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Levels of Health Care Referral System

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By Matt Vera BSN, R.N.


There are 3 different levels of health care systems which are primary, secondary, and tertiary. In this post, you’ll get to know more about these health care systems. These referral systems are interlinked or interconnected to one another.

Primary Level of Care

  • Devolved to cities and municipalities
  • Usually the first contact between the community members and other levels of the health facility.
  • Center physicians, public health nurses, rural health midwives, traditional healers.

Secondary Level of Care

  • Given by physicians with basic health training.
  • Usually given in health facilities either privately owned or government-operated.
  • Infirmaries, municipal, district hospital, out-patient departments.
  • Rendered by specialists in health facilities.

Tertiary Level of Care

  • Referral system for the secondary care facilities.
  • Provided complicated cases and intensive care.
  • Medical centers, regional and provincial hospitals, and specialized hospitals.
Matt Vera, a registered nurse since 2009, leverages his experiences as a former student struggling with complex nursing topics to help aspiring nurses as a full-time writer and editor for Nurseslabs, simplifying the learning process, breaking down complicated subjects, and finding innovative ways to assist students in reaching their full potential as future healthcare providers.

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