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Related Concept Videos

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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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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Primary Healthcare Services01:30

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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

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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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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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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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Planning for Ancillary Care Provision: Lessons From the Developing World.

Nora Jacobson1, Anna Krupp2, Barbara J Bowers2

  • 1University of Wisconsin-Madison, USA najacobson@wisc.edu.

Journal of Empirical Research on Human Research Ethics : JERHRE
|March 21, 2016
PubMed
Summary

Participants from underrepresented communities view research as a way to access healthcare. Researchers must consider ethical obligations, like ancillary care, due to existing health disparities and barriers.

Keywords:
ancillary careresearch participationunderrepresented populations

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Area of Science:

  • Public Health
  • Bioethics
  • Health Disparities Research

Background:

  • Underrepresented populations often face significant barriers to healthcare access in the United States.
  • Health disparities persist, particularly in lower-income and minority communities.
  • Volunteering for research is sometimes perceived as a pathway to obtaining medical care.

Purpose of the Study:

  • To explore the expectations of individuals from underrepresented communities regarding health research participation.
  • To examine the ethical considerations for researchers when engaging communities with limited healthcare access.
  • To assess the concept of a "fair exchange" in research involving vulnerable populations.

Main Methods:

  • Qualitative exploration of participant expectations in Madison, Wisconsin.
  • Ethical analysis of researcher obligations.
  • Review of empirical research from developing countries regarding ancillary care.

Main Results:

  • Participants viewed research involvement as a means to access healthcare services.
  • The study identified a potential imbalance in the "fair exchange" between researchers and participants.
  • Ethical frameworks for providing ancillary care were considered.

Conclusions:

  • Researchers must acknowledge and address structural barriers to healthcare when recruiting participants.
  • The assumption of a "fair exchange" in research is challenged by existing health disparities.
  • Investigators have ethical obligations to consider providing ancillary care to participants from underserved communities.