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Continuing Care01:25

Continuing Care

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Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...
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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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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:
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Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
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Tertiary Healthcare System01:21

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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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Palliative Care in High and Low Resource Countries.

Rejin Kebudi1, Fatma Betul Cakir2, Michael Silbermann3

  • 1Pediatric Hematology and Oncology, Istanbul University, Oncology Institute, Istanbul, Turkey.

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|April 6, 2021
PubMed
Summary

Palliative Care (PC) improves quality of life for patients and caregivers. Global PC development varies significantly, with limited access in low-income regions despite its importance.

Keywords:
Palliative carecoordination.human development indexindividualized care planningpain managementpediatric palliative care

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Area of Science:

  • Global Health
  • Oncology
  • Palliative Care

Background:

  • Palliative Care (PC), defined by WHO, enhances patient and caregiver quality of life throughout illness.
  • PC focuses on symptom and side effect management, crucial for advanced cancer patients.
  • Significant global disparities exist in PC access, particularly in low-income countries.

Purpose of the Study:

  • To highlight the global disparities in Palliative Care (PC) provision.
  • To introduce a framework for categorizing global PC development.
  • To emphasize the role of spirituality and Complementary and Traditional Medicine (CTM) in PC.

Main Methods:

  • Review of global PC development indicators (policy, education, service provision).
  • Categorization of global PC development into distinct groups (1-4b).
  • Discussion of the Individualized Care Planning and Coordination (ICPC) Model.

Main Results:

  • PC is well-established in high-income nations but scarce in low-income settings.
  • Global PC development is categorized into five stages, from no activity to advanced integration.
  • Spirituality is integral to PC, and CTM is prevalent in some regions.

Conclusions:

  • Addressing global inequities in PC access is critical.
  • The ICPC Model offers a structured approach to advance care planning.
  • Integrated PC, incorporating spiritual and traditional elements, is essential for comprehensive patient and family support.