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Concepts of Health and Illness01:29

Concepts of Health and Illness

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Health is a condition of the body, mind, and spirit where an individual remains free from illness. Similarly, wellness is an active state, including living a lifestyle that promotes physical, mental, and emotional health. Physical health is critical for the overall well-being and can be affected by lifestyle, activity level, diet, and behavior. The highest attainable standard of health is a fundamental and universal human right. Consider Lisa, a fifteen-year-old born with congenital...
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Models of Health Promotion and Illness Prevention I01:25

Models of Health Promotion and Illness Prevention I

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A model is a theoretical way to understand a concept or an idea. Models can overcome barriers to health regardless of diverse economic and cultural backgrounds. In addition, models make the task easier by providing different ways to approach complex issues. There are two major health promotion models: the health belief model and the health promotion model.
The health belief model (HBM) attempts to predict health-related behavior in specific belief patterns. According to the HBM, a person's...
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Specialized Care Centers and Settings-II01:30

Specialized Care Centers and Settings-II

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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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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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Models of Health Promotion and Illness Prevention II01:18

Models of Health Promotion and Illness Prevention II

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The person's health status fluctuates continually, varying from being in good health to becoming ill and returning to being healthy. To understand the concept of illness prevention, there are two models. First, the health-illness continuum model is a graphic representation of an individual's wellness. It states that a person is considered healthy in the absence of physical disease and the presence of good emotional health.
The agent-host-environment model states that disease results...
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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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相关实验视频

Updated: Feb 22, 2026

Implementation of a Real-Time Psychosis Risk Detection and Alerting System Based on Electronic Health Records using CogStack
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农村成年人的保险覆盖和对护理的感知:使用安德森行为模型进行的横截面研究.

Christian Ketel1, Lisa C Lindley2

  • 1Department of Acute, Chronic and Continuing Care, University of Alabama at Birmingham, School of Nursing, Birmingham, Alabama, USA.

Public health nursing (Boston, Mass.)
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概括

医疗保险显著改善了农村成年人对医疗保健的感知. 然而,公平的护理需要解决保险缺口和更广泛的结构性障碍,如提供者短缺和运输问题.

关键词:
获得医疗保健的机会.医疗保健中的差异.农村健康 农村健康

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科学领域:

  • 医疗保健服务研究 医疗服务研究
  • 农村卫生公平 农村卫生公平
  • 医疗保健获取研究 医疗保健获取研究

背景情况:

  • 美国农村社区在获得医疗保健方面面临着持续的挑战,尽管保险覆盖范围有所改善.
  • 农村人口中保险状况和感知到的医疗保健接入之间的联系仍未得到充分研究.

研究的目的:

  • 调查康涅狄格州农村成年人中保险状况和对医疗保健的感知机会之间的联系.
  • 用安德森的健康服务使用行为模型 (ABMHSU) 来调整倾向性,支持性和基于需求的因素.

主要方法:

  • 2012-2013年康涅狄格州医疗保健调查数据的横截面二次分析.
  • 包括593个未加权案件 (加权N=256,725).
  • 权重后勤回归来评估保险感知到的访问关联,控制共变量.

主要成果:

  • 保险覆盖率与医疗保健获得率更高的感知有显著的积极关联 (OR = 1.38,95% CI [1.35,1.42]).
  • 其他重要因素包括性别,年龄,婚姻状况,就业和慢性疾病.
  • 该模型解释了19.8%的差异,并实现了76%的正确分类.

结论:

  • 保险是农村成年人获得医疗保健的关键因素.
  • 仅靠保险是不够的公平的农村医疗保健;结构性挑战也必须解决.
  • 解决保险缺口,提供者短缺,运输和系统导航对于农村医疗保健公平至关重要.