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Related Concept Videos

Primary Healthcare Services01:30

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...
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...
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...
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...
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...
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,...

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Implementation of a Real-Time Psychosis Risk Detection and Alerting System Based on Electronic Health Records using CogStack
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Implementing a gatekeeper system to strengthen primary care in Egypt: pilot study.

T R Ward1

  • 1Medical School, Australian National University, Canberra, Australia. tom.ward@magdalen.oxon.org

Eastern Mediterranean Health Journal = La Revue De Sante De La Mediterranee Orientale = Al-Majallah Al-Sihhiyah Li-Sharq Al-Mutawassit
|August 31, 2010
PubMed
Summary

Increasing hospital outpatient visit prices in Egypt effectively reduced clinic overuse by 63%. This policy encouraged patients to utilize primary care services, establishing family health clinics as a crucial gatekeeper system.

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Area of Science:

  • Health Services Research
  • Public Health Policy
  • Healthcare Management

Background:

  • Unsustainable overuse of hospital outpatient clinics in Egypt has undermined primary care.
  • A lack of effective gatekeeper systems contributes to this overuse.
  • This pilot study addresses the need for gatekeeping in Egyptian healthcare.

Purpose of the Study:

  • To evaluate the impact of increased direct hospital outpatient visit prices on healthcare utilization.
  • To determine if price manipulation can establish primary care clinics as effective gatekeepers.
  • To assess the sustainability of primary care services under a new gatekeeping model.

Main Methods:

  • A pilot project was implemented in Menoufia, Egypt.
  • The price for direct hospital outpatient visits was increased in the project area.
  • A control district without price changes was used for comparison.
  • Outpatient utilization rates were monitored before and after the price increase.

Main Results:

  • Direct hospital outpatient utilization decreased by 63% in the project area.
  • A control district experienced a 4% increase in hospital outpatient utilization.
  • The reduction in hospital visits was primarily redirected to public and private primary care clinics.

Conclusions:

  • Increasing the price of direct hospital outpatient visits is an effective strategy to establish a gatekeeper role for family health clinics.
  • This intervention successfully redirected patient flow towards primary care, enhancing its sustainability.
  • The findings suggest a viable policy intervention for managing healthcare resource allocation in similar settings.