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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.
In primary prevention, actions taken before disease onset prevent the disease from...
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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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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.

Kyra O'Brien1, Wheeler Maxwell1, Robert Burke1

  • 1University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA.

Alzheimer'S & Dementia : the Journal of the Alzheimer'S Association
|December 23, 2025
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Summary
This summary is machine-generated.

Early detection of cognitive impairment in primary care can reduce dementia diagnosis delays. This study pilots interventions to improve early detection and referrals, supporting timely Alzheimer's and dementia care.

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Area of Science:

  • Neurology
  • Geriatrics
  • Primary Care

Background:

  • Penn Memory Center faces long wait times for Alzheimer's disease and related dementia evaluations.
  • Delayed diagnoses and care result from limited access to specialized memory centers.
  • Primary care settings are crucial for early detection of cognitive impairment.

Purpose of the Study:

  • To select and implement interventions for improving cognitive impairment detection in primary care.
  • To facilitate timely and appropriate referrals for patients with cognitive complaints.
  • To reduce diagnostic delays for Alzheimer's disease and related dementias.

Main Methods:

  • A modified Delphi consensus process involving clinicians and operations stakeholders identified key strategies.
  • Selected strategies will be piloted with support from the Davos Alzheimer's Collaborative (DAC) U.S. Early Detection Fellowship Program.
  • Outcomes measured include intervention feasibility, acceptability, use of cognitive assessments, and detection rates.

Main Results:

  • A cognitive assessment algorithm, including the Linus Health Digital Clock and Recall screen, was selected for piloting.
  • The cognitive screen will be integrated into the Medicare Annual Wellness Visit.
  • An electronic health record-embedded clinical pathway is being developed for implementation.

Conclusions:

  • The Fellowship Program resources support the development of a primary care cognitive impairment detection program.
  • The program is designed for dissemination across Penn Medicine and other health systems.
  • Early detection initiatives aim to improve patient outcomes for cognitive decline.