Types of Healthcare Delivery System
Types of Healthcare Delivery System
1. Primary Healthcare:
Primary health care mainly focuses on health equity producing social policy beyond the traditional
healthcare system. Its main aim is to provide local care to a patient because professionals related to
primary care are normal generalists, deals with a broad range of psychological, physical and social
problems etc rather than specialists in any particular disease area. Primary care services rapidly increasing
in both the developed and developing countries depending upon the increasing number of adults at greater
risk of chronic noncommunicable disease like diabetes, asthma, back pain, hypertension, anxiety,
depression etc.
To achieve the ultimate goals of primary health care., WHO has described five elements to achieve this
goal. Following are:
Stakeholder participation increased.
Integrate health into all sectors.
According to people need & expectation organizing healthy services.
Pursuing collaborative models of policy dialogue.
2. Secondary Healthcare:
This healthcare is provided by the medical specialists and other health problems who do not have
direct contact with a patient like urologists, dermatologists, cardiologists etc. According to National health
system policy, the patient required primary care professional’s referral to proceed further for secondary
care. Depends on countries to countries, the patient cannot directly take secondary care because
sometimes health system imposed a restriction of referral on a patient in terms of payment.
The systems come under this category is known as District Health system and County Health system.
a) District Health system: This system mainly focuses on child health and maternity care.
People population of this system is about 25000 to 50000 and includes various healthcare
centers and district hospitals. Healthcare centers receive referrals from various primary
health care and is remain open for 24 hours every day. District hospitals include
emergency services, neonatal care, comprehensive emergency obstetric etc. and is
remain open for 24 hours every day.
b) County Health system: Into this system, hospitals receive referrals from the District &
community health systems. County hospital provides gynecologic services, general
medicine, obstetrics, general surgery etc and is remain open for 24 hours every day.
3. Tertiary Healthcare:
This type of healthcare is known as specialized consultative healthcare usually for inpatients and on
referral from primary and secondary healthcare for advanced medical investigation and treatment. following
examples of tertiary care services are plastic surgery, burn treatment, cardiac surgery, cancer
management, neurosurgery, complex medical and surgical interventions etc.
The main provider of tertiary care is national Health system consist of Regional hospitals and National
Hospital. Regional hospitals receive a reference from various county hospitals and serves as training sites
complementary to the National referral hospital. It also provides additional care services and remains open
for 24 hours every day.