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Preventive Healthcare Services01:30

Preventive Healthcare Services

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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:
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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 VI: Case Management Model01:15

Methods of Documentation VI: Case Management Model

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The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
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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
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
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Levels of Health Promotion and Illness Prevention01:26

Levels of Health Promotion and Illness Prevention

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Health promotion allows a person to control the determinants of health, resulting in an improved health status. It enhances the quality of life and reduces premature deaths. Health promotion and illness prevention programs help people make beneficial choices to reduce the risk of disease and disabilities. There are three health promotion and illness prevention levels: primary, secondary, and tertiary prevention.
In primary prevention, actions taken before disease onset prevent the disease from...
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Ethical Issues01:27

Ethical Issues

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Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
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Related Experiment Video

Updated: Jan 17, 2026

A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
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Advancing the Field of Deimplementation: Perspectives on Low-Value Clinical Preventive Services.

Meagan Pilar1, Gerald Gartlehner1,2, Shannon Kugley1

  • 1RTI International, Research Triangle Park, North Carolina.

AJPM Focus
|September 22, 2025
PubMed
Summary

Experts recommend revising terminology and engaging patients to improve the deimplementation of low-value clinical preventive services. Further research is needed to test specific strategies and address potential health inequities.

Keywords:
Deimplementationclinical preventive serviceshealth equitylow-value carepatient-centered care

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Area of Science:

  • Health Services Research
  • Preventive Medicine
  • Implementation Science

Background:

  • Clinical preventive services aim to prevent disease but some may lack benefit or cause harm.
  • Discontinuing low-value health services, known as deimplementation, is increasingly emphasized.
  • This project focused on expert input regarding the deimplementation of low-value clinical preventive services.

Purpose of the Study:

  • To gather expert input on the current state of deimplementation for low-value clinical preventive services.
  • To identify challenges and opportunities in discontinuing ineffective health services.
  • To inform future research and practice in health services deimplementation.

Main Methods:

  • An environmental scan of existing deimplementation work was conducted.
  • Key informant interviews with 4 individuals were performed.
  • A facilitated discussion with a 12-member technical expert panel was held, using an iterative, inductive approach to synthesize findings.

Main Results:

  • Few frameworks or empirical studies specifically address deimplementation of low-value clinical preventive services.
  • Experts advised revising terminology to improve patient and family understanding.
  • Experts recommended refining existing deimplementation frameworks and testing specific strategies, while noting potential equity concerns and emphasizing patient engagement.

Conclusions:

  • Future work should advance methods for deimplementation research.
  • Testing deimplementation strategies tailored to low-value clinical preventive services is crucial.
  • Engaging patients, families, and communities is essential for successful deimplementation efforts.