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Related Concept Videos

Methods Of Healthcare Delivery System01:26

Methods Of Healthcare Delivery System

3.9K
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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Methods of Documentation VI: Case Management Model01:15

Methods of Documentation VI: Case Management Model

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The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
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Health Information Technology and Healthcare Information System01:30

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Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
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Chronic Obstructive Pulmonary Disease-V: Management01:29

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Managing Chronic Obstructive Pulmonary Disease (COPD) involves a multifaceted approach to reduce symptoms, prevent exacerbations, improve overall health status, and slow disease progression. Key strategies include lifestyle modifications, pharmacotherapy, supportive therapies, and, in some cases, surgery. Here is an overview of the primary COPD management strategies:
Smoking Cessation
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Healthcare Associated Infections II: Preventive Measures01:22

Healthcare Associated Infections II: Preventive Measures

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Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
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Methods of Documentation II: POMR01:26

Methods of Documentation II: POMR

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The Problem-Oriented Medical Record (POMR) revolutionized medical record-keeping by introducing a systematic approach focusing on the patient's problems rather than merely listing symptoms. Dr. Lawrence Weed's introduction of this method in the 1960s marked a significant advancement in medical documentation. The POMR framework consists of four key components: the database, problem list, plan of care, and progress notes.
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Related Experiment Video

Updated: Apr 21, 2026

Inverse Probability of Treatment Weighting Propensity Score using the Military Health System Data Repository and National Death Index
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Utilization management as a cost-containment strategy.

Howard L Bailit, Cary Sennett

    Health Care Financing Review
    |November 6, 2014
    PubMed
    Summary
    This summary is machine-generated.

    Utilization management (UM) reduces hospital days but has limited impact on overall healthcare costs. Future electronic systems may improve UM acceptance by providers and patients.

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    Area of Science:

    • Health Services Research
    • Healthcare Management
    • Public Health Policy

    Background:

    • Utilization management (UM) is a standard practice in health plans.
    • Hospital review, a key UM component, has historically reduced bed days and slowed cost increases.

    Purpose of the Study:

    • To evaluate the impact of traditional UM on healthcare costs.
    • To explore future directions for UM in healthcare.

    Main Methods:

    • Analysis of the impact of hospital review on healthcare utilization and costs.
    • Discussion of the role of technology and clinical guidelines in future UM.

    Main Results:

    • Hospital review has shown limited success in reducing aggregate healthcare costs due to rising unmanaged services.
    • Prospective case-level reviews may become less necessary with technological advancements.

    Conclusions:

    • UM strategies need to evolve beyond traditional hospital reviews.
    • Enhanced electronic connectivity and decision-support systems can improve UM efficiency and provider/patient acceptance.