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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

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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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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[Expression of eosinophil major basic protein and neutrophil elastase in nasal polyp tissue and secretion].

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Determining Soil-transmitted Helminth Infection Status and Physical Fitness of School-aged Children
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Public Health.

Teagan Maguire1, Jie Chen2

  • 1University of Maryland, College Park, MD, USA.

Alzheimer'S & Dementia : the Journal of the Alzheimer'S Association
|December 23, 2025
PubMed
Summary

Older adults in socially vulnerable areas report lower healthcare quality and access to care and medications. Addressing these disparities is crucial for equitable health outcomes among Medicare beneficiaries.

Area of Science:

  • Public Health
  • Health Services Research
  • Gerontology

Background:

  • Self-reported healthcare quality is vital for older adults' health outcomes.
  • Limited data exists on social vulnerability's impact on healthcare quality and access for Medicare beneficiaries.
  • Social vulnerability may disproportionately affect healthcare experiences and medication access.

Purpose of the Study:

  • To examine the association between social vulnerability and patient-reported healthcare quality among Medicare beneficiaries.
  • To investigate how social vulnerability influences overall healthcare quality, access to care, and medication access.
  • To identify disparities in healthcare experiences for older adults in socially vulnerable communities.

Main Methods:

  • Utilized Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey data from 2018, 2019, 2021, and 2022.

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  • Linked survey data with the Social Vulnerability Index (SVI) based on beneficiaries' county of residence.
  • Analyzed data for both Medicare Fee-for-Service (FFS) and Medicare Advantage (MA) beneficiaries.
  • Main Results:

    • Higher social vulnerability (SVI3-SVI4) correlated with lower self-reported healthcare quality ratings.
    • Beneficiaries in high SVI areas reported reduced ease of accessing care, treatments, and medications.
    • Individuals in socially vulnerable areas had less positive experiences with healthcare providers.

    Conclusions:

    • Significant disparities exist in healthcare quality and access for Medicare beneficiaries in socially vulnerable areas.
    • Improving access to healthcare services and prescription medications is essential for equity.
    • Findings highlight the need for targeted interventions to address healthcare inequities in vulnerable communities.