Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Related Concept Videos

Secondary Healthcare System

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...

Primary Healthcare Services

Primary Healthcare Services

Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...

Issues And Trends In Healthcare Delivery System

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...

Current Trends in Nursing I

Current Trends in Nursing I

Current trends in nursing include:

Introduction To Health Care Delivery System

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...

Methods Of Healthcare Delivery System

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...

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by

Same author

Azithromycin for Preschoolers with Wheezing in the Emergency Department.

The New England journal of medicine·2026

Same author

Spot Sign in Intracerebral Hemorrhage: Critical Reappraisal and Future Clinical Implications.

Stroke·2025

Same author

Persistent Tissue-Level Hypoperfusion (No-Reflow) Negates the Clinical Benefit of Successful Thrombectomy.

Stroke·2025

Same author

Association of Ischemic Core Hypodensity With Thrombectomy Treatment Effect in Large Core Stroke: A Secondary Analysis of the SELECT2 Randomized Controlled Trial.

Stroke·2025

Same author

Costs and Benefits of the Melbourne Mobile Stroke Unit Compared With Standard Ambulance: Causal Analysis Using Observational Linked Data.

Stroke·2025

Same author

Cerebral Edema Progression and Outcomes in Large Infarct Patients Undergoing Endovascular Thrombectomy.

Annals of neurology·2025

Search research articles

Related Experiment Video

Updated: Jun 21, 2026

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide

Published on: January 15, 2017

Emergency department workload increase: dependence on primary care?

Kim E Tranquada¹, Kurt R Denninghoff, Melanie E King

¹Department of Emergency Medicine, University of Arizona School of Medicine, Tucson, Arizona 85724-5057, USA.

The Journal of Emergency Medicine

|August 18, 2009

Summary

Many patients visiting emergency departments (EDs) have primary care physicians (PCPs), but struggle to access them. This suggests that primary care access, not just availability, influences ED use.

Related Experiment Videos

Last Updated: Jun 21, 2026

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide

Published on: January 15, 2017

Area of Science:

Emergency Medicine
Primary Care Access
Health Services Research

Background:

Crowded emergency departments (EDs) prompt discussions about primary care access influencing ED visits.
Planners suggest improved primary care scheduling could reduce "unnecessary" ED use.
Arguments for increased primary care funding include cost-saving notions and idealizing ED use for true emergencies.

Purpose of the Study:

To investigate patient-reported primary care access among individuals presenting to a rural tertiary care ED.
To determine the prevalence of primary care physician (PCP) use and attempted contact before ED visits.

Main Methods:

An observational study utilizing anonymous surveys administered to walk-in ED patients.
Convenience sampling was employed to gather patient data.

Main Results:

70.4% of surveyed patients reported having a PCP.
38.1% attempted to contact their PCP before visiting the ED.
Of those who attempted contact, 62.8% could not reach a doctor, irrespective of the time or day.

Conclusions:

The study indicates that a lack of primary care or inconvenient scheduling is not the primary driver for ED visits.
Patient-reported difficulties in accessing PCPs may contribute to ED utilization.
Findings challenge the assumption that ED overcrowding is solely due to primary care access issues.