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Related Concept Videos

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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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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Health Information Technology and Healthcare Information System01:30

Health Information Technology and Healthcare Information System

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Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
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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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Specialized Care Centers and Settings-II01:30

Specialized Care Centers and Settings-II

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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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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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Telehealth Use in a Rural State: A Mixed-Methods Study Using Maine's All-Payer Claims Database.

Yvonne C Jonk1, Amanda Burgess1,2, Martha Elbaum Williamson2

  • 1Maine Rural Health Research Center, Muskie School of Public Service, University of Southern Maine, Portland, Maine.

The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association
|October 21, 2020
PubMed
Summary
This summary is machine-generated.

Telehealth use in Maine increased 14-fold, driven by Medicaid, but remains low. Barriers like provider resistance and broadband access limit its adoption, especially in rural areas.

Keywords:
access to carequalitative researchtelehealthtelemedicineutilization of health services

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Area of Science:

  • Health Services Research
  • Rural Health
  • Digital Health

Background:

  • Maine, a rural state, has comprehensive telehealth policies.
  • Understanding telehealth adoption is crucial for improving healthcare access in rural settings.

Purpose of the Study:

  • Assess telehealth use trends across payers, services, and rurality in Maine.
  • Identify barriers and facilitators to telehealth adoption and use.

Main Methods:

  • Mixed-methods approach using Maine's All Payer Claims Database (2008-2016).
  • Key informant interviews with healthcare organization leaders.
  • Analysis of telehealth utilization and influencing factors.

Main Results:

  • Telehealth use increased 14-fold from 2008 to 2016, but remained low (0.28% in 2016).
  • Service utilization varied by rurality: speech-language pathology (SLP) in rural areas, psychiatric services in urban.
  • Medicaid was the primary payer (over 70%), driving the increase; provider resistance, shortages, and lack of broadband were key barriers.

Conclusions:

  • Medicaid claims significantly contributed to telehealth expansion in Maine.
  • Telehealth improves access to behavioral health and SLP services.
  • Provider shortages, broadband, and reimbursement policies limit rural telehealth use.