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Related Concept Videos

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...
Specialized Care Centers and Settings-II01:30

Specialized Care Centers and Settings-II

Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
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...
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:
Methods of Documentation VII: EMR01:30

Methods of Documentation VII: EMR

Electronic Medical Records (EMRs) primarily center around electronically documenting patients' health information within a single healthcare organization or practice. They contain essential clinical data related to a patient's medical history, diagnoses, medications, treatment plans, lab results, and other pertinent information relevant to the specific encounter or episode of care. EMRs are designed to streamline documentation and workflow processes within individual healthcare settings,...
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...

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Updated: May 10, 2026

Signal Acquisition, Score Interpretation, and Economics of a Non-Invasive Point-of-Care Test for Coronary Artery Disease
06:16

Signal Acquisition, Score Interpretation, and Economics of a Non-Invasive Point-of-Care Test for Coronary Artery Disease

Published on: August 9, 2024

Does providing care for uninsured patients decrease emergency room visits and hospitalizations?

Ted Mackinney1, Alexis M Visotcky, Sergey Tarima

  • 1Department of Medicine, Division of General Internal Medicine, Medical College of Wisconsin, Milwaukee, WI, USA.

Journal of Primary Care & Community Health
|June 27, 2013
PubMed
Summary
This summary is machine-generated.

Free primary care access did not reduce costly healthcare use in the first year. Further study is needed to determine if longer access to primary care services impacts healthcare utilization.

Keywords:
community healthhealth outcomesimpact evaluationprimary careprogram evaluation

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A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings
06:59

A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings

Published on: November 9, 2016

Related Experiment Videos

Last Updated: May 10, 2026

Signal Acquisition, Score Interpretation, and Economics of a Non-Invasive Point-of-Care Test for Coronary Artery Disease
06:16

Signal Acquisition, Score Interpretation, and Economics of a Non-Invasive Point-of-Care Test for Coronary Artery Disease

Published on: August 9, 2024

A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings
06:59

A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings

Published on: November 9, 2016

Area of Science:

  • Health Services Research
  • Public Health
  • Healthcare Economics

Background:

  • Access to primary care is hypothesized to reduce costly healthcare utilization among uninsured populations.
  • Prevention and early treatment through primary care can mitigate the need for expensive medical interventions.
  • This study investigates the impact of a free primary care program on healthcare usage patterns.

Purpose of the Study:

  • To evaluate whether immediate access to free primary care reduces emergency room (ER) visits and hospitalizations in uninsured, low-income adults.
  • To compare the effects of immediate versus delayed access to primary care services.
  • To test the hypothesis that primary care access decreases the use of more costly healthcare services.

Main Methods:

  • A comparative study design was employed, analyzing data from uninsured, low-income adults.
  • Participants were divided into groups receiving immediate versus delayed access to a free primary care program.
  • Emergency room visits and hospitalizations were tracked for 12 months before and after program enrollment or waitlist entry.

Main Results:

  • Hospitalizations decreased in both immediate and delayed access groups (6.0% vs 8.8% decrease).
  • Emergency room use also showed a reduction in both groups (11.2% vs 15.4% decrease).
  • Despite reductions, the first year of free primary care services did not significantly decrease the use of more costly healthcare services.

Conclusions:

  • Free primary care services, including specialty consultation, did not reduce the utilization of more costly healthcare services within the first year.
  • The findings suggest that a longer duration of primary care availability may be necessary to observe a more substantial impact on healthcare utilization.
  • Further research is warranted to understand the long-term effects of sustained primary care access on healthcare costs and outcomes.