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Related Concept Videos

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...
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...
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...
Patient-centered Care01:13

Patient-centered Care

Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
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...

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Related Experiment Video

Updated: May 17, 2026

Using Simulation Models to Train Clinicians in the Use of Point-of-Care Ultrasound
05:04

Using Simulation Models to Train Clinicians in the Use of Point-of-Care Ultrasound

Published on: August 9, 2024

Extending primary care: potential learning from Italy.

Sara E Shaw1, Geoffrey Meads

  • 1Global Health, Innovation and Policy Unit, Centre for Primary Care and Public Health, Queen Mary University of London, London, UK. s.shaw@qmul.ac.uk

Primary Health Care Research & Development
|October 19, 2012
PubMed
Summary
This summary is machine-generated.

European health systems are shifting care to community settings, emphasizing extended primary care for older patients and those with long-term conditions. Exploratory visits to Italy highlight successful models for local, needs-based care delivery.

Related Experiment Videos

Last Updated: May 17, 2026

Using Simulation Models to Train Clinicians in the Use of Point-of-Care Ultrasound
05:04

Using Simulation Models to Train Clinicians in the Use of Point-of-Care Ultrasound

Published on: August 9, 2024

Area of Science:

  • Health Services Research
  • Primary Care Management
  • Community Health Systems

Background:

  • European health systems face pressure to transition care from hospitals to community settings.
  • There is a growing need for high-quality, coordinated care for aging populations and individuals with chronic diseases.
  • Extended primary care is identified as a crucial strategy for facilitating this care shift.

Purpose of the Study:

  • To explore innovative primary care models in Italy that extend general practice responsibilities.
  • To identify key factors enabling the shift of care from hospital to community settings.
  • To understand how local needs can be better met through community-based primary care organizations.

Main Methods:

  • Exploratory site visits to two primary care organizations in Italy.
  • Analysis of organizational structures and responsibilities, including community health and resource utilization.
  • Qualitative assessment of factors facilitating local care commissioning.

Main Results:

  • Italian primary care organizations demonstrate extended general practice functions.
  • Key areas of interest include shifting care to community settings, fostering localism, and ensuring stable leadership.
  • These models empower local stakeholders to commission care aligned with community needs.

Conclusions:

  • The Italian models offer valuable insights into effective community-based care delivery.
  • Further systematic research in Italy is recommended to explore the impact of these extended primary care programs.
  • Findings can inform strategies for health system reform across Europe.