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Related Concept Videos

Introduction To Health Care Delivery System01:18

Introduction To Health Care Delivery System

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The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
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Methods Of Healthcare Delivery System01:26

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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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Standards of Care II01:19

Standards of Care II

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Nurses bear specific legal responsibilities under several federal statutes, including:
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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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Guidelines for Writing Outcome01:11

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When developing expected outcomes for a patient care plan, the nurse should adhere to the following recommendations:
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
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Standards of Care I01:22

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Federal statutes profoundly impact nursing practice, providing critical guidelines to ensure patient care is equitable, accessible, and of the highest quality. The following laws address distinct aspects of healthcare provision and patient rights:
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Related Experiment Video

Updated: Mar 9, 2026

Model Surgical Training: Skills Acquisition in Fetoscopic Laser Photocoagulation of Monochorionic Diamniotic Twin Placenta Using Realistic Simulators
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Achieving higher-value obstetrical care.

Victoria G Woo1, Tiffany Lundeen2, Sierra Matula3

  • 1Clinical Excellence Research Center, Stanford University, Stanford, CA; Department of Obstetrics and Gynecology, Kaiser Permanente Medical Center, Oakland, CA.

American Journal of Obstetrics and Gynecology
|January 3, 2017
PubMed
Summary
This summary is machine-generated.

US obstetrical care is expensive. Implementing three key changes—postpartum contraception, tailored prenatal care, and integrated birth centers—could lower US maternity care costs by 28%.

Keywords:
birth centerscostgroup carehealthcare redesignhigh value careoutpatient birth centerpostpartum LARCreduced prenatal visitsvalue

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Area of Science:

  • Healthcare economics
  • Maternal health services
  • Health systems research

Background:

  • Obstetrical care in the US is a leading cause of healthcare expenditure.
  • US spending per birth significantly exceeds that of other developed nations without superior outcomes.

Purpose of the Study:

  • To identify strategies for improving the value of obstetrical care in the United States.
  • To propose actionable redesign steps for delivering higher-value maternity care.

Main Methods:

  • A year-long study by the Clinical Excellence Research Center focused on reducing costs and improving outcomes in US obstetrical care.
  • Identified three key redesign recommendations for maternity care delivery.

Main Results:

  • Recommended providing long-acting reversible contraception immediately postpartum.
  • Suggested tailoring prenatal care through efficient models like group care or fewer visits.
  • Proposed establishing hospital-affiliated integrated outpatient birth centers for low-risk births.

Conclusions:

  • Implementing these three redesign steps can significantly enhance the value of maternity care.
  • Nationwide adoption of this model could potentially reduce US annual healthcare spending on obstetrical care by up to 28%.