but the future of these efforts remains uncertain.

Area of Science:

  • Health Policy
  • Public Health
  • Health Services Research

Background:

  • The uninsured population presents a significant public health challenge.
  • State-level legislative action is a key driver of health insurance coverage expansion.
  • Ambitious health reforms in Massachusetts and Vermont (2006) catalyzed broader state-level initiatives.

Purpose of the Study:

  • To identify and analyze state legislative activities aimed at expanding health insurance coverage since 2006.
  • To assess the scope and nature of state reforms targeting the uninsured population.

Main Methods:

  • Systematic review of state legislative enactments related to health insurance access.
  • Categorization of laws based on target populations (children, adults) and mechanisms (market regulations, mandates).

Related Experiment Videos

Last Updated: Jul 7, 2026

The Participant-Reported Implementation Update and Score (PRIUS): A Novel Method for Capturing Implementation-Related Data Over Time
06:05

The Participant-Reported Implementation Update and Score (PRIUS): A Novel Method for Capturing Implementation-Related Data Over Time

Published on: February 19, 2021

  • Tracking of states initiating comprehensive reform processes.

    • Main Results:

    • Thirty-nine states enacted laws addressing health insurance access in at least one category since 2006.
    • Key legislative activities include coverage expansions for children and adults, insurance market regulatory changes, and individual/employer mandates.
    • At least thirteen states are actively developing comprehensive reforms to cover a substantial portion of their uninsured residents.

    Conclusions:

    • A significant wave of state-level health reform legislation has emerged since 2006, driven by efforts to reduce uninsurance.
    • The enacted reforms encompass diverse strategies, including direct coverage expansions and market-based regulations.
    • The long-term impact and sustainability of this reform movement are yet to be determined.