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Related Concept Videos

Specialized Care Centers and Settings-II01:30

Specialized Care Centers and Settings-II

Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Documentation in Long-Term and Home Healthcare Setting01:29

Documentation in Long-Term and Home Healthcare Setting

Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Tertiary Healthcare System01:21

Tertiary Healthcare System

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 to...
Secondary Healthcare System01:11

Secondary Healthcare System

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...
Discharge Summary Forms01:31

Discharge Summary Forms

The discharge summary is crucial as it enables a smooth transition from a healthcare facility to a patient's home or another care setting. This critical document facilitates seamless continuity of care, ensuring patients receive the necessary support and attention.
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
Peripheral Artery Disease III: Interprofessional Care01:27

Peripheral Artery Disease III: Interprofessional Care

Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...

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Related Experiment Video

Updated: Jun 4, 2026

Intraoperative Video Consultation Following Bile Duct Transection Facilitates Direct OR Transfer for Robotic Hepaticojejunostomy at Tertiary Center
07:48

Intraoperative Video Consultation Following Bile Duct Transection Facilitates Direct OR Transfer for Robotic Hepaticojejunostomy at Tertiary Center

Published on: January 9, 2026

Post-Intensive Care Fragmentation Among Rural Veterans: Transitions Between VA and Community Health Systems.

Zachary Hahn1,2, Brian Tyler3, Charles Atwood4,5

  • 1Department of Medicine, Pulmonary and Critical Care, VA Maine Healthcare System, Augusta, Maine, USA.

The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association
|June 3, 2026
PubMed
Summary
This summary is machine-generated.

Following intensive care, Veterans experienced increased care fragmentation. Rural Veterans faced worse outcomes but similar fragmentation, with telehealth showing protective effects.

Keywords:
Veteranscommunity carecontinuity of carehealth services researchintensive care unitrural health

Related Experiment Videos

Last Updated: Jun 4, 2026

Intraoperative Video Consultation Following Bile Duct Transection Facilitates Direct OR Transfer for Robotic Hepaticojejunostomy at Tertiary Center
07:48

Intraoperative Video Consultation Following Bile Duct Transection Facilitates Direct OR Transfer for Robotic Hepaticojejunostomy at Tertiary Center

Published on: January 9, 2026

Area of Science:

  • Health Services Research
  • Critical Care Medicine
  • Rural Health

Background:

  • Intensive care unit (ICU) survivors face complex recovery pathways.
  • Understanding care fragmentation and its impact on clinical outcomes is crucial for this population.

Purpose of the Study:

  • To evaluate how rural residence and health system transitions influence outpatient care fragmentation and clinical outcomes among Veterans post-ICU hospitalization.

Main Methods:

  • Retrospective cohort study of 80,884 Veterans post-ICU hospitalization.
  • Assessed outpatient fragmentation using the modified Continuity of Care Index (mCOCI).
  • Examined relationships between rurality, system engagement, and 30/90-day clinical outcomes.

Main Results:

  • Post-discharge, care fragmentation and utilization significantly increased.
  • Rurality and Veterans Affairs (VA) engagement did not correlate with fragmentation changes.
  • Telehealth utilization was linked to a modest reduction in fragmentation.
  • Rural Veterans had lower primary care follow-up and ED visits but higher readmission rates and mortality compared to urban Veterans.

Conclusions:

  • Critical illness recovery involves significant increases in care fragmentation and utilization.
  • Rural Veterans experienced worse outcomes but not increased fragmentation.
  • Telehealth demonstrated a protective effect, potentially mitigating rural travel burdens.
  • Integrated, rural-specific care models leveraging telehealth are needed for high-risk ICU survivors.