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Related Concept Videos

Integrated Healthcare System01:20

Integrated Healthcare System

An integrated healthcare system (IHS) is a set of organizations that provides for or arranges to provide coordinated and continuous service to a defined population. The IHS takes responsibility for that particular population's health status and outcome, both clinically and fiscally. An integrated healthcare system is a well-organized, well-coordinated, and collaborative network. The integrated delivery system is a network that connects different healthcare providers to deliver organized,...
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:
Secondary Healthcare System01:11

Secondary Healthcare System

Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
Tertiary Healthcare System01:21

Tertiary Healthcare System

Specialized care provided over an extended period is called tertiary care. Usually, a primary or secondary care physician will refer a patient to tertiary care. A patient's maximum physical and mental function is restored in tertiary care, which is caused due to the impact of a chronic illness or condition. Tertiary care aims to achieve the highest level of functioning possible while managing chronic illness. For example, a patient who falls and fractures their hip will need secondary care to...
Hospitals-I01:28

Hospitals-I

Hospitals offer medical and surgical care to the sick and injured, along with accommodation while they recover. At the same time, they also provide outpatient, emergency, psychiatric, and rehabilitation services to meet various community needs. In addition to providing medical care, hospitals also act as hubs for medical research and training. Hospitals use clinical procedures and evidence-based practice standards to deliver patient care. To deliver safe and efficient care, a nurse must stay up...
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...

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Observational Study Protocol for Repeated Clinical Examination and Critical Care Ultrasonography Within the Simple Intensive Care Studies
10:38

Observational Study Protocol for Repeated Clinical Examination and Critical Care Ultrasonography Within the Simple Intensive Care Studies

Published on: January 16, 2019

UHS development and hospital services rationing.

José Mendes Ribeiro1

  • 1Departamento de Ciências Sociais, Escola Nacional de Saúde Pública Sérgio Arouca, Fundação Oswaldo Cruz, Rio de Janeiro, RJ, Brazil. ribeiro@ensp.fiocruz.br

Ciencia & Saude Coletiva
|June 24, 2009
PubMed
Summary

The Brazilian health system faces challenges due to increased private insurance use and public service retrenchment. Improving public spending and organizational reforms are crucial for equitable healthcare access.

Related Experiment Videos

Last Updated: Jun 22, 2026

Observational Study Protocol for Repeated Clinical Examination and Critical Care Ultrasonography Within the Simple Intensive Care Studies
10:38

Observational Study Protocol for Repeated Clinical Examination and Critical Care Ultrasonography Within the Simple Intensive Care Studies

Published on: January 16, 2019

Area of Science:

  • Health Policy
  • Comparative Health Systems
  • Public Health Administration

Background:

  • The Brazilian health system is analyzed comparatively, noting similarities to the United States due to middle-income beneficiaries migrating to private insurance.
  • Public hospital services in Brazil are experiencing significant retrenchment, exacerbated by demographic growth and evolving constitutional expectations.

Purpose of the Study:

  • To analyze the Brazilian health system in a comparative context.
  • To identify key factors contributing to the retrenchment of public hospital services.
  • To propose strategies for ensuring equitable access to healthcare.

Main Methods:

  • Comparative analysis of health system structures.
  • Examination of public hospital service delivery trends.
  • Assessment of demographic and constitutional influences on healthcare access.

Main Results:

  • The migration of middle-income beneficiaries to private insurance mirrors trends observed in the United States.
  • Public hospital retrenchment is selective, impacting obstetric, clinical, and private for-profit services.
  • Demographic growth and new constitutional expectations intensify pressure on public services.

Conclusions:

  • Enhancing public spending is essential for maintaining equitable access.
  • Reducing out-of-pocket expenditures is necessary to alleviate financial burdens on patients.
  • Organizational reforms and improved government capacity are critical for strengthening the public health sector.