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Introduction To Health Care Delivery System01:18

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The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
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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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Primary Healthcare Services01:30

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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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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...
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Healthcare agencies provide healthcare services to people. In the United States, voluntary agencies are often non-profit centers sponsored by donations, grants, or fundraisers. One such organization is Meals on Wheels, which provides meals to the elderly and homebound. The American Heart Association and the American Lung Association are other non-profit community organizations. Doctors and nurses are frequently active members of these organizations, which offer health checks and educational...
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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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医療サービス不足者を支援する医師:Reach Outプログラム

H D Scott1, J Bell, S Geller

  • 1Brown University Center for Primary Care and Prevention, Memorial Hospital of Rhode Island, Pawtucket 02860, USA. h_scott@brown.edu

JAMA
|January 13, 2000
PubMed
まとめ
この要約は機械生成です。

リーチ・アウト・プログラムは,医療保険がなく,サービスが不足している人々にサービスを提供するために,医師を成功裏に募集しました. 初期の複雑さにもかかわらず,コミュニティ主導のプロジェクトは,恵まれない人々の医療へのアクセスに持続的な影響を示しました.

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科学分野:

  • 医療サービス 研究 医療サービス
  • 公共衛生イニシアティブ 公共衛生イニシアティブ
  • 医療従事者のボランティア活動

背景:

  • 管理された介護のプレッシャーは,不利な立場にある人々の医療を損なう可能性があります.
  • ロバート・ウッド・ジョンソン財団のReach Outプログラムは,このギャップを埋めることを目的とした.
  • 医者のリーダーシップとボランティアは,プログラムの戦略の中心でした.

研究 の 目的:

  • "リーチ・アウト"プログラムの効果を評価し,保険がなく,サービスが不足している人にサービスを提供すること.
  • コミュニティベースの医療提供の成功モデルを特定する.
  • 脆弱な集団のための医師主導のイニシアチブの持続可能性を評価する.

主な方法:

  • 4年間で全国で39のReach Outプロジェクトを実施しました.
  • プロジェクト全体に1200万ドルの資金が割り当てられ,それぞれ平均30万ドルの資金調達が行われた.
  • プロジェクトの成果,医師の募集,患者登録の分析.

主要な成果:

  • 23,9584人の患者が登録され,11,252人の医師が採用されました.
  • 無料の診療所と紹介ネットワークは,最も一般的なプロジェクトモデルとして登場しました.
  • 3~4年で顕著な進展が見られることが多く,少なくとも3分の2のプロジェクトが地元の支援で継続すると予想されている.

結論:

  • 強い医師のリーダーシップと行政のサポートを持つ組織化されたコミュニティの努力により,効果的な医療プログラムを作成できます.
  • 全国的な解決策ではないが,Reach Outのようなイニシアチブは,保険がなく,サービスが不足している人々の医療へのアクセスを大幅に改善する.
  • 持続的な地元からの支援は,このようなプログラムの長期的な実行可能性にとって極めて重要です.