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Related Concept Videos

Primary Healthcare Services01:30

Primary Healthcare Services

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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.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
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Interdisciplinary Care: The Health Care Team-II01:18

Interdisciplinary Care: The Health Care Team-II

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An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care. Here are a few more healthcare professionals.
Physical Therapist
A physical therapist (PT) aims to restore function or prevent additional impairment in a patient following an injury or disease. Massage, heat, cold, water, sonar waves, exercises, and electrical stimulation are some treatments used by PTs to treat...
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Interdisciplinary Care: The Health Care Team-I01:21

Interdisciplinary Care: The Health Care Team-I

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An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care.
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution...
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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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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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"This Is What I Acquired in the Military, I Want to Keep It at the VA": Healthcare Perspectives and Preferences Among Rural American Indian/Alaska Native Women Veterans.

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Infusing geriatrics in Indian Health Service general primary care clinics: Extending VA workforce development

B Josea Kramer1,2, Nancy T Weintraub1,2, Regina A Richter-Lagha1

  • 1VA Greater Los Angeles Healthcare System, Geriatric Research, Education, Clinical Center, North Hills, USA.

Gerontology & Geriatrics Education
|April 4, 2022
PubMed
Summary

The Veterans Health Administration (VA) Geriatric Scholars Program improved care for elders in Indian Health Service (IHS) clinics. Training enhanced recognition of risks, geriatric assessments, and team communication, demonstrating the value of federal resource sharing.

Keywords:
Indian Health ServiceInterprofessional EducationRuralVA

Related Experiment Videos

Area of Science:

  • Geriatric Medicine
  • Public Health
  • Interprofessional Education

Background:

  • The Veterans Health Administration (VA) and Indian Health Service (IHS) collaborate on resource sharing, including education.
  • The VA Geriatric Scholars Program offers training in team-based primary care for elders.

Purpose of the Study:

  • To evaluate the practical impact of the VA Geriatric Scholars Program training on clinicians in IHS and Tribal Health Programs.
  • To assess improvements in recognizing geriatric syndromes, conducting assessments, and interprofessional communication.

Main Methods:

  • A mixed-methods approach was used, combining quantitative and qualitative data from an evaluation survey.
  • Surveys were administered at five clinics across diverse geographic regions (Northwestern Plains, Southwest, Pacific Coast, Alaska).
  • Quantitative analysis focused on self-reported intentions and abilities; qualitative analysis examined open-ended responses on team-based care.

Main Results:

  • Significant improvements were reported in recognizing potential elder health and safety risks (t(49) = 8.0233, p < .001).
  • Participants reported increased comfort with geriatric assessments and confidence in interprofessional team-based communication.
  • Qualitative data indicated intentions to improve team-based care, including enhanced clinical skills and organizational factors.

Conclusions:

  • The VA Geriatric Scholars Program effectively enhances the skills and confidence of clinicians serving elder populations in IHS and Tribal Health Programs.
  • Sharing educational resources between federal partners like the VA and IHS provides significant value to participating clinicians and programs.
  • The training positively impacts team-based care delivery for elders, highlighting the benefits of interagency collaboration.