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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.
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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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Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
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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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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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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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Implementation is the execution of the nursing care plan developed during the planning phase.
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Video Experimental Relacionado

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Desarrollo de Infraestructura para Escalar el Programa de Estilo de Vida Med-South: Un Proceso de 3 Pasos

Jennifer Leeman1, Lindy B Draeger, Carmen D Samuel-Hodge

  • 1Author Affiliations: School of Nursing, Center for Health Promotion and Disease Prevention, University of North Carolina, Chapel Hill, North Carolina (Dr Leeman); Center for Health Promotion and Disease Prevention, University of North Carolina, Chapel Hill, North Carolina (Ms Draeger); and Gillings School of Global Public Health, Department of Nutrition, Center for Health Promotion and Disease Prevention, University of North Carolina, Chapel Hill, North Carolina (Dr Samuel-Hodge).

Journal of public health management and practice : JPHMP
|December 19, 2025
PubMed
Resumen

Los investigadores desarrollaron infraestructura para sostener la Intervención de Estilo de Vida Med-South (Med-South) después de que finalizó la financiación. Este proceso de 3 pasos aseguró un impacto continuo en la salud pública y la confianza de los profesionales en la entrega de la intervención.

Palabras clave:
diseminacióninfraestructura de implementaciónestrategias de implementaciónescalamiento

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Área de la Ciencia:

  • Salud Pública
  • Ciencia de la Implementación
  • Cambio de Comportamiento en Salud

Sus antecedentes:

  • La ampliación generalizada de la intervención requiere una infraestructura sostenible más allá de la financiación de la investigación.
  • La investigación existente a menudo descuida el desarrollo de la fuerza laboral y los recursos para la implementación a largo plazo.
  • La Intervención de Estilo de Vida Med-South (Med-South) demostró ser eficaz para mejorar la dieta y la actividad física.

Objetivo del estudio:

  • Abordar la brecha en el sostenimiento de la ampliación de la intervención mediante el desarrollo de la infraestructura necesaria.
  • Crear un modelo para construir una infraestructura de implementación sostenible después de la financiación de la investigación.

Principales métodos:

  • Se empleó un proceso de 3 pasos: evaluación de la infraestructura existente, identificación de los determinantes de la adopción y adaptación de la ampliación.
  • Los componentes clave de la infraestructura incluyeron la fuerza laboral, el plan de estudios de capacitación, los protocolos, el monitoreo de datos y los sistemas de comunicación.
  • 170 profesionales de la salud pública participaron en 3 ciclos de mejora iterativa para refinar la infraestructura.

Principales resultados:

  • Los profesionales informaron alta aceptabilidad y confianza en la entrega e implementación de Med-South.
  • El 51,8% de los profesionales comprometidos completaron todas las sesiones de capacitación.
  • La infraestructura desarrollada se refinó a través de retroalimentación iterativa de los profesionales de la salud pública.

Conclusiones:

  • El proceso de 3 pasos desarrolló eficazmente la infraestructura para sostener la ampliación de la intervención.
  • Este enfoque apoya la continuación de las intervenciones basadas en evidencia después de que concluye la financiación de la investigación.
  • Los hallazgos indican un potencial de aplicación más amplia en entornos de salud pública.