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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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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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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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The Availability Heuristic01:08

The Availability Heuristic

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A heuristic is a general problem-solving framework (Tversky & Kahneman, 1974). You can think of these as mental shortcuts that are used to solve problems. Different types of heuristics are used in different types of situations, and the impulse to use a heuristic occurs when one of five conditions is met (Pratkanis, 1989):
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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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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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Related Experiment Video

Updated: Aug 5, 2025

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

Published on: August 9, 2024

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Association Between Primary Care Availability and Emergency Medical Services Utilization.

Gregory Jasani1, Yuanyuan Liang2, Bryan McNeilly3

  • 1Department of Emergency Medicine, University of Maryland School of Medicine, Baltimore, Maryland.

The Journal of Emergency Medicine
|March 29, 2023
PubMed
Summary
This summary is machine-generated.

Increased primary care access reduces emergency medical services (EMS) use, but only if community insurance coverage exceeds 90%. Insurance coverage is key to lowering EMS utilization and enhancing primary care

Keywords:
EMSaccess to careemergency medical serviceshealth policyinsuranceprimary caresocial determinants of health

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Area of Science:

  • Health Services Research
  • Public Health Policy
  • Emergency Medicine

Background:

  • Emergency medical services (EMS) provide critical, time-sensitive care for acute illnesses.
  • Understanding factors influencing EMS utilization is crucial for resource allocation and policy development.
  • Enhanced primary care access is often proposed as a strategy to reduce non-urgent emergency care use.

Purpose of the Study:

  • To investigate the relationship between primary care access and EMS utilization.
  • To determine if increased primary care availability correlates with decreased EMS usage.

Main Methods:

  • Analysis of U.S. county-level data.
  • Utilized data from the National Emergency Medical Services Information System, Area Health Resources Files, and County Health Rankings and Roadmaps.
  • Examined the association between primary care access, insurance coverage, and EMS utilization.

Main Results:

  • Higher primary care availability was linked to decreased EMS utilization.
  • This association was significant only in communities where insurance coverage exceeded 90%.

Conclusions:

  • Community insurance coverage significantly influences EMS utilization.
  • Insurance coverage plays a critical role in mediating the impact of primary care physician availability on EMS use.