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Related Concept Videos

Integrated Healthcare System01:20

Integrated Healthcare System

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An integrated healthcare system (IHS) is a set of organizations that provides for or arranges to provide coordinated and continuous service to a defined population. The IHS takes responsibility for that particular population's health status and outcome, both clinically and fiscally. An integrated healthcare system is a well-organized, well-coordinated, and collaborative network. The integrated delivery system is a network that connects different healthcare providers to deliver organized,...
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Interdisciplinary Care: The Health Care Team-II01:18

Interdisciplinary Care: The Health Care Team-II

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An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care. Here are a few more healthcare professionals.
Physical Therapist
A physical therapist (PT) aims to restore function or prevent additional impairment in a patient following an injury or disease. Massage, heat, cold, water, sonar waves, exercises, and electrical stimulation are some treatments used by PTs to treat...
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Interdisciplinary Care: The Health Care Team-I01:21

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An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care.
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution...
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Nursing Clinical Information System01:27

Nursing Clinical Information System

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Nursing Clinical Information System (NCIS)
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
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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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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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Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion
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Beyond integrated care.

Thomas Plochg1,2, Stefania Ilinca3, Mirko Noordegraaf4

  • 1Assistant Professor, Department of Public Health, Academic Medical Center, University of Amsterdam, Amsterdam, the Netherlands.

Journal of Health Services Research & Policy
|April 22, 2017
PubMed
Summary
This summary is machine-generated.

Integrated care alone is insufficient for healthcare reform. Focusing on workforce adaptability and customizing medical expertise offers a more sustainable and effective approach to improving patient health outcomes, especially for those with multiple conditions.

Keywords:
integrated caresociology of professionssystems thinking

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Area of Science:

  • Health Services Research
  • Medical Workforce Development
  • Healthcare Management

Background:

  • Integrated care is a current priority in healthcare systems.
  • However, simply increasing integration may not resolve healthcare crises.
  • Viewing integrated care as an end goal, rather than a means to improve performance, is problematic.

Purpose of the Study:

  • To critically evaluate the limitations of integrated care as a sole solution.
  • To propose an alternative strategy focusing on medical workforce transformation.
  • To reframe integrated care as a tool for change, not the ultimate objective.

Main Methods:

  • Conceptual analysis of current healthcare integration models.
  • Examination of the impact of workforce specialization on integrated care.
  • Exploration of adaptive medical expertise for patient-centered care.

Main Results:

  • Overly specialized medical workforces in integrated care systems are resource-intensive and offer limited benefits for patients with multi-morbidity.
  • Transformative change within the medical workforce, fostering adaptability, is a more sustainable approach.
  • Empowering doctors to customize expertise enhances their ability to support patient self-management and healing.

Conclusions:

  • Integrated care should be viewed as one mechanism to facilitate transformative change, not the final goal.
  • Developing an adaptive medical workforce is crucial for addressing current and future health challenges.
  • Healthcare leaders should prioritize internal workforce development for more effective and sustainable healthcare delivery.