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Primary Healthcare Services

Primary Healthcare Services

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...

Preventive Healthcare Services

Preventive Healthcare Services

Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:

Specialized Care Centers and Settings-I

Specialized Care Centers and Settings-I

Specialized care settings or centers are situated in convenient locations within the community and offer care to a specific group or population. They consist of daycare facilities, mental health facilities, rural health facilities, educational institutions, industries, shelters for the homeless, and rehabilitation facilities.
Daycare centers
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Nursing Evaluation

Nursing Evaluation

The evaluation stage signals the end of the nursing process. The nurse gathers evaluative data to assess whether or not the patient has attained the expected results. Whereas the nurse collects data in the nursing assessment to identify the patient's health concerns, the evaluation stage data determines if the indicated health issues are resolved. Evaluative data collection includes two sections: the data acquired to evaluate patient outcomes and the time criteria for data collection.

Patient-centered Care

Patient-centered Care

Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...

Nursing Assessment

Nursing Assessment

The two sources for collecting information are primary and secondary. After gathering information, interpretation and validation help to complete the data. The purpose of assessment is to establish data with the initial information, to interpret data about the patient's perceived needs and health problems, and to respond to these problems identified.
The nurse collects all aspects of the patient's health in the initial assessment, establishing priorities for ongoing focused assessments...

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Related Experiment Video

Updated: Jun 3, 2025

Measuring the Functional Abilities of Children Aged 3-6 Years Old with Observational Methods and Computer Tools

Measuring the Functional Abilities of Children Aged 3-6 Years Old with Observational Methods and Computer Tools

Published on: June 20, 2020

Improving Access to Early Developmental Evaluation in Academic Primary Care Centers.

Zeina M Samaan¹, Pamela Williams-Arya², Kristen Copeland¹

¹From the Division of General and Community Pediatrics, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, OHIO.

Pediatric Quality & Safety

|January 13, 2025

Summary

Early intervention for developmental disorders (DDs) is crucial. A new scheduling process doubled the rate of children aged 3-5 completing developmental evaluations within 90 days, improving access to care.

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Last Updated: Jun 3, 2025

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Area of Science:

Pediatrics
Developmental Psychology
Health Services Research

Background:

Developmental disorders (DDs) affect 1 in 6 US children, with early identification and treatment significantly improving outcomes.
Disparities in DD diagnosis lead to inequitable access to crucial developmental services during critical neuroplasticity periods.
Improving access to developmental evaluations for preschool-aged children (3-5 years) is essential for timely diagnosis and intervention.

Purpose of the Study:

To enhance access to developmental and behavioral pediatrics (DBP) clinics for children aged 3-5 experiencing developmental delays.
To increase the percentage of children who schedule and complete an initial DBP visit within 90 days from 20% to 40%.

Main Methods:

Utilized the Institute of Health Improvement model, including failure modes and effects analysis, a key driver diagram, and plan-do-study-act cycles.
Implemented an expedited, collaborative referral and scheduling process between general pediatric clinics and DBP stakeholders.
Incorporated additional interventions such as reminder notifications and calls for missed appointments.

Main Results:

The percentage of referred patients who scheduled and completed their initial DBP visit within 90 days increased from 20% to 40%.
DBP clinicians identified children with global developmental delay and/or autism spectrum disorder for further specialized testing.
The quality improvement initiative successfully improved access to developmental evaluations.

Conclusions:

Quality improvement methodologies, focusing on flexible scheduling within the medical home, can effectively improve access to developmental evaluations.
This approach addresses disparities and ensures timely diagnosis and treatment for preschool-aged children at risk for developmental delays.
Enhanced access to DBP services facilitates better developmental outcomes for young children and their families.