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Inequitable access of the world's population to quality health services is still a problem, despite the fact that good health and wellbeing are recognised as a fundamental human rights (United Nations, 2016). Reducing inequities in health is a major focus of international policy (World Health Organisation, 2015) and in the context of an ever-aging population, world recession, limited resources, and to promote independence in health, community care schemes are gaining increasing popularity (Phelan et al 2017). Indeed there is evidence of tremendous success with community nursing interventions, even in under-resourced countries such as Cuba, which manages to provide exemplary home based nursing care to the population (Lynch 2017). This article is protected by copyright. All rights reserved.
This article was published in the following journal.
Name: Journal of clinical nursing
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Nurses whose work combines elements of both primary care nursing and public health practice and takes place primarily outside the therapeutic institution. Primary nursing care is directed to individuals, families, or groups in their natural settings within communities.
The controlling of access to health services, usually by primary care providers; often used in managed care settings to reduce utilization of expensive services and reduce referrals. (From BIOETHICS Thesaurus, 1999)
Providers that by mandate or mission organize and deliver a significant level of health care and other health-related services to the uninsured, Medicaid recipients, and other vulnerable patients.
Health insurance plans intended to reduce unnecessary health care costs through a variety of mechanisms, including: economic incentives for physicians and patients to select less costly forms of care; programs for reviewing the medical necessity of specific services; increased beneficiary cost sharing; controls on inpatient admissions and lengths of stay; the establishment of cost-sharing incentives for outpatient surgery; selective contracting with health care providers; and the intensive management of high-cost health care cases. The programs may be provided in a variety of settings, such as HEALTH MAINTENANCE ORGANIZATIONS and PREFERRED PROVIDER ORGANIZATIONS.
Community health and NURSING SERVICES providing coordinated multiple services to the patient at the patient's homes. These home-care services are provided by a visiting nurse, home health agencies, HOSPITALS, or organized community groups using professional staff for care delivery. It differs from HOME NURSING which is provided by non-professionals.