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Related Concept Videos

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...
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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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Integrated Healthcare System01:20

Integrated Healthcare System

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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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Tertiary Healthcare System01:21

Tertiary Healthcare System

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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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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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Interdisciplinary Care: The Health Care Team-II01:18

Interdisciplinary Care: The Health Care Team-II

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An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care. Here are a few more healthcare professionals.
Physical Therapist
A physical therapist (PT) aims to restore function or prevent additional impairment in a patient following an injury or disease. Massage, heat, cold, water, sonar waves, exercises, and electrical stimulation are some treatments used by PTs to treat...
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A Decentralized, Academically Integrated Training Model for Rural General Practice in Japan: A Descriptive Program

Kota Sakaguchi1, Takeshi Endo2,3, Yoshihiko Shiraishi2,4

  • 1General Medicine Center, Shimane University Hospital, Izumo City, Shimane Prefecture, Japan. bananakuriimu@gmail.com.

Journal of General Internal Medicine
|April 20, 2026
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Summary
This summary is machine-generated.

This study shows a hybrid training model combining digital networking and rural placements significantly boosted physician recruitment and retention in a remote Japanese region. The approach offers a promising solution for strengthening rural primary care workforces globally.

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Area of Science:

  • Medical Education
  • Rural Health
  • Health Workforce Development

Background:

  • Global rural physician shortages are exacerbated by professional isolation.
  • Traditional retention incentives show limited long-term effectiveness.

Purpose of the Study:

  • To detail the Shimane University General Medicine Center's (SGMC) decentralized, academically integrated training model.
  • To assess the model's impact on physician recruitment and retention in rural areas.

Main Methods:

  • Implementation of a prefecture-wide "Neural GP Network" and a "Virtual Office" (Slack, Zoom).
  • Longitudinal rural placements for 42 General Practice residents (2018-2025) within local care teams.
  • Utilized digital communication tools to foster a community of practice.

Main Results:

  • Achieved annual recruitment averaging 15.8% of specialty trainees, far exceeding the national average (2.6%).
  • Reported an 88.1% retention rate within the prefectural network as of January 2026.
  • The Virtual Office facilitated extensive communication and resource sharing, supporting research output with 58 English papers published since 2021.

Conclusions:

  • An 8-year evaluation indicates a hybrid model integrating digital networking with longitudinal rural training enhances workforce stability.
  • This model presents a viable strategy for bolstering rural primary care capacity and addressing physician shortages.