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Care coordination in two of Bogota’s public healthcare networks: A cross-sectional study among doctors

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dc.creatorGallego-Ardila A.D.spa
dc.creatorPinzón Rondón, Ángela Maríaspa
dc.creatorMogollón Pérez, Amparo Susanaspa
dc.creatorCardozo C.X.spa
dc.creatorVargas I.spa
dc.creatorVázquez M.-L.spa
dc.date.accessioned2020-05-26T00:11:53Z
dc.date.available2020-05-26T00:11:53Z
dc.date.created2019spa
dc.description.abstractIntroduction: Care coordination is a priority concern for healthcare systems. In Colombia, there is a lack of information on the topic. This study analysed how doctors of two Bogotá’s public healthcare networks perceived coordination between healthcare levels and what factors are associated with their perception. Methods: A cross-sectional study using the COORDENA-CO questionnaire to a sample of 363 doctors (network-1 = 181; network-2 = 182) in 2015. The questionnaire asks about types and dimensions of care coordination: information and clinical management, with items in a Likert scale, as well as conditions regarding health system, organisational and doctors’ conditions. Descriptive statistics and logistic regression analysis were performed. Results: The doctors’ perception of a high level of coordination did not exceed 25.4%. On coordination of information, limited transfer of clinical information was found. Concerning clinical management, there were limited care coherence, deficits in patient follow-up and lengthy waiting times for specialised care. A high perception of coordination were associated with being female, being over 50 years old, being a specialist, having less than one year’s working experience, working less than 20 h per week at the centre, forming part of network-1, having time available for performing coordination tasks, having job satisfaction and not identifying limitations imposed by healthcare insurers. Discussion: There was limited perception of coordination, in its different dimensions and types with some differences between networks. The results support the importance of guaranteeing job satisfaction, ensuring sufficient time to coordination-related activities and intervening in the restrictions imposed by healthcare insurers to improve care coordination. © The Author(s) 2019.eng
dc.format.mimetypeapplication/pdf
dc.identifier.doihttps://doi.org/10.1177/2053434519892469
dc.identifier.issn20534353
dc.identifier.issn20534345
dc.identifier.urihttps://repository.urosario.edu.co/handle/10336/24339
dc.language.isoengspa
dc.publisherSAGE Publications Ltdspa
dc.relation.citationEndPage139
dc.relation.citationIssueNo. 43924
dc.relation.citationStartPage127
dc.relation.citationTitleInternational Journal of Care Coordination
dc.relation.citationVolumeVol. 22
dc.relation.ispartofInternational Journal of Care Coordination, ISSN:20534353, 20534345, Vol.22, No.43924 (2019); pp. 127-139spa
dc.relation.urihttps://www.scopus.com/inward/record.uri?eid=2-s2.0-85077215081&doi=10.1177%2f2053434519892469&partnerID=40&md5=d0ddaf6d1c2a961dc8612167b8b9564dspa
dc.rights.accesRightsinfo:eu-repo/semantics/openAccess
dc.rights.accesoAbierto (Texto Completo)spa
dc.source.instnameinstname:Universidad del Rosariospa
dc.source.reponamereponame:Repositorio Institucional EdocURspa
dc.subject.keywordAdultspa
dc.subject.keywordArticlespa
dc.subject.keywordColombiaspa
dc.subject.keywordControlled studyspa
dc.subject.keywordCross-sectional studyspa
dc.subject.keywordFemalespa
dc.subject.keywordFollow upspa
dc.subject.keywordHumanspa
dc.subject.keywordIntegrated health care systemspa
dc.subject.keywordJob satisfactionspa
dc.subject.keywordLikert scalespa
dc.subject.keywordPerceptionspa
dc.subject.keywordPrimary health carespa
dc.subject.keywordQuestionnairespa
dc.subject.keywordSecondary health carespa
dc.subject.keywordCare coordinationspa
dc.subject.keywordColombiaspa
dc.subject.keywordCross-sectional studyspa
dc.subject.keywordIntegrated delivery systemspa
dc.subject.keywordPrimary health carespa
dc.subject.keywordSecondary carespa
dc.titleCare coordination in two of Bogota’s public healthcare networks: A cross-sectional study among doctorsspa
dc.typearticleeng
dc.type.hasVersioninfo:eu-repo/semantics/publishedVersion
dc.type.spaArtículospa
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