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Introduction To Health Care Delivery System01:18

Introduction To Health Care Delivery System

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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.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
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Hospitals-II00:59

Hospitals-II

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Hospitals provide inpatient and outpatient services. Inpatient services provide care to patients that stay in the hospital for an extended period, ranging from days to months. Examples of inpatient services include intensive care units, hospital wards, or surgeries. Outpatient services provide care to patients who come to a hospital for a diagnostic or treatment but do not stay overnight —for example, diagnostic tests, surgical procedures, or health education.
Nurses that work in...
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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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Community Based Intervention01:30

Community Based Intervention

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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.
Foundations of Community Mental Health Programs
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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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Documentation in Long-Term and Home Healthcare Setting01:29

Documentation in Long-Term and Home Healthcare Setting

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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
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准备实施杜拉-医院伙伴关系计划

Marisa C DaCosta, Joyce Mogaka, Laura Gebhardt

    Journal of obstetric, gynecologic, and neonatal nursing : JOGNN
    |December 25, 2023
    PubMed
    概括

    产科临床医生表现出强烈的支持和准备,为新的杜拉医院合作伙伴计划. 这一倡议旨在改善孕产妇的护理和解决种族差异.

    科学领域:

    • 孕产妇健康 孕产妇健康
    • 医疗保健服务研究 医疗服务研究
    • 健康 公平 卫生 公平

    背景情况:

    • 孕产妇发病率和死亡率的种族差异仍然存在,特别影响黑人女性.
    • 杜拉的支持越来越被认为是母亲护理的宝贵组成部分.
    • 基于医院的杜拉计划可以帮助弥合护理差距,解决系统性不平等问题.

    研究的目的:

    • 评估产科临床医生和领导人的基础知识,态度和经验与doulas.
    • 评估他们是否准备好实施一项新的杜拉-医院伙伴关系计划.
    • 为杜拉成功融入产科护理机构提供信息.

    主要方法:

    • 在一个学术医疗中心对产科临床医生和领导者 (N=48) 进行了一项调查.
    • 该调查使用了组织准备实施变革 (ORIC) 规模和原始问题.
    • 对收集的数据进行了描述性,两种类型和内容分析.

    主要成果:

    • 所有接受调查的临床医生 (n=45) 提供产后护理,都熟悉杜拉角色.
    • 虽然报告了一些负面经历 (47.3%),但与杜拉的积极经历更为常见 (76.3%).
    • 参与者表现出对杜拉的积极态度和对变革的高度准备,在承诺和有效性的ORIC分级上获得了很高的分数.

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    结论:

    • 调查结果表明,产科临床医生和领导人对实施杜拉-医院伙伴关系计划的支持和准备有很大影响.
    • 该计划有利于成功实施,有可能改善孕产妇护理结果.
    • 这项研究为旨在通过杜拉整合来减少孕产妇健康差异的类似举措提供了基础.