Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Issues And Trends In Healthcare Delivery System01:29

Issues And Trends In Healthcare Delivery System

6.0K
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...
6.0K
Standards of Care I01:22

Standards of Care I

919
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:
919
Methods Of Healthcare Delivery System01:26

Methods Of Healthcare Delivery System

3.7K
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...
3.7K
Specialized Care Centers and Settings-II01:30

Specialized Care Centers and Settings-II

881
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...
881
Traditional Level Of Health Care System01:26

Traditional Level Of Health Care System

3.1K
The levels of care describe the services provided in the healthcare system. Accordingly, there are six levels of the traditional healthcare system in the US: preventive, primary, secondary, tertiary, restorative, and continuing healthcare. A nurse must understand how the healthcare industry organizes and provides services within these levels of care.
The preventive healthcare service includes tests for screening. Preventive health care services include identifying and reducing disease risk...
3.1K
Methods of Documentation VI: Case Management Model01:15

Methods of Documentation VI: Case Management Model

724
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
724

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Impact of an Educational Intervention on Job Satisfaction Among Home Health Aides: Findings from a Mixed-Methods Analysis of a Pilot Randomized Controlled Trial.

Home health care management & practice·2026
Same author

State Racism Index and physical function: The REasons for Geographic and Racial Differences in Stroke (REGARDS) study.

The journals of gerontology. Series A, Biological sciences and medical sciences·2026
Same author

Long-term safety and continued clinical benefit of erenumab 70 mg in Asian patients with chronic migraine: an open-label extension of the phase 3 DRAGON study.

The journal of headache and pain·2026
Same author

Early outpatient follow-up, hospital-free survival, and health-related quality of life in older adults after hospitalization for acute myocardial infarction.

Journal of hospital medicine·2026
Same author

Rising Incidence of Stage IV Breast Cancer-Are We Prepared?

JAMA network open·2026
Same author

Barriers to Medication Adherence and Mild Cognitive Impairment Among African Americans with Persistently Uncontrolled Hypertension: A Cross-sectional Analysis from the Southeastern Collaboration Trial.

Journal of general internal medicine·2026

Related Experiment Video

Updated: Nov 17, 2025

Bridging the Technology Divide in the COVID-19 Era: Using Virtual Outreach to Expose Middle and High School Students to Imaging Technology
09:55

Bridging the Technology Divide in the COVID-19 Era: Using Virtual Outreach to Expose Middle and High School Students to Imaging Technology

Published on: September 28, 2022

1.9K

Differences in ambulatory care fragmentation by race.

Lisa M Kern1, Mangala Rajan2, Lisandro D Colantonio3

  • 1Weill Cornell Medicine, 420 East 70th Street, Box 331, New York, NY, 10021, USA. lmk2003@med.cornell.edu.

BMC Health Services Research
|February 18, 2021
PubMed
Summary

Black race was associated with less fragmented ambulatory care due to fewer specialist visits. Further research is needed to understand fragmented care

Keywords:
Ambulatory careMedicareRace factors

More Related Videos

A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
14:43

A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting

Published on: January 12, 2018

12.3K
Signal Acquisition, Score Interpretation, and Economics of a Non-Invasive Point-of-Care Test for Coronary Artery Disease
06:16

Signal Acquisition, Score Interpretation, and Economics of a Non-Invasive Point-of-Care Test for Coronary Artery Disease

Published on: August 9, 2024

656

Related Experiment Videos

Last Updated: Nov 17, 2025

Bridging the Technology Divide in the COVID-19 Era: Using Virtual Outreach to Expose Middle and High School Students to Imaging Technology
09:55

Bridging the Technology Divide in the COVID-19 Era: Using Virtual Outreach to Expose Middle and High School Students to Imaging Technology

Published on: September 28, 2022

1.9K
A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
14:43

A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting

Published on: January 12, 2018

12.3K
Signal Acquisition, Score Interpretation, and Economics of a Non-Invasive Point-of-Care Test for Coronary Artery Disease
06:16

Signal Acquisition, Score Interpretation, and Economics of a Non-Invasive Point-of-Care Test for Coronary Artery Disease

Published on: August 9, 2024

656

Area of Science:

  • Health Services Research
  • Healthcare Disparities
  • Geriatric Medicine

Background:

  • Fragmented ambulatory care, involving numerous providers, is linked to increased healthcare utilization.
  • The relationship between race, socioeconomic status, and ambulatory care fragmentation remains unclear.

Purpose of the Study:

  • To investigate the association between race, income, education, and ambulatory care fragmentation among older adults.
  • To determine if race and socioeconomic factors predict healthcare fragmentation.

Main Methods:

  • Longitudinal analysis of REasons for Geographic and Racial Differences in Stroke (REGARDS) study data.
  • Included 6799 participants aged ≥65 years with Medicare claims and ≥4 ambulatory visits.
  • Used Tobit regression to assess associations between race, income, education, and fragmentation score (reversed Bice-Boxerman Index).

Main Results:

  • Black participants had a 3% lower fragmentation score compared to white participants, explained by lower specialist utilization.
  • Annual household income and educational attainment were not independent predictors of fragmentation.
  • Participants with the highest fragmentation saw a median of 7 providers in 12 months.

Conclusions:

  • Among Medicare beneficiaries, Black individuals exhibit less fragmented ambulatory care than White individuals, primarily due to reduced specialist care use.
  • Further investigation is required to elucidate the impact of fragmented care on health outcomes across racial groups.