The term quaternary care is usually used as an extension of tertiary care in reference to advanced levels of medicine which are extremely specialised and never broadly accessed. Experimental medication and a few forms of unusual diagnostic or surgical procedures are thought of quaternary care. These providers are often solely provided in a limited variety of regional or national health care centers. In different countries patient self-referral to a medical specialist for secondary care is uncommon as prior referral from one other physician is considered needed, regardless of whether the funding is from non-public insurance schemes or nationwide health insurance. …

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