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Related Concept Videos

Standards of Care I01:22

Standards of Care I

Federal statutes profoundly impact nursing practice, providing critical guidelines to ensure patient care is equitable, accessible, and of the highest quality. The following laws address distinct aspects of healthcare provision and patient rights:
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Healthcare Agencies I

Healthcare agencies provide healthcare services to people. In the United States, voluntary agencies are often non-profit centers sponsored by donations, grants, or fundraisers. One such organization is Meals on Wheels, which provides meals to the elderly and homebound. The American Heart Association and the American Lung Association are other non-profit community organizations. Doctors and nurses are frequently active members of these organizations, which offer health checks and educational...
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Secondary Healthcare System01:11

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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...
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Tertiary Healthcare System01:21

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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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Radionuclide-fluorescence Reporter Gene Imaging to Track Tumor Progression in Rodent Tumor Models
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GP commissioning in England.

Rodger Charlton1

  • 1College of Medicine, Swansea University. Rodger.Charlton@nottingham.ac.uk

Clinical Medicine (London, England)
|March 12, 2013
PubMed
Summary
This summary is machine-generated.

The National Health Service (NHS) is undergoing changes, with clinical commissioning groups (CCGs) now deciding on specialist services for patients. This transition impacts primary and secondary care interactions and teamwork, with success yet to be determined.

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Area of Science:

  • Healthcare Management
  • Health Services Research
  • Primary Care

Background:

  • The UK's National Health Service (NHS) is experiencing continuous organizational transitions.
  • A key shift involves empowering general practitioners (GPs) through clinical commissioning groups (CCGs) for service decisions.
  • This introduces new terminology and operational dynamics at the primary-secondary care interface.

Purpose of the Study:

  • To analyze the implications of CCGs taking charge of specialist service selection for patient referrals.
  • To explore the impact of these changes on the interface between primary and secondary care.
  • To identify the drivers and challenges associated with this NHS transition.

Main Methods:

  • Qualitative analysis of the organizational and operational shifts within the NHS.
  • Examination of the new language and terminology associated with CCGs and service commissioning.
  • Discussion of the logistical and ethical considerations arising from these changes.

Main Results:

  • The transition emphasizes CCGs' decision-making power regarding specialist referrals.
  • Significant changes are occurring in the coordination and teamwork between primary and secondary care.
  • Drivers include patient choice, efficiency, cost reduction, and budget adherence.

Conclusions:

  • The success of this NHS transition, driven by CCGs, remains uncertain and requires time for evaluation.
  • Logistical issues and ethical concerns are prominent during this period of change.
  • The impact on patient care, practitioner roles, and stakeholder perspectives is yet to be fully understood.