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Issues And Trends In Healthcare Delivery System01:29

Issues And Trends In Healthcare Delivery System

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The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
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Methods of Documentation VI: Case Management Model01:15

Methods of Documentation VI: Case Management Model

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The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
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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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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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Traditional Level Of Health Care System01:26

Traditional Level Of Health Care System

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The levels of care describe the services provided in the healthcare system. Accordingly, there are six levels of the traditional healthcare system in the US: preventive, primary, secondary, tertiary, restorative, and continuing healthcare. A nurse must understand how the healthcare industry organizes and provides services within these levels of care.
The preventive healthcare service includes tests for screening. Preventive health care services include identifying and reducing disease risk...
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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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相关实验视频

Updated: Sep 9, 2025

Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion
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在COVID-19疫情期间采用的替代护理途径对泰国第三级护理医院非传染性疾病管理的影响

Jongkonnee Chongpornchai1, Tuangrat Phodha1, Thanawat Wongphan2,3

  • 1Drug Information and Consumer Protection Center, Center of Excellence in Pharmacy Practice and Management Research, Faculty of Pharmacy, Thammasat University, Pathum Thani, Thailand.

Journal of pharmaceutical policy and practice
|September 2, 2025
PubMed
概括
此摘要是机器生成的。

家庭药房 (PAH) 和延期护理 (DC) 并没有对高血压和糖尿病患者的临床结果产生负面影响. 这些替代护理途径在COVID-19大流行期间和之后显著降低了医疗保健成本.

关键词:
美国非传染性疾病护理途径糖尿病高血压远程医疗

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科学领域:

  • 医疗服务研究
  • 公共卫生
  • 非传染性疾病管理

背景情况:

  • 随着COVID-19大流行,包括高血压和糖尿病在内的非传染性疾病 (NCD) 的管理受到干扰.
  • 实施了家庭药房 (PAH) 和延期护理 (DC) 等替代护理模式,以维持患者服务.
  • 虽然研究了PAH的结果,但DC对临床和经济结果的影响需要评估.

研究的目的:

  • 与非传染性疾病患者的常规护理相比,评估家庭药房 (PAH) 和延期护理 (DC) 的临床和经济结果.
  • 评估将这些途径纳入常规医疗保健实践的可行性.

主要方法:

  • 一项回顾性研究分析了泰国三级医院的HT和DM门诊患者的数据 (2021年7月至2023年6月).
  • 患者被分为PAH,DC或通常治疗组.
  • 使用回归分析评估了临床结果 (血压,血糖) 和经济结果 (疾病成本).

主要成果:

  • 在两组之间没有观察到缩血压,腹缩血压或空腹血糖的统计学意义上的差异.
  • 通过PAH和DC途径显著降低了疾病成本 (COI).
  • 在疫情期间和之后,COI降低幅度从32.3%到96.1%不等,这取决于病程.

结论:

  • 家庭药房 (PAH) 和延期护理 (DC) 是有效的替代方案,不影响非传染性疾病管理的临床结果.
  • 这些途径大大降低了医疗保健成本,
  • 可以适应PAH和DC的常规使用,并在未来的健康紧急情况下迅速重新激活.