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Related Concept Videos

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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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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Continuing Care01:25

Continuing Care

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Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...
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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...
1.9K
Tertiary Healthcare System01:21

Tertiary Healthcare System

2.1K
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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Patient-centered Care01:13

Patient-centered Care

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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...
2.8K

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Promoting primary palliative care in Western Kenya using Project ECHO®.

Hussein Elias1, Sarah Nyariki, Caitrin M Kelly

  • 1Department of Family Medicine, Medical Education and Community Health, School of Medicine, Moi University, Eldoret Academic Model Providing Access to Healthcare, Eldoret. hussein.elias3@gmail.com.

African Journal of Primary Health Care & Family Medicine
|December 17, 2025
PubMed
Summary
This summary is machine-generated.

Project ECHO Palliative Care for Western Kenya improved rural primary care providers' knowledge and skills. This initiative enhanced palliative care delivery but highlighted the need for more specialist palliative care providers.

Keywords:
educationhub and spokepalliative careprimary careruralvirtual

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Area of Science:

  • Medical Education
  • Public Health
  • Palliative Care

Background:

  • Palliative care (PC) access is limited in rural Kenya, with less than 2% of patients receiving care.
  • PC services are concentrated in urban areas, leaving rural providers with limited expertise.
  • A significant gap exists in primary palliative care provision for Kenyans with severe symptoms.

Purpose of the Study:

  • To evaluate the impact of Project ECHO Palliative Care for Western Kenya on primary care providers.
  • To assess improvements in palliative care knowledge, skills, and confidence among rural healthcare professionals.
  • To explore the program's effect on collaborative care management and professional isolation.

Main Methods:

  • Implementation of a hub-and-spoke model for palliative care education in Western Kenya.
  • Utilizing Moi University and Moi Teaching and Referral Hospital as the program base.
  • Self-reported assessments by primary care providers participating in the monthly training sessions.

Main Results:

  • Project ECHO significantly improved PC knowledge, clinical skills, and professional confidence.
  • The program decreased feelings of professional isolation among rural healthcare providers.
  • Training fostered increased collaborative care management between primary care providers and PC specialists.

Conclusions:

  • Monthly educational programs are effective in expanding primary palliative care services in rural settings.
  • While beneficial, the program underscores the critical need to increase the number of specialist PC providers.
  • Coordinated development of both primary and specialty palliative care is essential for optimal patient outcomes.