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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.
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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:
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Secondary Healthcare System01:11

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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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There are various healthcare agencies in the United States—some of which are managed by religious institutions and others by different government branches.
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An integrated healthcare system (IHS) is a set of organizations that provides for or arranges to provide coordinated and continuous service to a defined population. The IHS takes responsibility for that particular population's health status and outcome, both clinically and fiscally. An integrated healthcare system is a well-organized, well-coordinated, and collaborative network. The integrated delivery system is a network that connects different healthcare providers to deliver organized,...
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Accounting for Needs in Geographical Health Care Resource Allocation.

Ben Barr1, Chris Kypridemos1, Anna Head1

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Summary

Accounting for unmet healthcare needs in resource allocation may widen health inequalities. This study suggests current methods could shift funds from high-need to lower-need areas, potentially disadvantaging deprived populations.

Keywords:
DIAGNOSISEPIDEMIOLOGYHEALTH ECONOMICSHEALTH INEQUALITIESRESOURCE ALLOCATIONUNMET NEED

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Area of Science:

  • Health economics
  • Public health policy
  • Healthcare resource allocation

Background:

  • Geographical funding formulae distribute health care resources based on need.
  • The National Health Service aims to reduce health inequalities.
  • The impact of accounting for unmet needs on health inequalities is unclear.

Purpose of the Study:

  • To outline a framework for estimating relative need in geographical healthcare resource allocation.
  • To analyze how accounting for unmet needs due to underdiagnosis affects resource distribution.
  • To examine the consequences for health inequalities.

Main Methods:

  • Derived a synthetic dataset for adults in England (aged 30+).
  • Included variables: age, sex, socioeconomic deprivation, region, and diagnosed/undiagnosed long-term conditions.
  • Calculated care costs and estimated expenditure for diagnosed-only and all cases (diagnosed and undiagnosed).

Main Results:

  • Areas with lower overall needs had a higher proportion of unmet needs.
  • Adjusting for unmet needs could shift resources from high-need to lower-need areas.
  • This shift may benefit less deprived areas more, potentially widening health inequalities.

Conclusions:

  • Accounting for unmet needs due to underdiagnosis may exacerbate health disparities.
  • A framework is provided for assessing relative need in resource allocation.
  • Alternative approaches may be needed to reduce health inequalities.