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Related Concept Videos

Primary Healthcare Services01:30

Primary Healthcare Services

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Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
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Secondary Healthcare System01:11

Secondary Healthcare System

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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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Preventive Healthcare Services01:30

Preventive Healthcare Services

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Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:
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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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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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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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Related Experiment Video

Updated: Mar 28, 2026

Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform
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Incorporating shared savings programs into primary care: from theory to practice.

Arthur P Hayen1,2, Michael J van den Berg3, Bert R Meijboom4

  • 1Tilburg School of Social and Behavioral Sciences, dpt. Tranzo (Scientific center for care and welfare), Tilburg University, Address: PO Box 90153, 5000, Tilburg, LE, The Netherlands. a.p.hayen@tilburguniversity.edu.

BMC Health Services Research
|December 31, 2015
PubMed
Summary

Shared savings programs incentivize primary care physicians to improve healthcare quality and manage costs. This structured approach, applied in the Netherlands, aims to enhance primary care sustainability.

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Area of Science:

  • Health Services Research
  • Health Economics
  • Primary Care Policy

Background:

  • Healthcare policies increasingly focus on empowering primary care physicians.
  • Traditional payment models lack incentives for physicians to manage overall spending and quality.
  • Shared savings programs offer a novel approach to incentivize physician accountability for cost and quality outcomes.

Purpose of the Study:

  • To provide a structured framework for designing shared savings programs in primary care.
  • To apply this framework to develop a shared savings program for a Dutch primary care provider network.
  • To pilot the designed shared savings program within the Dutch healthcare system.

Main Methods:

  • Defined five core building blocks for shared savings models: scope, expenditure calculation, savings benchmark, savings assessment, and sharing rules.
  • Utilized literature insights to evaluate design choices within each building block.
  • Employed an econometric model for casemix-corrected expenditure benchmarks.

Main Results:

  • Shared savings programs require careful design to minimize risk for payers and providers.
  • Primary care settings offer advantages for achieving targets due to established patient relationships and stable populations.
  • Challenges include the fragmented structure and small provider size within the Dutch healthcare system.

Conclusions:

  • Shared savings programs align with the principles of enhanced primary care.
  • Integrating shared savings into existing payment models can support the financial viability of enhanced primary care.
  • This approach offers a pathway to improve both quality and cost-efficiency in primary care delivery.