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Health care
Health care or Healthcare is the maintenance or improvement of health via the diagnosis, treatment, and prevention of disease, illness, injury, and other

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This article is about the provision of medical care. For other uses, see Health care (disambiguation). "Medical care" redirects here. For the health journal, see Medical Care (journal). New York-Presbyterian Hospital in New York City is one of the world's busiest hospitals. Pictured is the Weill-Cornell facility (white complex at centre).

Health care or Healthcare is the maintenance or improvement of health via the diagnosis, treatment, and prevention of disease, illness, injury, and other physical and mental impairments in human beings. Healthcare is delivered by health professionals (providers or practitioners) in allied health professions, chiropractic, physicians, physician associates, dentistry, midwifery, nursing, medicine, optometry, pharmacy, psychology, and other health professions. It includes the work done in providing primary care, secondary care, and tertiary care, as well as in public health.

Access to health care may vary across countries, groups, and individuals, largely influenced by social and economic conditions as well as the health policies in place. Countries and jurisdictions have different policies and plans in relation to the personal and population-based health care goals within their societies. Healthcare systems are organisations established to meet the health needs of target populations. Their exact configuration varies between national and subnational entities. In some countries and jurisdictions, health care planning is distributed among market participants, whereas in others, planning occurs more centrally among governments or other coordinating bodies. In all cases, according to the World Health Organization (WHO), a well-functioning healthcare system requires a robust financing mechanism; a well-trained and adequately paid workforce; reliable information on which to base decisions and policies; and well maintained health facilities and logistics to deliver quality medicines and technologies.

Healthcare can contribute to a significant part of a country's economy. In 2011, the healthcare industry consumed an average of 9.3 percent of the GDP or US$ 3,322 (PPP-adjusted) per capita across the 34 members of OECD countries. The US (17.7%, or US$ PPP 8,508), the Netherlands (11.9%, 5,099), France (11.6%, 4,118), Germany (11.3%, 4,495), Canada (11.2%, 5669), and Switzerland (11%, 5,634) were the top spenders, however life expectancy in total population at birth was highest in Switzerland (82.8 years), Japan and Italy (82.7), Spain and Iceland (82.4), France (82.2) and Australia (82.0), while OECD's average exceeds 80 years for the first time ever in 2011: 80.1 years, a gain of 10 years since 1970. The US (78.7 years) ranges only on place 26 among the 34 OECD member countries, but has the highest costs by far. All OECD countries have achieved universal (or almost universal) health coverage, except the US and Mexico. (see also international comparisons.)

Health care is conventionally regarded as an important determinant in promoting the general physical and mental health and well-being of people around the world. An example of this was the worldwide eradication of smallpox in 1980, declared by the WHO as the first disease in human history to be completely eliminated by deliberate health care interventions.

  • 1 Delivery
    • 1.1 Primary care
    • 1.2 Secondary care
    • 1.3 Tertiary care
      • 1.3.1 Quaternary care
    • 1.4 Home and community care
    • 1.5 Ratings
  • 2 Related sectors
    • 2.1 Health system
    • 2.2 Health care industry
    • 2.3 Health care research
    • 2.4 Health care financing
    • 2.5 Health care administration and regulation
    • 2.6 Health information technology
  • 3 Countries
    • 3.1 Taiwan
    • 3.2 Canada
    • 3.3 United Kingdom
    • 3.4 United States
    • 3.5 India
  • 4 See also
  • 5 References
  • 6 External links

Delivery See also: Health professionals Primary care may be provided in community health centres.

The delivery of modern health care depends on groups of trained professionals and paraprofessionals coming together as interdisciplinary teams. This includes professionals in medicine, psychology, physiotherapy, nursing, dentistry, midwifery and allied health, plus many others such as public health practitioners, community health workers and assistive personnel, who systematically provide personal and population-based preventive, curative and rehabilitative care services.

While the definitions of the various types of health care vary depending on the different cultural, political, organizational and disciplinary perspectives, there appears to be some consensus that primary care constitutes the first element of a continuing health care process, that may also include the provision of secondary and tertiary levels of care. Healthcare can be defined as either public or private.

The emergency room is often a frontline venue for the delivery of primary medical care. Primary care Main article: Primary care See also: Primary health care, Ambulatory care, and Urgent care Medical train "Therapist Matvei Mudrov" in Khabarovsk, Russia

Primary care refers to the work of health professionals who act as a first point of consultation for all patients within the health care system. Such a professional would usually be a primary care physician, such as a general practitioner or family physician, a licensed independent practitioner such as a physiotherapist, or a non-physician primary care provider (mid-level provider) such as a physician assistant or nurse practitioner. Depending on the locality, health system organization, and sometimes at the patient's discretion, they may see another health care professional first, such as a pharmacist, a nurse (such as in the United Kingdom), a clinical officer (such as in parts of Africa), or an Ayurvedic or other traditional medicine professional (such as in parts of Asia). Depending on the nature of the health condition, patients may then be referred for secondary or tertiary care.

Primary care is often used as the term for the health care services which play a role in the local community. It can be provided in different settings, such as Urgent care centres which provide services to patients same day with the appointment or walk-in basis.

Primary care involves the widest scope of health care, including all ages of patients, patients of all socioeconomic and geographic origins, patients seeking to maintain optimal health, and patients with all manner of acute and chronic physical, mental and social health issues, including multiple chronic diseases. Consequently, a primary care practitioner must possess a wide breadth of knowledge in many areas. Continuity is a key characteristic of primary care, as patients usually prefer to consult the same practitioner for routine check-ups and preventive care, health education, and every time they require an initial consultation about a new health problem. The International Classification of Primary Care (ICPC) is a standardised tool for understanding and analysing information on interventions in primary care by the reason for the patient visit.

Common chronic illnesses usually treated in primary care may include, for example: hypertension, diabetes, asthma, COPD, depression and anxiety, back pain, arthritis or thyroid dysfunction. Primary care also includes many basic maternal and child health care services, such as family planning services and vaccinations. In the United States, the 2013 National Health Interview Survey found that skin disorders (42.7%), osteoarthritis and joint disorders (33.6%), back problems (23.9%), disorders of lipid metabolism (22.4%), and upper respiratory tract disease (22.1%, excluding asthma) were the most common reasons for accessing a physician.

In the United States, primary care physicians have begun to deliver primary care outside of the managed care (insurance-billing) system through direct primary care which is a subset of the more familiar concierge medicine. Physicians in this model bill patients directly for services, either on a pre-paid monthly, quarterly, or annual basis, or bill for each service in the office. Examples of direct primary care practices include Foundation Health in Colorado and Qliance in Washington.

In context of global population aging, with increasing numbers of older adults at greater risk of chronic non-communicable diseases, rapidly increasing demand for primary care services is expected in both developed and developing countries. The World Health Organization attributes the provision of essential primary care as an integral component of an inclusive primary health care strategy.

Secondary care

Secondary care includes acute care: necessary treatment for a short period of time for a brief but serious illness, injury or other health condition, such as in a hospital emergency department. It also includes skilled attendance during childbirth, intensive care, and medical imaging services.

The term "secondary care" is sometimes used synonymously with "hospital care". However, many secondary care providers do not necessarily work in hospitals, such as psychiatrists, clinical psychologists, occupational therapists, most dental specialties or physiotherapists (physiotherapists are also primary care providers, and a referral is not required to see a physiotherapist), and some primary care services are delivered within hospitals. Depending on the organization and policies of the national health system, patients may be required to see a primary care provider for a referral before they can access secondary care.

For example, in the United States, which operates under a mixed market health care system, some physicians might voluntarily limit their practice to secondary care by requiring patients to see a primary care provider first, or this restriction may be imposed under the terms of the payment agreements in private or group health insurance plans. In other cases, medical specialists may see patients without a referral, and patients may decide whether self-referral is preferred.

In the United Kingdom and Canada, patient self-referral to a medical specialist for secondary care is rare as prior referral from another physician (either a primary care physician or another specialist) is considered necessary, regardless of whether the funding is from private insurance schemes or national health insurance.

Allied health professionals, such as physical therapists, respiratory therapists, occupational therapists, speech therapists, and dietitians, also generally work in secondary care, accessed through either patient self-referral or through physician referral.

Tertiary care The National Hospital for Neurology and Neurosurgery in London, United Kingdom is a specialist neurological hospital. See also: Medicine

Tertiary care is specialized consultative health care, usually for inpatients and on referral from a primary or secondary health professional, in a facility that has personnel and facilities for advanced medical investigation and treatment, such as a tertiary referral hospital.

Examples of tertiary care services are cancer management, neurosurgery, cardiac surgery, plastic surgery, treatment for severe burns, advanced neonatology services, palliative, and other complex medical and surgical interventions.

Quaternary care

The term quaternary care is sometimes used as an extension of tertiary care in reference to advanced levels of medicine which are highly specialised and not widely accessed. Experimental medicine and some types of uncommon diagnostic or surgical procedures are considered quaternary care. These services are usually only offered in a limited number of regional or national health care centres. This term is more prevalent in the United Kingdom, but just as applicable in the United States. A quaternary care hospital may have virtually any procedure available, whereas a tertiary care facility may not offer a sub-specialist with that training.

Home and community care See also: Public health

Many types of health care interventions are delivered outside of health facilities. They include many interventions of public health interest, such as food safety surveillance, distribution of condoms and needle-exchange programmes for the prevention of transmissible diseases.

They also include the services of professionals in residential and community settings in support of self care, home care, long-term care, assisted living, treatment for substance use disorders and other types of health and social care services.

Community rehabilitation services can assist with mobility and independence after loss of limbs or loss of function. This can include prosthesis, orthotics or wheelchairs.

Many countries, especially in the west are dealing with aging populations, and one of the priorities of the health care system is to help seniors live full, independent lives in the comfort of their own homes. There is an entire section of health care geared to providing seniors with help in day-to-day activities at home, transporting them to doctor's appointments, and many other activities that are so essential for their health and well-being. Although they provide home care for older adults in cooperation, family members and care workers may harbour diverging attitudes and values towards their joint efforts. This state of affairs presents a challenge for the design of ICT for home care.

With obesity in children rapidly becoming a major concern, health services often set up programs in schools aimed at educating children in good eating habits; making physical education compulsory in school; and teaching young adolescents to have positive self-image.

Ratings Main article: Health care ratings

Health care ratings are ratings or evaluations of health care used to evaluate the process of care, healthcare structures and/or outcomes of health care services. This information is translated into report cards that are generated by quality organizations, nonprofit, consumer groups and media. This evaluation of quality can be based on:

  • Measures of Hospital quality
  • Measures of Health Plan Quality
  • Measures of Physician Quality
  • Measures of Quality for Other Health Professionals
  • Measures of Patient Experience
Related sectors

Health care extends beyond the delivery of services to patients, encompassing many related sectors, and set within a bigger picture of financing and governance structures.

Health system Main articles: Health system and Health systems by country

A health system, also sometimes referred to as health care system or healthcare system is the organization of people, institutions, and resources to deliver health care services to meet the health needs of target populations.

Health care industry See also: Health care industry and Health economics A group of Chilean 'Damas de Rojo' volunteering at their local hospital

The health care industry incorporates several sectors that are dedicated to providing health care services and products. As a basic framework for defining the sector, the United Nations' International Standard Industrial Classification categorises health care as generally consisting of hospital activities, medical and dental practice activities, and "other human health activities". The last class involves activities of, or under the supervision of, nurses, midwives, physiotherapists, scientific or diagnostic laboratories, pathology clinics, residential health facilities, patient advocates, or other allied health professions, e.g. in the field of optometry, hydrotherapy, medical massage, yoga therapy, music therapy, occupational therapy, speech therapy, chiropody, homeopathy, chiropractics, acupuncture, etc.

In addition, according to industry and market classifications, such as the Global Industry Classification Standard and the Industry Classification Benchmark, health care includes many categories of medical equipment, instruments and services as well as biotechnology, diagnostic laboratories and substances, and drug manufacturing and delivery.

For example, pharmaceuticals and other medical devices are the leading high technology exports of Europe and the United States. The United States dominates the biopharmaceutical field, accounting for three-quarters of the world's biotechnology revenues.

Health care research Main articles: Medical research and Nursing research See also: List of health care journals, List of medical journals, and List of nursing journals For a topical guide to this subject, see Healthcare science.

The quantity and quality of many health care interventions are improved through the results of science, such as advanced through the medical model of health which focuses on the eradication of illness through diagnosis and effective treatment. Many important advances have been made through health research, including biomedical research and pharmaceutical research, which form the basis for evidence-based medicine and evidence-based practice in health care delivery.

For example, in terms of pharmaceutical research and development spending, Europe spends a little less than the United States (€22.50bn compared to €27.05bn in 2006). The United States accounts for 80% of the world's research and development spending in biotechnology.

In addition, the results of health services research can lead to greater efficiency and equitable delivery of health care interventions, as advanced through the social model of health and disability, which emphasizes the societal changes that can be made to make population healthier. Results from health services research often form the basis of evidence-based policy in health care systems. Health services research is also aided by initiatives in the field of AI for the development of systems of health assessment that are clinically useful, timely, sensitive to change, culturally sensitive, low burden, low cost, involving for the patient and built into standard procedures.

Health care financing See also: Health care system, Health policy, and Universal health care

There are generally five primary methods of funding health care systems:

  1. general taxation to the state, county or municipality
  2. social health insurance
  3. voluntary or private health insurance
  4. out-of-pocket payments
  5. donations to health charities

In most countries, the financing of health care services features a mix of all five models, but the exact distribution varies across countries and over time within countries. In all countries and jurisdictions, there are many topics in the politics and evidence that can influence the decision of a government, private sector business or other group to adopt a specific health policy regarding the financing structure.

For example, social health insurance is where a nation's entire population is eligible for health care coverage, and this coverage and the services provided are regulated. In almost every jurisdiction with a government-funded health care system, a parallel private, and usually for-profit, system is allowed to operate. This is sometimes referred to as two-tier health care or universal health care.

For example, in Poland, the costs of health services borne by the National Health Fund (financed by all citizens that pay health insurance contributions) in 2012 amounted to 60.8 billion PLN (approximately 20 billion USD). The right to health services in Poland is granted to 99.9% of the population (also registered unemployed persons and their spouses).

Health care administration and regulation See also: Health professional requisites

The management and administration of health care is another sector vital to the delivery of health care services. In particular, the practice of health professionals and operation of health care institutions is typically regulated by national or state/provincial authorities through appropriate regulatory bodies for purposes of quality assurance. Most countries have credentialing staff in regulatory boards or health departments who document the certification or licensing of health workers and their work history.

Health information technology See also: Health information technology, Health information management, Health informatics, and eHealth

Health information technology (HIT) is "the application of information processing involving both computer hardware and software that deals with the storage, retrieval, sharing, and use of health care information, data, and knowledge for communication and decision making." Technology is a broad concept that deals with a species' usage and knowledge of tools and crafts, and how it affects a species' ability to control and adapt to its environment. However, a strict definition is elusive; "technology" can refer to material objects of use to humanity, such as machines, hardware or utensils, but can also encompass broader themes, including systems, methods of organization, and techniques. For HIT, technology represents computers and communications attributes that can be networked to build systems for moving health information. Informatics is yet another integral aspect of HIT.

Health information technology can be divided into further components like Electronic Health Record (EHR), Electronic Medical Record (EMR), Personal Health Record (PHR), Practice Management System (PMS), Health Information Exchange (HIE) and many more. There are multiple purposes for the use of HIT within the health care industry. Further, the use of HIT is expected to improve the quality of health care, reduce medical errors, improve the health care service efficiency and reduce health care costs.

Countries Taiwan Main article: Healthcare in Taiwan

Healthcare in Taiwan are administered by the units Ministry of Health and Welfare and the Executive Yuan. main job is to monitor the National Health Insurance.

Canada Main article: Healthcare in Canada United Kingdom Main article: Healthcare in the United Kingdom

Each of the four countries of the UK has a publicly funded health care system referred to as the National Health Service (NHS). All of the services were founded in 1948, based on legislation passed by the Labour Government that had been elected in 1945 with a manifesto commitment to implement the Beveridge Report recommendation to create "comprehensive health and rehabilitation services for prevention and cure of disease".

The NHS was born out of a long-held British ideal that good healthcare should be available to all, regardless of wealth. At its launch by the UK minister of health, Aneurin Bevan, on 5 July 1948, it had at its heart three core principles: That it meet the needs of everyone, that it be free at the point of delivery, and that it be based on clinical need, not ability to pay.

United States Main article: Healthcare in the United States India

Main article: Healthcare in India

See also This section may be in need of reorganization to comply with Wikipedia's layout guidelines. Please help by editing the article to make improvements to the overall structure. (January 2014) (Learn how and when to remove this template message)
  • Medicine portal
  • Nursing portal
  • Health and fitness portal
  • Society portal
  • Acronyms in healthcare
  • Catholic Church and health care
  • Clinical documentation improvement
  • Doctor–patient relationship
  • Electronic health record
  • Healthcare system / Health professionals
  • Health center / Clinic / Hospital / Nursing Home
  • Health policy
    • Healthy city / Alliance for Healthy Cities
    • Health care reform / Health care reform in the United States / Unnecessary health care
    • Health insurance / Insurance / Right to health /Social health insurance /Subsidies
  • List of OECD countries by health care outcome
  • Medical classification
    • ATC codes (Anatomical Therapeutic Chemical classification system)
    • Classification of Pharmaco-Therapeutic Referrals (CPR)
    • Diagnostic and Statistical Manual of Mental Disorders (DSM) / List of DSM-IV codes
    • ICD-10 (International Classification of Diseases)
    • International Classification of Primary Care (ICPC-2) / ICPC-2 PLUS
  • Medicine / Doctor's visit / Nursing
  • Philosophy of healthcare
    • Community health service / Community health centers in the United States
    • Direct primary care (United States)
    • Family medicine / Preventive medicine / Social medicine
    • Social service / Social determinants of health
  • Universal health care
  1. ^ "Health Topics: Health Systems". WHO World Health Organization. Retrieved 2013-11-24. 
  2. ^ "Health at a Glance 2013 - OECD Indicators" (PDF). OECD. 2013-11-21. pp. 5, 39, 46, 48. (link). Retrieved 2013-11-24. 
  3. ^ "OECD.StatExtracts, Health, Health Status, Life expectancy, Total population at birth, 2011" (online statistics). OECD's iLibrary. 2013. Retrieved 2013-11-24. 
  4. ^ World Health Organization. Anniversary of smallpox eradication. Geneva, 18 June 2010.
  5. ^ United States Department of Labor. Employment and Training Administration: Health care. Retrieved June 24, 2011.
  6. ^ Train for the Forgotten; For Siberia's isolated villagers, the doctor is in the railway car. June 2014 issue National Geographic (magazine)
  7. ^ World Health Organization. Definition of Terms. Retrieved 26 August 2014.
  8. ^ World Health Organization. International Classification of Primary Care, Second edition (ICPC-2). Geneva. Accessed 24 June 2011.
  9. ^ St Sauver JL, Warner DO, Yawn BP, et al. (January 2013). "Why patients visit their doctors: assessing the most prevalent conditions in a defined American population". Mayo Clin. Proc. 88 (1): 56–67. PMC 3564521 . PMID 23274019. doi:10.1016/j.mayocp.2012.08.020. 
  10. ^ World Health Organization. Aging and life course: Our aging world. Geneva. Accessed 24 June 2011.
  11. ^ Simmons J. Primary Care Needs New Innovations to Meet Growing Demands. HealthLeaders Media, May 27, 2009.
  12. ^ Johns Hopkins Medicine. Patient Care: Tertiary Care Definition. Accessed 27 June 2011.
  13. ^ a b Emory University. School of Medicine. Accessed 27 June 2011.
  14. ^ Alberta Physician Link. Levels of Care. Retrieved 26 August 2014.
  15. ^ Christensen, L.R.; E. Grönvall (2011). "Challenges and Opportunities for Collaborative Technologies for Home Care Work". S. Bødker, N. O. Bouvin, W. Letters, V. Wulf and L. Ciolfi (eds.) ECSCW 2011: Proceedings of the 12th European Conference on Computer Supported Cooperative Work, 24–28 September 2011, Aarhus, Denmark. Springer: 61–80. ISBN 978-0-85729-912-3. doi:10.1007/978-0-85729-913-0_4. 
  16. ^ Dorothy Kamaker. "Patient advocacy services ensure optimum health outcomes". Retrieved 2015-09-26. 
  17. ^ United Nations. International Standard Industrial Classification of All Economic Activities, Rev.3. New York.
  18. ^ a b c "The Pharmaceutical Industry in Figures" (pdf). European Federation of Pharmaceutical Industries and Associations. 2007. Retrieved February 15, 2010. 
  19. ^ "2008 Annual Report" (PDF). Pharmaceutical Research and Manufacturers of America. Retrieved February 15, 2010. 
  20. ^ a b "Europe's competitiveness". European Federation of Pharmaceutical Industries and Associations. Archived from the original on 23 August 2009. Retrieved February 15, 2010. 
  21. ^ Bond J.; Bond S. (1994). Sociology and Health Care. Churchill Livingstone. ISBN 0-443-04059-1. 
  22. ^ Erik Cambria; Tim Benson; Chris Eckl; Amir Hussain (2012). "Sentic PROMs: Application of Sentic Computing to the Development of a Novel Unified Framework for Measuring Health-Care Quality". Expert Systems with Applications, Elsevier. 
  23. ^ World Health Organization. "Regional Overview of Social Health Insurance in South-East Asia.' Retrieved December 02, 2014.
  24. ^ Adamiak, E. Chojnacka, D. Walczak, Social security in Poland – cultural, historical and economical issues, Copernican Journal of Finance & Accounting, Vol 2, No 2, p. 23.
  25. ^ World Health Organization, 2003. Quality and accreditation in health care services. Geneva
  26. ^ Tulenko et al., "Framework and measurement issues for monitoring entry into the health workforce." Handbook on monitoring and evaluation of human resources for health. Geneva, World Health Organization, 2012.
  27. ^ "Health information technology — HIT". Retrieved 5 August 2014. 
  28. ^ Beveridge, William (November 1942). "Social Insurance and Allied Services" (PDF). HM Stationery Office. Retrieved 3 March 2013. 
  29. ^ "The NHS in England - About the NHS - NHS core principles". 23 March 2009. Retrieved 11 July 2010. 
External links Library resources about
Health care
  • Resources in your library
  • Resources in other libraries
Wikimedia Commons has media related to Health care. Wikivoyage has a travel guide for Travel health.
  • HR3200: America's Affordable Health Choices Act of 2009
  • Defining Primary Care from Institute of Medicine IOM—Primary Care: America's Health in a New Era (1996)
  • Primary Care Definitions from American Academy of Family Physicians AAFP
  • Definition of Primary Care from American Medical Association AMA
  • Defining primary health care Department of Health United Kingdom UK
  • What is primary health care? Aboriginal Medical Services Alliance Northern Territory (AMSANT) Australia
  • Morrisey, Michael A. (2008). "Health Care". In David R. Henderson (ed.). Concise Encyclopedia of Economics (2nd ed.). Indianapolis: Library of Economics and Liberty. ISBN 978-0865976658. OCLC 237794267. CS1 maint: Extra text: editors list (link)
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Bounty Select-a-Size Paper Towels, White, Huge Roll, 12 Count
Bounty Select-a-Size Paper Towels, White, Huge Roll, 12 Count
Ever try one of those 'bargain' paper towels and go through so many sheets that the roll just disappears. with bounty, the roll doesn't disappear. Bounty select-a-size paper towels are 2x more absorbent, so you can use less. Bounty select-a-size paper towels quickly absorbs messes, so you can clean up and move on without wasting time or towels. Choose the paper towel you can count on: bounty, the longer-lasting quicker picker uppers. The custom-size-it brand in the u.s. and the premium green leaf towel in Canada. vs. Leading ordinary brand.

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Cottonelle Ultra ComfortCare Family Roll Toilet Paper, Bath Tissue, 36 Toilet Paper Rolls
Cottonelle Ultra ComfortCare Family Roll Toilet Paper, Bath Tissue, 36 Toilet Paper Rolls
Cottonelle Ultra ComfortCare Toilet Paper with CleanRipple Texture is the softest, thickest and most absorbent Cottonelle Bath Tissue ever. The cushiony-soft CleanRipple Texture is designed to clean better per sheet versus the leading national value brand and give your family a more comfortable clean. Cottonelle Ultra ComfortCare toilet tissue is not only safe for your behind, it’s safe for sewers and septic systems as well. Choose Cottonelle ComfortCare Toilet Paper and experience the CleanRipple Texture difference for yourself. For the ultimate in cushiony comfort and freshness, add Cottonelle FreshCare Flushable Cleansing Cloths to your bathroom routine.

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Pampers Baby Wipes Sensitive 7X Refill, 448 Diaper Wipes
Pampers Baby Wipes Sensitive 7X Refill, 448 Diaper Wipes
Gentle cleaning for your baby’s sensitive skin Changing your baby can be one of the most loving moments of the day. The #1 choice of hospitals* and the #1 sensitive wipe,** Pampers Sensitive baby wipes are clinically proven mild, dermatologist-tested, hypoallergenic, and perfume-free. Their unique Softgrip Texture offers gentle cleaning for your baby’s sensitive skin. Plus Pampers Sensitive wipes are 20% thicker versus regular Pampers wipes. During changing time, give your baby our best gentle clean: Pampers Sensitive wipes. *Based on hospital sales data **Based on U.S./Canada “Sensitive” nationally branded sales

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Angel Soft Toilet Paper, Bath Tissue, 48 Double Rolls (4 Packs of 12 Rolls)
Angel Soft Toilet Paper, Bath Tissue, 48 Double Rolls (4 Packs of 12 Rolls)
Since 1987, Angel Soft Toilet Paper has been the brand that offers the ideal balance of softness and strength…the right quality at the value you love! Why compromise for just ULTRA SOFT or ULTRA STRONG when you can have both in every roll of Angel Soft bath tissue with two layers (2-ply). Angel Soft toilet paper is manufactured from only pulp fiber with no additives. PLUS, Angel Soft breaks down and dissolves easily so it's septic safe and flushable. Be Soft and Be Strong with Angel Soft.

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Cottonelle FreshCare Flushable Cleansing Cloths, 336 Wipes, (Pack of 8)
Cottonelle FreshCare Flushable Cleansing Cloths, 336 Wipes, (Pack of 8)
Cottonelle Fresh Care Flushable Cleansing Cloths with Clean Ripple Texture are designed to clean better, when using dry and moist products together versus dry alone, for a shower-fresh feeling. Removing what dry paper leaves behind, the Fresh Care disposable wet wipes are alcohol-free and contain just the right amount of moisture to provide our ultimate clean. Plus, the Safe Flush Technology helps the moist wipes break down immediately after toilet flushing, making them safe for sewers and septic systems. Combine Fresh Care Flushable cleansing wipes with your favorite Cottonelle Toilet Paper and experience the Clean Ripple Texture difference for yourself.

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Finishing Touch Flawless Women's Painless Hair Remover
Finishing Touch Flawless Women's Painless Hair Remover
Want an easy and painless way to get rid of unwanted facial or body hair? Who has the time or money for waxing? Now, you have an alternative to waxing that doesn't irritate your skin. That's right - a hypoallergenic way to remove unwanted facial and body hair. This discreet and stylish facial and body hair remover is sleek and discreet. No one has to know what's really in your bag! The NEW Gold Standard in Facial Hair Removal from Finishing Touch. From the world's #1 facial hair remover for women comes Flawless - a revolutionary new device that erases facial hair instantly and painlessly. Recommended by dermatologists, the 18K gold-plated head is hypoallergenic and gentle on all skin types. Built-in light so you never miss a hair! No nicks, redness, or irritation. A finish as smooth as waxing! And, with facial hair gone, your makeup application is easy and FLAWLESS. For FLAWLESS feel and a FLAWLESS finish - you can trust Finishing Touch FLAWLESS. Requires 1 AA Battery, included. Suitable for women and men of all ages!

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Playtex Diaper Genie Refills for Diaper Genie Diaper Pails - 270 Count (Pack of 3)
Playtex Diaper Genie Refills for Diaper Genie Diaper Pails - 270 Count (Pack of 3)
Playtex Diaper Genie Refill - 270 Count (Pack of 3) The Playtex Diaper Genie Refill uses the revolutionary AIR-TITE odor-barrier system, a seven-layer barrier that provides the ultimate in odor protection. 7-layer plastic film keeps odor, germs and mess out of the nursery Recommended Age: For use with the Diaper Genie Elite Pail, Diaper Genie II and Diaper Genie II Elite Features: Includes enough film to dispose of 180 diapers Easy to install Unscented  

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Kleenex Ultra Soft Facial Tissues, Medium Count Flat, 170 ct, 6 Pack. Designs May Vary
Kleenex Ultra Soft Facial Tissues, Medium Count Flat, 170 ct, 6 Pack. Designs May Vary
One soft tissue is all it takes to show you care. Reach for gentle, indulgently soft Kleenex Ultra Soft Tissues for a friend, a stranger or yourself. With the perfect balance of softness and strength, Kleenex facial tissues are durable with 3-ply thickness and are absorbent to lock in moisture. Ultra Soft facial tissues are perfect for makeup smudges, sniffles and sneezes, childrenÕs messy faces and more. Just use and toss. Stock up and save on Kleenex Ultra Soft & Strong Tissues with Subscribe & Save and keep tissues on hand to care for family, company and yourself during cold and flu season, allergy season, back-to-school and holidays. And as always, Kleenex boxes come in a variety of colors and designs that blend beautifully into your home dŽcor. Place boxes in the living room, kitchen, bathrooms, bedrooms and office. Kleenex disposable facial tissues have been there for happy tears and stuffy noses since 1924.

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Sparkle Paper Towels, 24 Giant Plus Rolls, Pick-A-Size, White
Sparkle Paper Towels, 24 Giant Plus Rolls, Pick-A-Size, White
Sparkle paper towels won’t tell you there’s a right or wrong way to clean... Sparkle will simply help deliver on your kind of clean. Sparkle 2-ply perforated paper towels have just what you need without any unnecessary bells and whistles. Sparkle's unique balance of performance, value, and style makes Sparkle paper towels just right for wiping up your everyday messes, whether in the kitchen or bathroom, without wiping out your piggy bank. Keep it classic with Sparkle Just White paper towels, perfect for food preparation and cooking, or add a little extra color with Sparkle Spirited Prints or Sparkle Hint of Color. With our Pick-A-Size and Full Sheet options, you can get the job done at the right value – without sacrificing performance or style.

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