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Related Concept Videos

Introduction To Health Care Delivery System01:18

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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.
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Cost Containment
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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.
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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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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
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Learning healthcare systems: a perspective from the US.

Andrew B Bindman1

  • 1Philip R. Lee Institute for Health Policy Studies, University of California, San Francisco, US; andrew.bindman@ucsf.edu.

Public Health Research & Practice
|October 1, 2019
PubMed
Summary

Healthcare organizations are becoming learning healthcare systems to improve care quality and reduce costs. Success depends on perceived return on investment, available resources, and accountability pressures for cost and quality management.

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Area of Science:

  • Healthcare Management
  • Health Services Research
  • Translational Science

Background:

  • Healthcare organizations face evolving payment models emphasizing cost and quality accountability.
  • There is a growing need for healthcare systems to integrate evidence into practice efficiently.
  • Learning healthcare systems aim to systematically generate, adopt, and apply evidence for quality improvement.

Purpose of the Study:

  • To examine the factors influencing the development of learning healthcare systems in the US.
  • To understand how healthcare organizations are adapting to new payment models driving evidence-based practice.

Main Methods:

  • The study analyzes the environmental changes and motivations for healthcare organizations to transform.
  • It considers the role of new payment models in fostering accountability for cost and quality.
  • The research identifies key determinants for the successful implementation of learning healthcare systems.

Main Results:

  • Healthcare organizations are actively developing capabilities to function as learning healthcare systems.
  • The transformation pace is contingent upon perceived return on investment from these initiatives.
  • Availability of internal/external resources and external accountability pressures are critical factors.

Conclusions:

  • The transition to learning healthcare systems is influenced by financial incentives and resource availability.
  • Healthcare organizations must strategically manage investments and resources to accelerate evidence adoption.
  • External pressures for accountability in cost and quality are significant drivers for system transformation.