Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Nursing Implementation01:15

Nursing Implementation

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.
Methods of Documentation VI: Case Management Model01:15

Methods of Documentation VI: Case Management Model

The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic illness...
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...
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...
Documentation in Long-Term and Home Healthcare Setting01:29

Documentation in Long-Term and Home Healthcare Setting

Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Methods of Documentation V: CBE01:23

Methods of Documentation V: CBE

Charting by Exception, or CBE, is a method of documentation used in healthcare, particularly in nursing, that focuses on documenting only significant or abnormal findings rather than recording every detail. This approach aims to streamline the documentation process, improve efficiency, and ensure that healthcare providers can quickly identify deviations from normalcy in patient assessments.
In CBE, healthcare professionals establish predefined standards of practice that define what constitutes...

You might also read

Related Articles

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

Sort by
Same author

Europe must learn from America's assault on science.

European journal of public health·2026
Same author

Sustained Response to Trametinib in Central Giant Cell Granuloma With <i>KRAS</i> Gain-of-Function Mutation: A Case Report.

JCO precision oncology·2026
Same author

Capitulating to populism: how American institutions enabled authoritarian drift.

Health economics, policy, and law·2026
Same author

Joint modelling of wheeze and lung function from childhood to early adulthood: four population-based birth cohorts.

EClinicalMedicine·2026
Same author

Is Britain's health establishment prepared for a populist government?

BMJ (Clinical research ed.)·2026
Same author

The Road to Hell Winds On: The High Administrative Burden of Maintaining Linked National Health Data.

International journal of population data science·2026

Related Experiment Video

Updated: May 25, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
14:32

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

Delivering stepped care: an analysis of implementation in routine practice.

David A Richards1, Peter Bower, Christina Pagel

  • 1Mood Disorders Centre, University of Exeter, Exeter, EX4 4QG, UK. D.a.richards@exeter.ac.uk

Implementation Science : IS
|January 18, 2012
PubMed
Summary

Stepped care for depression and anxiety in the UK shows highly variable patient pathways and treatment intensity, with less than 10% stepping up to higher intensity care. Implementation science is needed to optimize these services.

Related Experiment Videos

Last Updated: May 25, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
14:32

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

Area of Science:

  • Health Services Research
  • Mental Health Services
  • Implementation Science

Background:

  • UK clinical guidelines advocate a stepped care model for depression and anxiety, increasing treatment intensity based on patient response.
  • Limited data exist on the practical implementation of stepped care, particularly regarding treatment intensity at each step.
  • This study aimed to describe patient pathways and their impact on flow within stepped care services.

Purpose of the Study:

  • To describe patient pathways through stepped care services for mental health.
  • To analyze the impact of service design on patient flow and management.
  • To identify variations in treatment intensity and patient transitions between care steps.

Main Methods:

  • Collected data on service design and patient treatments across four National Health Service sites.
  • Tracked individual patient transitions between different treatment steps.
  • Computed and visually mapped patient flow proportions through the stepped care model.

Main Results:

  • Analyzed data from 7,698 referred patients, revealing complex and highly variable patient pathways.
  • Observed significant variation in the ratio of low- to high-intensity treatments delivered (ranging from 22:1 to 0.5:1).
  • Found that less than 10% of patients stepped up from low- to high-intensity treatment, with direct allocation to high-intensity care varying from 3% to 45%.

Conclusions:

  • Implementation of stepped care guidelines results in significant variations in patient pathways and service delivery.
  • There is a need for evaluations grounded in implementation science to improve the effectiveness, efficiency, and acceptability of stepped care systems.
  • Targeted planning and clear service organization strategies are crucial for optimizing stepped care models for mental health.