Back to chapter

3.8:

Tertiary Healthcare System

JoVE Core
Nursing
A subscription to JoVE is required to view this content.  Sign in or start your free trial.
JoVE Core Nursing
Tertiary Healthcare System

Languages

Share

Tertiary care is a specialized and complex level of care offered for rare disorders over a prolonged period. Generally, a patient is referred to tertiary care by a primary or a secondary care provider. The healthcare professionals in tertiary care have access to advanced and specialized equipment and required expertise. Patients undergo advanced medical investigations or procedures like major transplant and replacement surgeries. Likewise, patients receive treatment for medical conditions, such as cancers and neurological impairments, requiring long-term care. For example, a patient with severe osteoarthritis visits an orthopedic surgeon to undergo a total knee replacement when it can no longer be treated with medications at a secondary level. Other examples of tertiary care include burn treatment, plastic surgeries, and advanced neonatal care. The attributes of a tertiary care system include modern medical facilities with advanced diagnostic centers and specialized intensive care units. Unfortunately, the major drawback of tertiary care is that it can be expensive and less accessible, which may result in delays in the treatment.

3.8:

Tertiary Healthcare System

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 to set the broken bones, but may need tertiary care to regain their strength and ability to walk even after the bones heal. In addition, patients with incurable diseases, such as dementia, may need specialized tertiary care to provide the support necessary for daily functioning.

The services offered in tertiary care include highly specialized care like intensive care and inpatient psychiatric facilities. They also provide specialty care such as neurology, cardiology, rheumatology, dermatology, and oncology. Other examples of tertiary care include burn treatment, plastic surgery, and advanced neonatal care.

Modern medical facilities with advanced diagnostic facilities and specialized intensive care units are characteristics of a tertiary care system. The healthcare professionals in tertiary care have access to advanced and specialized equipment and required expertise. Patients undergo advanced medical investigations or procedures like major transplants and replacement surgeries.