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Related Concept Videos

Secondary Healthcare System01:11

Secondary Healthcare System

2.2K
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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Patient-centered Care01:13

Patient-centered Care

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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...
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Documentation in Long-Term and Home Healthcare Setting01:29

Documentation in Long-Term and Home Healthcare Setting

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Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
1.7K
Traditional Level Of Health Care System01:26

Traditional Level Of Health Care System

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The levels of care describe the services provided in the healthcare system. Accordingly, there are six levels of the traditional healthcare system in the US: preventive, primary, secondary, tertiary, restorative, and continuing healthcare. A nurse must understand how the healthcare industry organizes and provides services within these levels of care.
The preventive healthcare service includes tests for screening. Preventive health care services include identifying and reducing disease risk...
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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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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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Related Experiment Video

Updated: Apr 16, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

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Is Self-Referral Associated with Higher Quality Care?

Craig Evan Pollack1, Afshin Rastegar2, Nancy L Keating3,4

  • 1Division of General Internal Medicine, Johns Hopkins School of Medicine, Baltimore, MD.

Health Services Research
|March 12, 2015
PubMed
Summary

A small percentage of cancer patients self-refer to specialists, with rates varying by race and income. This self-referral may impact quality of care and potentially worsen health disparities.

Keywords:
Self-referralcolorectal cancerlung cancerreferral

Related Experiment Videos

Last Updated: Apr 16, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
14:32

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

25.0K

Area of Science:

  • Oncology
  • Health Services Research
  • Health Disparities

Background:

  • Patient self-referral to cancer specialists is a pathway to care, but its prevalence and impact on quality are not well understood.
  • Understanding factors influencing self-referral is crucial for equitable cancer care delivery.

Purpose of the Study:

  • To determine the extent of patient self-referral to cancer specialists for lung and colorectal cancer.
  • To investigate the association between self-referral and patient-reported experiences and quality of care.

Main Methods:

  • Utilized data from the Cancer Care Outcomes Research and Surveillance Consortium (CanCORS).
  • Employed multivariable logistic regression and propensity score-weighted doubly robust models.
  • Analyzed data from 5,882 patients diagnosed with lung or colorectal cancer between 2003-2005.

Main Results:

  • 9.7% of lung cancer and 14.9% of colorectal cancer patients self-referred.
  • Black patients and those with lower socioeconomic status were less likely to self-refer.
  • Self-referral was linked to poorer communication ratings in lung cancer but improved odds of curative surgery in early-stage lung cancer.

Conclusions:

  • Self-referral to cancer specialists is uncommon but influenced by race and socioeconomic status.
  • The association of self-referral with quality of care suggests it may exacerbate existing health disparities.
  • Further research is needed to optimize referral pathways and ensure equitable access to cancer specialists.