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Related Concept Videos

Issues And Trends In Healthcare Delivery System01:29

Issues And Trends In Healthcare Delivery System

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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
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Current Trends in Nursing II01:30

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Trends in nursing are multifactorial and associated with changes in society, within the nursing profession, and in other professions. Notably, telehealth and remote nursing contribute to successful healthcare delivery for numerous patients and help reduce stress for nurses due to nursing shortages. Nurses can reach patients, monitor their conditions, and interact with them using computers, audio, visual accessories, and telephones—for example, remote patient monitoring systems. Likewise,...
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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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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:
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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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Bridging the Technology Divide in the COVID-19 Era: Using Virtual Outreach to Expose Middle and High School Students to Imaging Technology
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Pandemic Telemedicine Adoption Trends in a Predominantly Rural Integrated Health System.

David K Vawdrey1, David Fletcher1, Tejal Raichura1

  • 1Geisinger, Danville, PA.

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Summary
This summary is machine-generated.

Telemedicine use surged during the COVID-19 pandemic, especially for specialty care. Virtual visits reduced patient travel, offering a valuable complement to in-person appointments.

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Area of Science:

  • Health Services Research
  • Digital Health
  • Pandemic Response

Background:

  • The SARS-CoV-2 pandemic significantly altered healthcare delivery, prompting a rapid adoption of telemedicine.
  • Non-emergent clinical services, including specialty care, were frequently converted to virtual encounters.
  • Telemedicine utilization fluctuated with pandemic waves between March 2020 and February 2022.

Purpose of the Study:

  • To analyze telemedicine utilization trends in a predominantly rural integrated health system.
  • To compare characteristics of virtual versus in-person specialty care visits.
  • To assess the impact of telemedicine on patient travel and resource allocation.

Main Methods:

  • Retrospective analysis of telemedicine and in-person visits for neurosurgery and gastroenterology specialists at Geisinger.
  • Comparison of patient demographics, diagnostic testing, prescription ordering, and post-visit utilization between virtual and in-person encounters.
  • Calculation of patient travel miles saved through virtual visits.

Main Results:

  • In December 2021 and January 2022, 5,390 virtual visits were compared to 15,740 in-person visits.
  • Differences in diagnostic testing and prescription patterns were observed between virtual and in-person visits, varying by specialty.
  • Virtual visits saved patients an estimated 174,700 miles of travel per month.

Conclusions:

  • Telemedicine played a crucial role in maintaining specialty care access during the pandemic.
  • Virtual visits offer significant benefits in reducing patient travel burden, particularly in rural settings.
  • Analysis of telemedicine patterns can guide future healthcare resource allocation and integration of virtual care.