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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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Levels of Health Promotion and Illness Prevention01:26

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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.
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Preventive Healthcare Services01:30

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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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Principles of Disease Surveillance01:26

Principles of Disease Surveillance

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Disease surveillance is the systematic collection, analysis, and interpretation of health data essential to the planning, implementation, and evaluation of public health practice. This process integrates data dissemination to entities responsible for preventing and controlling disease, injury, and disability. Surveillance systems provide crucial information for action, helping public health authorities make informed decisions to manage and prevent outbreaks, ensure public safety, optimize...
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Healthcare Agencies II01:17

Healthcare Agencies II

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There are various healthcare agencies in the United States—some of which are managed by religious institutions and others by different government branches.
Parish nursing is a growing specialty nursing profession that focuses on holistic healthcare, health promotion, and illness prevention. It blends professional nursing practice with a health ministry, focusing on health and healing within the context of a Christian community. Parish nurses serve as health educators, referral sources,...
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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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Determining Soil-transmitted Helminth Infection Status and Physical Fitness of School-aged Children
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Public Health.

Sakina Ouedraogo Tall1,2, Jillian Diuguid-Gerber2, Miesha Etheridge2

  • 1New York University Grossman School of Medicine, New York, NY, USA.

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Summary
This summary is machine-generated.

New York City Health and Hospitals is expanding Alzheimer's Disease (AD) early detection programs to diverse patient populations. This initiative aims to improve diagnosis and management of cognitive impairment in underserved communities.

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Area of Science:

  • Geriatric Medicine
  • Public Health
  • Neurology

Background:

  • Alzheimer's Disease (AD) affects nearly 7 million Americans, with existing disparities in detection and diagnosis among racial minorities.
  • New York City Health and Hospitals (H+H), a large municipal health system, serves a diverse population and has initiated AD early detection programs.
  • H+H has developed algorithms for Mild Cognitive Impairment and Dementia detection, implemented telemedicine, and achieved Age-Friendly recognition at Bellevue Hospital.

Purpose of the Study:

  • To expand H+H's early AD detection initiative to H+H/Woodhull.
  • To integrate the Davos Alzheimer's Collaborative Healthcare System Preparedness (DAC-SP) U.S. Early Detection Fellowship Program at Woodhull.

Main Methods:

  • Implement the Annual Wellness Visit (AWV) at Woodhull Geriatrics Practice, followed by expansion to the Adult Primary Care Practice.
  • Integrate cognitive screening using the Picture-Based Memory Impairment Screening (PMIS) tool and functional assessments into the AWV.
  • Utilize electronic medical system templates and smart phrases for efficient documentation by nursing staff and Primary Care Providers (PCPs).

Main Results:

  • The program aims to screen 15% of the diverse patient population at Woodhull Geriatrics Practice, including 27.7% Black, 58.5% Hispanic, 3.5% non-Hispanic White, and 1.7% Asian patients.
  • The patient population includes 72% with Medicare, 12.4% with Medicaid, and 12.1% uninsured.
  • Future plans include expanding screening to a larger, diverse group of patients aged 65 and older in the Adult Primary Care Practice.

Conclusions:

  • H+H is committed to the early detection of AD and related dementias.
  • Building on prior successes, H+H is prepared to expand this initiative to diverse patient populations at Woodhull and other facilities.
  • The expansion aims to address disparities and improve cognitive health outcomes in underserved communities.