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Related Concept Videos

Issues And Trends In Healthcare Delivery System01:29

Issues And Trends In Healthcare Delivery System

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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...
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Types of Reports III: Telephone and Verbal Reports01:26

Types of Reports III: Telephone and Verbal Reports

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Telephone and Verbal Reports in healthcare settings are two communication methods for conveying therapeutic instructions from healthcare providers to nurses or other healthcare staff.
Here's an overview of each type:
Telephone Orders
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Current Trends in Nursing II01:30

Current Trends in Nursing II

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Trends in nursing are multifactorial and associated with changes in society, within the nursing profession, and in other professions. Notably, telehealth and remote nursing contribute to successful healthcare delivery for numerous patients and help reduce stress for nurses due to nursing shortages. Nurses can reach patients, monitor their conditions, and interact with them using computers, audio, visual accessories, and telephones—for example, remote patient monitoring systems. Likewise,...
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Holter Monitor: 24-Hour Monitoring01:23

Holter Monitor: 24-Hour Monitoring

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Holter monitoring is a continuous electrocardiography (ECG) recording that tracks the heart's electrical activity over an extended period, generally 24 to 48 hours. This noninvasive diagnostic tool detects irregular heart rhythms that may not be captured during a standard ECG performed in a clinical setting.DeviceThe Holter monitor is a portable, small device connected to several electrodes on the patient's chest. These electrodes detect the heart's electrical signals and transmit them to the...
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Tertiary Healthcare System01:21

Tertiary Healthcare System

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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...
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Methods Of Healthcare Delivery System01:26

Methods Of Healthcare Delivery System

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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...
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Related Experiment Video

Updated: Apr 21, 2026

Intraoperative Video Consultation Following Bile Duct Transection Facilitates Direct OR Transfer for Robotic Hepaticojejunostomy at Tertiary Center
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Telemedicine: the slow revolution.

Jack W Moncrief

    Advances in Peritoneal Dialysis. Conference on Peritoneal Dialysis
    |October 24, 2014
    PubMed
    Summary

    Telemedicine, using interactive video, has evolved significantly since the 1950s, offering cost-effective remote medical care. Modern technology makes telemedicine accessible and affordable, with increasing Medicare reimbursement for underserved areas.

    Area of Science:

    • Medical Informatics
    • Telehealth Technology

    Background:

    • Interactive video for remote medical support dates back to the 1950s.
    • The Department of Defense recognized early the potential of telemedicine for military personnel.
    • The Texas Telemedicine Project (1989-1993) evaluated telemedicine delivery in central Texas.

    Purpose of the Study:

    • To establish and evaluate telemedicine delivery in central Texas.
    • To assess the feasibility and impact of remote medical care in underserved areas.

    Main Methods:

    • The Texas Telemedicine Project connected 6 sites, facilitating 1500 patient contacts between April 1991 and March 1993.
    • Post-project, an additional 12,000 patient contacts were made between 1993 and 1996.
    • Data collection focused on dialysis evaluations and primary care contacts.

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    Main Results:

    • The project demonstrated the capacity of telemedicine to deliver specialized care, including dialysis and psychiatric services.
    • Approximately 80% of post-project contacts were for dialysis evaluations, with 20% for primary care.
    • Initial costs exceeded $50,000 per site, contrasting with today's inexpensive, user-friendly technology.

    Conclusions:

    • Telemedicine technology has advanced significantly, becoming more affordable and accessible globally.
    • Current trends show increasing Medicare reimbursement and legislative support for expanding telemedicine services.
    • The evolution of telemedicine promises enhanced healthcare access, particularly for remote and underserved populations.