The document discusses the different levels of healthcare systems. There are typically four levels: primary, secondary, tertiary, and sometimes quaternary. Primary healthcare is the first level of contact and aims to resolve most health problems at the village level. Secondary care provides more complex care at district hospitals. Tertiary care offers specialized services through institutions like medical colleges. Quaternary care is an advanced level offering highly specialized care in national and international centers. The structure progresses from primary to quaternary with increasing specialization and sophistication.

1. Health Care System
Prepared by-Mr. Arun
Kumar
Nursing Tutor
SGPGIMS lko.

2. HEALTH CARE
Introduction
Health care is a multitude of services
rendered to individual, families or
communities by the agent of health
services or professions for the purposes
of promoting, maintaining monitoring or
restoring health.

3. The health care goal of system is health
development i.e. a process of continuous and
progress improvement of health status of a
population.
•To achieve this goal health care service are
usually organized at four levels, each level
supported by a higher level to which the client is
referred.

4. Levels of Healthcare
System

5. Introduction
In most health system, there are
different levels of healthcare system.
Healthcare systems have the goal of
improving the health status of the
population.
The structure which appears as
pyramid shows the increasing levels of
sophistication and specialization as we
move higher.

6. But in some developed countries,
another tier called quaternary results in
four levels of healthcare.
They are:
• Primary healthcare
• Secondary Health Care
• Tertiary care
• Quaternary care

8. Primary health care :•
Also called as essential health care or health care
at door step.
 It is the first level of contact of individual, the
family and community with national health
system, where primary health care is provided.
 A level of health care, it is close to the people,
where most of the health problem can be dealt
with and resolved.

9. It provided at village level and through primary
health centers and their sub-centers through the
agency of multi-purpose health worker,
community health nursing village health guide,
ASHA worker.
The measures of health promotion and
prevention are taken a maximum effort at this
level of health care.

10. Peoples are made self reliant.
Besides providing primary health care the
villages "health team" bridge the cultural
and community gap between rural people
and organized health sector.

11. Secondary care level:
The next higher level of care is the
secondary(intermediate) health care level.
 At this level more complex problem are dealt with.
 Care is generally provided in district hospital and
community centers which also serves as the first
referral level.
 Curative services are provided at this level.

12. Tertiary level:
The tertiary level is a more, specialized specific
facilities and attention of highly specialized
health workers.
This care is provided by the regional or central
level institutions. E.g. medical college hospitals.
 All Indian institutes MS, regional hospitals,
specialized hospitals and other apex
institutions(SGPGIMS).

13. Quaternary care:
Quaternary care (fourth level) is an advanced
level of medicine, and the summit of levels of
healthcare system. They are highly
specialized and not easily accessible. They
offer the care in a few national and
international centers.
Examples of quaternary care are uncommon
diagnostic, surgical procedure, experimental
drugs.