Levels of care

From WikiMD's Food, Medicine & Wellness Encyclopedia

Levels of Care refers to the hierarchy of medical and social service systems designed to meet the varying health and personal needs of individuals. This concept is fundamental in healthcare planning and delivery, ensuring that patients receive appropriate, efficient, and effective care tailored to their specific requirements. The levels of care range from basic primary care to highly specialized services, each level addressing different healthcare needs.

Primary Care[edit | edit source]

Primary Care is the first level of care where individuals receive health services for common illnesses, preventive measures, and general health maintenance. It is typically provided by general practitioners, family physicians, pediatricians, or nurse practitioners. Primary care acts as the entry point into the healthcare system and plays a crucial role in coordinating patient care.

Secondary Care[edit | edit source]

Secondary Care involves more specialized services that patients are referred to by their primary care providers. This level includes specialists such as cardiologists, dermatologists, and surgeons who provide care for specific health issues. Secondary care often requires more sophisticated equipment and expertise than primary care.

Tertiary Care[edit | edit source]

Tertiary Care represents an even more specialized level of medical care. It includes advanced medical investigations and treatments such as cancer management, neurosurgery, and plastic surgery. Tertiary care facilities are usually referral hospitals with specialized equipment and healthcare professionals.

Quaternary Care[edit | edit source]

Quaternary Care is an extension of tertiary care and includes highly specialized and experimental treatments and procedures. This level of care is rare and is usually only offered in a few select institutions. Quaternary care services include gene therapy, certain types of transplants, and innovative surgeries.

Long-term Care[edit | edit source]

Long-term Care involves a variety of services designed to meet a person's health or personal care needs over a long period. This type of care is often provided to the elderly, individuals with chronic illnesses or disabilities, and includes both medical and non-medical care services. Long-term care can be provided at home, in the community, or in various types of facilities.

Palliative Care[edit | edit source]

Palliative Care focuses on providing relief from the symptoms and stress of a serious illness. The goal is to improve the quality of life for both the patient and their family. Palliative care is appropriate at any age and at any stage in a serious illness and can be provided alongside curative treatment.

Home and Community Care[edit | edit source]

Home and Community Care services support people of all ages who require care outside of hospital settings, in their home, or in the community. This level of care can include home health care, community services such as day care, and support for family caregivers.

Emergency Care[edit | edit source]

Emergency Care is immediate treatment for acute illness or injury. Emergency care can be provided in hospitals' emergency departments, specialized urgent care centers, or through emergency medical services (EMS). This level of care is critical for life-threatening conditions and requires rapid and specialized treatment.

Mental Health Care[edit | edit source]

Mental Health Care addresses the prevention, diagnosis, and treatment of mental, behavioral, and emotional disorders. This care can be provided in various settings, including primary care, specialized mental health clinics, and hospitals. Mental health care is essential for improving an individual's overall well-being and quality of life.


The concept of levels of care is integral to the organization and delivery of healthcare services. By understanding and effectively navigating these levels, individuals can receive the most appropriate care for their specific health needs, ensuring better health outcomes and more efficient use of healthcare resources.

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Contributors: Prab R. Tumpati, MD