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Related Concept Videos

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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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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Tertiary Healthcare System01:21

Tertiary Healthcare System

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Specialized care provided over an extended period is called tertiary care. Usually, a primary or secondary care physician will refer a patient to tertiary care. A patient's maximum physical and mental function is restored in tertiary care, which is caused due to the impact of a chronic illness or condition. Tertiary care aims to achieve the highest level of functioning possible while managing chronic illness. For example, a patient who falls and fractures their hip will need secondary care...
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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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Models of Health Promotion and Illness Prevention I01:25

Models of Health Promotion and Illness Prevention I

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A model is a theoretical way to understand a concept or an idea. Models can overcome barriers to health regardless of diverse economic and cultural backgrounds. In addition, models make the task easier by providing different ways to approach complex issues. There are two major health promotion models: the health belief model and the health promotion model.
The health belief model (HBM) attempts to predict health-related behavior in specific belief patterns. According to the HBM, a person's...
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Intraoperative Video Consultation Following Bile Duct Transection Facilitates Direct OR Transfer for Robotic Hepaticojejunostomy at Tertiary Center
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Reconsidering Governance Models to Strengthen Rural Healthcare.

F McDonald1,2, C Malatzky3, D Sedgwick Fincher4

  • 1Faculty of Law, Victoria University of Wellington, P.O. Box 600, Wellington, 6140, New Zealand. fiona.mcdonald@vuw.ac.nz.

Journal of Bioethical Inquiry
|October 23, 2025
PubMed
Summary
This summary is machine-generated.

This study advocates for shifting healthcare governance from centralized control to democratic participation. Empowering local communities is crucial for improving healthcare access in regional, rural, and remote areas.

Keywords:
Health governanceHealth justiceParticipatory governanceRural health governanceRural healthcare

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Area of Science:

  • Health Policy and Governance
  • Public Health
  • Health Services Research

Background:

  • Current healthcare systems often exhibit metrocentric and technocratic biases.
  • Neoliberal approaches marginalize community voices, treating them as secondary inputs.
  • Inequitable healthcare access persists in regional, rural, and remote settings.

Purpose of the Study:

  • To advocate for a paradigm shift in healthcare decision-making power.
  • To promote democratic and participatory governance models in health systems.
  • To enhance healthcare access and delivery in underserved geographical areas.

Main Methods:

  • Critique of existing neoliberal healthcare governance frameworks.
  • Analysis from health justice and spatial justice perspectives.
  • Argument for integrating public participation into health system governance.

Main Results:

  • Re-balancing decision-making power is essential for equitable healthcare.
  • Participatory governance can improve healthcare access in non-metropolitan areas.
  • Community self-determination is linked to effective health service delivery.

Conclusions:

  • Democratic and participatory models are vital for addressing healthcare disparities.
  • Shifting governance empowers local communities as active agents in healthcare.
  • Health and spatial justice necessitate inclusive decision-making in health systems.