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The primary–secondary quality distinction is a conceptual distinction in epistemology and metaphysics, concerning the nature of reality. It is most explicitly articulated by John Locke in his Essay concerning Human Understanding , but earlier thinkers such as Galileo and Descartes made similar distinctions.
An accountable care system is a system of healthcare provision which is intended to be integrated, and in particular to merge the funding of primary care with that for hospital care, therefore providing incentives to keep people healthy and out of hospital. It has features in common with accountable care organizations in the United States.
Negative trends in quality of care and utilization also appeared. As a result, the Group Health Research Institute developed a patient-centered medical home model in one of the clinics. By increasing staff, patient outreach and care management, the clinic reduced emergency department visits and improved patient perceptions of care quality. [71]
The term "secondary care" is sometimes used synonymously with "hospital care". However, many secondary care providers, such as psychiatrists, clinical psychologists, occupational therapists, most dental specialties or physiotherapists, do not necessarily work in hospitals. Some primary care services are delivered within hospitals.
EMIS Web allows primary, secondary and community healthcare practitioners to view and contribute to a patient's electronic healthcare record. Failures to link up medical records held by hospitals and those kept by their family doctors put patient's lives at risk, according to Prof Steve Field of the Care Quality Commission.
The Health and Care Act 2022 put these systems on a statutory basis, each with an approved constitution. On 1 July 2022, a total of 42 ICSs became statutory. There are more than 70 performance metrics by which they are judged, grouped into six "oversight themes": quality, access and outcomes, preventing ill health and reducing inequalities, leadership, people, and finances.
The term primary care in the UK may also include services provided by community pharmacy, optometrist, dental surgery and community hearing care providers. The balance of care between primary care and secondary care - which usually refers to hospital-based services - varies from place to place, and with time.
Common derivatives of the name collaborative care include integrated care, primary care behavioral health, integrated primary care, and shared care. The Agency for Healthcare Research and Quality (AHRQ) published an overview of many different models as well as research that supports them. [5] These are the key features of collaborative care models: