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Related Concept Videos

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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Continuing Care01:25

Continuing Care

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Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...
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Specialized Care Centers and Settings-II01:30

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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...
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Specialized Care Centers and Settings-I01:30

Specialized Care Centers and Settings-I

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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
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
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Restorative Care01:19

Restorative Care

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Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
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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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Improving IV Insulin Administration in a Community Hospital
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Diabetes intermediate care services in Hounslow.

Lauren Baines1, Hina Taylor2

  • 1Intercalating Medical Student.

London Journal of Primary Care
|May 8, 2015
PubMed
Summary

Primary care trusts (PCTs) are reducing referrals to secondary care diabetes services due to financial pressures. This led to the development of intermediate PCT-led services, like the Hounslow Diabetes Intermediate Care Service, to manage patient care effectively.

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Area of Science:

  • Health Services Research
  • Primary Care Medicine
  • Diabetes Management

Background:

  • Financial imperatives on primary care trusts (PCTs) necessitate savings through reduced secondary care referrals.
  • Referrals to secondary care diabetes services are a priority for many London PCTs.
  • This has spurred the creation of intermediate PCT-led diabetes services across London.

Purpose of the Study:

  • To document the journey and establishment of the Hounslow Diabetes Intermediate Care Service.
  • To provide insights for other PCTs developing similar intermediate diabetes services.
  • To highlight a successful model of PCT-led diabetes intermediate care.

Main Methods:

  • Case study of the Hounslow Diabetes Intermediate Care Service.
  • Qualitative assessment of the service's development and implementation.
  • Analysis of the factors contributing to its establishment.

Main Results:

  • The Hounslow Diabetes Intermediate Care Service has become well-established.
  • The service demonstrates a viable model for PCTs seeking to manage diabetes care internally.
  • The journey highlights the challenges and successes in developing intermediate care services.

Conclusions:

  • Intermediate PCT-led diabetes services are a response to financial pressures in primary care.
  • The Hounslow model offers valuable lessons for other PCTs aiming to establish similar services.
  • Successful implementation requires careful planning and adaptation to local needs.