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Related Concept Videos

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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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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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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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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Methods of Documentation VII: EMR01:30

Methods of Documentation VII: EMR

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Electronic Medical Records (EMRs) primarily center around electronically documenting patients' health information within a single healthcare organization or practice. They contain essential clinical data related to a patient's medical history, diagnoses, medications, treatment plans, lab results, and other pertinent information relevant to the specific encounter or episode of care. EMRs are designed to streamline documentation and workflow processes within individual healthcare...
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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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Updated: Oct 20, 2025

Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform
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Remote Death Certification Using Telemedicine in Japan.

Kemmyo Sugiyama1,2, Shintaro Yanaka3, Toshiaki Yasuda4

  • 1International Oral Health Science, Tohoku University Graduate School of Dentistry, Japan.

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This study details Japan

Keywords:
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Area of Science:

  • Geriatrics
  • Palliative Care
  • Medical Informatics

Background:

  • Addressing end-of-life care challenges for elderly patients with advanced illnesses.
  • Exploring solutions for physician accessibility in remote or underserved areas.
  • Investigating the role of technology in modern healthcare delivery.

Observation:

  • A 92-year-old woman with dementia and gastric cancer received end-of-life care.
  • Informed consent for remote death certification was obtained from a family member.
  • A registered nurse conducted a physical examination post-cardiopulmonary arrest.

Findings:

  • Telemedicine facilitated remote physician supervision for the physical examination.
  • Death certification was successfully completed using remote methods.
  • This represents the first reported case of telemedicine-assisted remote death certification in Japan.

Implications:

  • Demonstrates the feasibility of remote death certification in specific contexts.
  • Highlights the potential of telemedicine to support end-of-life care in remote settings.
  • Suggests a model for overcoming geographical barriers in medical certification.