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Hospitals-I

Hospitals-I

Hospitals offer medical and surgical care to the sick and injured, along with accommodation while they recover. At the same time, they also provide outpatient, emergency, psychiatric, and rehabilitation services to meet various community needs. In addition to providing medical care, hospitals also act as hubs for medical research and training. Hospitals use clinical procedures and evidence-based practice standards to deliver patient care. To deliver safe and efficient care, a nurse must stay up...

Hospitals-II

Hospitals-II

Hospitals provide inpatient and outpatient services. Inpatient services provide care to patients that stay in the hospital for an extended period, ranging from days to months. Examples of inpatient services include intensive care units, hospital wards, or surgeries. Outpatient services provide care to patients who come to a hospital for a diagnostic or treatment but do not stay overnight —for example, diagnostic tests, surgical procedures, or health education.
Nurses that work in hospitals have...

Specialized Care Centers and Settings-II

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...

Tertiary Healthcare System

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...

Secondary Healthcare System

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...

Specialized Care Centers and Settings-I

Specialized Care Centers and Settings-I

Specialized care settings or centers are situated in convenient locations within the community and offer care to a specific group or population. They consist of daycare facilities, mental health facilities, rural health facilities, educational institutions, industries, shelters for the homeless, and rehabilitation facilities.
Daycare centers
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Related Experiment Video

Updated: May 8, 2026

Intraoperative Video Consultation Following Bile Duct Transection Facilitates Direct OR Transfer for Robotic Hepaticojejunostomy at Tertiary Center

Intraoperative Video Consultation Following Bile Duct Transection Facilitates Direct OR Transfer for Robotic Hepaticojejunostomy at Tertiary Center

Published on: January 9, 2026

[Hospitals as vital links].

¹Vrije Universiteit, afd. Sociologie, Amsterdam.

Nederlands Tijdschrift Voor Geneeskunde

|August 16, 2013

Summary

Healthcare reforms improved efficiency but increased overtreatment. Proposed solutions include volume caps, regional collaboration, and hospital fusions, alongside a new strategy focusing on quality improvement to reduce costs and complications.

Area of Science:

Health Services Research
Healthcare Management
Health Economics

Background:

The 2006 healthcare system reform aimed to enhance efficiency and reduce waiting lists.
Performance-linked funding and regulated competition initially improved healthcare efficiency.

Purpose of the Study:

To analyze the unintended consequence of increased overtreatment and volume growth post-reform.
To evaluate existing cost-control strategies and propose an alternative approach.

Main Methods:

Commentary on three proposed cost-control strategies: volume caps, regional collaboration with profit-sharing, and hospital fusions.
Argument for a fourth strategy centered on quality improvement.

Main Results:

Related Experiment Videos

Last Updated: May 8, 2026

Intraoperative Video Consultation Following Bile Duct Transection Facilitates Direct OR Transfer for Robotic Hepaticojejunostomy at Tertiary Center

Intraoperative Video Consultation Following Bile Duct Transection Facilitates Direct OR Transfer for Robotic Hepaticojejunostomy at Tertiary Center

Published on: January 9, 2026

The reform led to improved efficiency but also to overtreatment and increased healthcare volume.

Existing strategies aim to control costs through volume limitation and consolidation.

The proposed fourth strategy suggests quality improvement reduces complications and overtreatment.

Conclusions:

Healthcare quality improvement can decrease complications, overtreatment, and overall healthcare burden.
Insurers need to adapt contract management and payment methods to incentivize quality-based competition.