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Related Concept Videos

Introduction To Health Care Delivery System01:18

Introduction To Health Care Delivery System

The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
Methods Of Healthcare Delivery System01:26

Methods Of Healthcare Delivery System

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 limited...
Secondary Healthcare System01:11

Secondary Healthcare System

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...
Issues And Trends In Healthcare Delivery System01:29

Issues And Trends In Healthcare Delivery System

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
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Integrated Healthcare System01:20

Integrated Healthcare System

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,...
Health Information Technology and Healthcare Information System01:30

Health Information Technology and Healthcare Information System

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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Related Experiment Video

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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
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Bridging Gaps: Provider Perspectives on Integrating Systems for Health Equity.

Brittany R Schuler1, Stacey L Shipe2, Astrid Uhl1

  • 1School of Social Work, College of Public Health, Temple University, 1301 Cecil B. Moore Ave., Ritter Annex 549, Philadelphia, PA 19122, USA.

International Journal of Environmental Research and Public Health
|April 26, 2025
PubMed
Summary

Community-based organizations (CBOs) face system barriers impacting child and family health equity. Addressing multilevel factors like policy, community, and organizational support is crucial for equitable service delivery.

Keywords:
children and familiescommunity organizationshealth and mental health professionalslow socioeconomic statusqualitativesocial work

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Area of Science:

  • Public Health
  • Health Equity Research
  • Community Health Systems

Background:

  • Health equity is influenced by intersecting factors within community-based organizations (CBOs).
  • Providers in underserved areas are key access points for child development, mental health, and behavioral support.
  • System-level barriers impede service delivery and access for vulnerable families.

Purpose of the Study:

  • To explore provider perspectives on barriers to service delivery in CBOs.
  • To identify factors hindering health equity for children and families.
  • To inform system-level changes promoting equitable child and family health outcomes.

Main Methods:

  • A narrative qualitative design was employed.
  • In-depth interviews were conducted with 21 health and mental health professionals from child- and family-serving CBOs.
  • Ecological and strengths-based frameworks guided the examination of provider insights.

Main Results:

  • Key themes emerged at macro (policy, racism), community (environment, cohesion), organizational (stress, fragmentation), and family levels (needs, access).
  • System fragmentation and lack of provider support were significant organizational barriers.
  • Barriers related to basic needs, parenting support, and service access were identified at the family level.

Conclusions:

  • A multilevel approach is essential, prioritizing rights-based policies and community cohesion.
  • Strengthening CBO capacity can address social determinants of health.
  • System integration and enhanced CBO support are vital to mitigate structural barriers and advance health equity.