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dc.creatorVázquez, María-Luisa 
dc.creatorVargas, Ingrid 
dc.creatorGarcia-Subirats, Irene 
dc.creatorUnger, Jean-Pierre 
dc.creatorDe Paepe, Pierre 
dc.creatorMogollon-Pérez, Amparo Susana 
dc.creatorSamico, Isabella 
dc.creatorEguiguren, Pamela 
dc.creatorCisneros, Angelica-Ivonne 
dc.creatorHuerta, Adriana 
dc.creatorMuruaga, María-Cecilia 
dc.creatorBertolotto, Fernando 
dc.date.accessioned2018-12-10T14:45:10Z
dc.date.available2018-12-10T14:45:10Z
dc.date.created2017
dc.date.issued2017 
dc.identifier.issnISSN0277-9536
dc.identifier.urihttp://repository.urosario.edu.co/handle/10336/18787
dc.descriptionImproving coordination between primary care (PC) and secondary care (SC) has become a policy priority in recent years for many Latin American public health systems looking to reinforce a healthcare model based on PC. However, despite being a longstanding concern, it has scarcely been analyzed in this region. This paper analyses the level of clinical coordination between PC and SC experienced by doctors and explores influencing factors in public healthcare networks of Argentina, Brazil, Chile, Colombia, Mexico and Uruguay. A cross-sectional study was carried out based on a survey of doctors working in the study networks (348 doctors per country). The COORDENA questionnaire was applied to measure their experiences of clinical management and information coordination, and their related factors. Descriptive analyses were conducted and a multivariate logistic regression model was generated to assess the relationship between general perception of care coordination and associated factors. With some differences between countries, doctors generally reported limited care coordination, mainly in the transfer of information and communication for the follow-up of patients and access to SC for referred patients, especially in the case of PC doctors and, to a lesser degree, inappropriate clinical referrals and disagreement over treatments, in the case of SC doctors. Factors associated with a better general perception of coordination were: being a SC doctor, considering that there is enough time for coordination within consultation hours, job and salary satisfaction, identifying the PC doctor as the coordinator of patient care across levels, knowing the doctors of the other care level and trusting in their clinical skills. These results provide evidence of problems in the implementation of a primary care-based model that require changes in aspects of employment, organization and interaction between doctors, all key factors for coordination. © 2017 The Authors
dc.format.mimetypeapplication/pdf
dc.language.isoeng
dc.relation.ispartofSocial Science and Medicine, ISSN: 0277-9536, Vol. 182 (2017) pp. 10-19
dc.relation.urihttps://reader.elsevier.com/reader/sd/pii/S0277953617302241?token=C57EFB477B07E4BC898446B25355280E55575EA906DD7C0478582C60889D3CBB10F77FF1CDD52E63FC87085A31CAE6F9
dc.rights.uri
dc.subjectCare Coordination
dc.subjectCare Integration
dc.subjectHealth Services Research
dc.subjectHealth-Care Surveys
dc.subjectIntegrated Delivery Systems
dc.subjectLatin America
dc.subjectPrimary Health Care
dc.subjectQuality Of Health Care
dc.subject.lembAtención primaria en salud
dc.subject.lembAdministración de servicios de salud
dc.subject.lembAdministración hospitalaria
dc.titleDoctors' experience of coordination across care levels and associated factors. A cross-sectional study in public healthcare networks of six Latin American countries
dc.typearticle
dc.rights.accesRightsinfo:eu-repo/semantics/openAccess
dc.subject.decsHealth Services
dc.subject.decsHealth Survey
dc.subject.decsHealth Worker
dc.subject.decsLatino People
dc.subject.decsPerception
dc.subject.decsPublic Health
dc.subject.decsArgentina
dc.subject.decsBrazil
dc.subject.decsChile
dc.subject.decsColombia
dc.subject.decsConsultation
dc.subject.decsCoordination
dc.subject.decsCross-Sectional Study
dc.subject.decsDoctor Patient Relation
dc.subject.decsEmployment
dc.subject.decsFollow Up
dc.subject.decsGeneral Practitioner
dc.subject.decsHealth Care Survey
dc.subject.decsHealth Services Research
dc.subject.decsHuman
dc.subject.decsLogistic Regression Analysis
dc.subject.decsMexico
dc.subject.decsModel
dc.subject.decsPatient Care
dc.subject.decsPerception
dc.subject.decsQuestionnaire
dc.subject.decsSalary
dc.subject.decsSatisfaction
dc.subject.decsSecondary Health Care
dc.subject.decsSkill
dc.subject.decsUruguay
dc.subject.decsArgentina
dc.subject.decsBrazil
dc.subject.decsChile
dc.subject.decsColombia
dc.subject.decsMexico [North America]
dc.subject.decsUruguay
dc.type.spaArtículo
dc.rights.accesoAbierto (Texto Completo)
dc.type.hasVersioninfo:eu-repo/semantics/publishedVersion
dc.source.bibliographicCitationAller, M.B., Vargas, I., Coderch, J., Calero, S., Cots, F., Abizanda, M., Development and testing of indicators to measure coordination of clinical information and management across levels of care (2015) BMC Health Serv. Res., 15, p. 323
dc.rights.cchttps://creativecommons.org/licenses/by-nc-nd/4.0/
dc.creator.googleVázquez M.-L., Vargas I., Garcia-Subirats I., Unger J.-P., De Paepe P., Mogollón-Pérez A.S., Samico I., Eguiguren P., Cisneros A.-I., Huerta A., Muruaga M.-C., Bertolotto F.
dc.creator.googleVázquez, María-Luisa
dc.creator.googleVargas, Ingrid
dc.creator.googleGarcia-Subirats, Irene
dc.creator.googleUnger, Jean-Pierre
dc.creator.googleDe Paepe, Pierre
dc.creator.googleMogollon-Pérez, Amparo Susana
dc.creator.googleSamico, Isabella
dc.creator.googleEguiguren, Pamela
dc.creator.googleCisneros, Angelica-Ivonne
dc.creator.googleMuruaga, María-Cecilia
dc.creator.googleMuruaga, María-Cecilia
dc.creator.googleBertolotto, Fernando


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