Ítem
Acceso Abierto

Understanding communication breakdown in the outpatient referral process in Latin America : A cross-sectional study on the use of clinical correspondence in public healthcare networks of six countries

Mostrar el registro sencillo de la publicación
dc.creatorVargas, Ingrid
dc.creatorGarcia-Subirats, Irene
dc.creatorMogollón Pérez, Amparo Susana
dc.creatorFerreira-de-Medeiros-Mendes, Marina
dc.creatorEguiguren, Pamela
dc.creatorCisneros, Angelica-Ivonne
dc.creatorMuruaga, María-Cecilia
dc.creatorBertolotto, Fernando
dc.creatorVázquez, María-Luisa
dc.creator.googleVargas, I., Garcia-Subirats, I., Mogollón-Pérez, A.-S., Ferreira-De-Medeiros-Mendes, M., Eguiguren, P., Cisneros, A.-I., Muruaga, M.-C., Bertolotto, F., Vázquez, M.-L.spa
dc.creator.googleVargas, Ingrid
dc.creator.googleGarcia-Subirats, Irene
dc.creator.googleMogollón-Pérez, Amparo-Susana
dc.creator.googleFerreira-de-Medeiros-Mendes, Marina
dc.creator.googleEguiguren, Pamela
dc.creator.googleCisneros, Angelica-Ivonne
dc.creator.googleMuruaga, María-Cecilia
dc.creator.googleBertolotto, Fernando
dc.creator.googleVázquez, María-Luisa
dc.date.accessioned2019-09-26T17:16:03Z
dc.date.available2019-09-26T17:16:03Z
dc.date.created2018
dc.date.issued2018
dc.description.abstractAn adequate use of referral and reply letters - the main form of communication between primary care (PC) and out-patient secondary care (SC) - helps to avoid medical errors, test duplications and delays in diagnosis. However, it has been little studied to date in Latin America. The aim is to determine the level and characteristics of PC and SC doctors' use of referral and reply letters and to explore influencing factors in public healthcare networks of Argentina, Brazil, Chile, Colombia, Mexico and Uruguay. A cross-sectional study was conducted through a survey of PC and SC doctors working in public healthcare networks (348 doctors per country). The COORDENA questionnaire was applied to measure the frequency of use and receipt of referral and reply letters, quality of contents, timeliness and difficulties in using them. Descriptive analyses were conducted and a multivariate logistic regression model was generated to assess the relationship between frequent use and associated factors. The great majority of doctors claim that they send referral letters to the other level. However, only half of SC doctors (a higher proportion in Chile and Mexico) report that they receive referral letters and <20% of PC doctors receive a reply from specialists. Insufficient recording of data is reported in terms of medical history, tests and medication and the reason for referral. The factor associated with frequent use of the referral letter is doctors' age, while the use of reply letters is associated with identifying PC doctors as care coordinators, knowing them and trusting in their clinical skills, and receiving referral letters. Significant problems are revealed in the use of referral and reply letters which may affect quality of care. Multifaceted strategies are required that foster a direct contact between doctors and a better understanding of the PC-based model. © 2018 The Author(s). Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine. All rights reserved.eng
dc.format.mimetypeapplication/pdf
dc.identifier.doi10.1093/heapol/czy016
dc.identifier.issn0268-1080
dc.identifier.urihttps://repository.urosario.edu.co/handle/10336/20346
dc.language.isoengspa
dc.relation.citationEndPage504
dc.relation.citationStartPage494
dc.relation.citationTitleHealth Policy and Planning
dc.relation.citationVolumeVol. 33
dc.relation.ispartofHealth Policy and Planning, ISSN:2681-080, Vol. 33 (2018) pp. 494-504spa
dc.relation.urihttps://academic.oup.com/heapol/article/33/4/494/4857369spa
dc.rights.accesRightsinfo:eu-repo/semantics/openAccess
dc.rights.accesoAbierto (Texto Completo)spa
dc.source.bibliographicCitationAlmeida, P.F., Giovanella, L., Mendonca, M.H., Escorel, S., Challenges for healthcare coordination: Strategies for integrating levels of care in large cities (2010) Cadernos de Saude Publica, 26, pp. 286-298spa
dc.source.instnameinstname:Universidad del Rosario
dc.source.reponamereponame:Repositorio Institucional EdocUR
dc.subjectArgentinaspa
dc.subjectBrazilspa
dc.subjectChilespa
dc.subjectColombiaspa
dc.subjectCross-Sectional Studyspa
dc.subjectGeneral Practitionerspa
dc.subjectHumanspa
dc.subjectMalespa
dc.subjectMexicospa
dc.subjectOutpatientspa
dc.subjectPatient Referralspa
dc.subjectQuestionnairespa
dc.subjectSecondary Health Carespa
dc.subjectSkillspa
dc.subjectUruguayspa
dc.subjectWritingspa
dc.subjectCross-Sectional Studyspa
dc.subjectInterpersonal Communicationspa
dc.subjectOutpatientspa
dc.subjectPhysicianspa
dc.subjectPrimary Health Carespa
dc.subjectProceduresspa
dc.subjectPublic Relationsspa
dc.subjectSouth And Central Americaspa
dc.subjectCommunicationspa
dc.subjectCorrespondence As Topicspa
dc.subjectCross-Sectional Studiesspa
dc.subjectInterprofessional Relationsspa
dc.subjectLatin Americaspa
dc.subjectMalespa
dc.subjectOutpatientsspa
dc.subjectPhysiciansspa
dc.subjectReferral And Consultationspa
dc.subjectSecondary Carespa
dc.subjectSurveys And Questionnairesspa
dc.subjectAtención primaria de saludspa
dc.subjectInvestigación de servicios de saludspa
dc.subjectAnálisis multivariantespa
dc.subject.ddcAdministración generalspa
dc.subject.keywordHealth services researchspa
dc.subject.keywordMedical historyspa
dc.subject.keywordArticlespa
dc.subject.keywordFemalespa
dc.subject.keywordMiddle Agedspa
dc.subject.keywordAdultspa
dc.subject.keywordFemalespa
dc.subject.keywordHumansspa
dc.subject.keywordMiddle Agedspa
dc.subject.lembAdministración de servicios de saludspa
dc.subject.lembSalud públicaspa
dc.subject.lembResponsabilidad médicaspa
dc.titleUnderstanding communication breakdown in the outpatient referral process in Latin America : A cross-sectional study on the use of clinical correspondence in public healthcare networks of six countriesspa
dc.typearticleeng
dc.type.hasVersioninfo:eu-repo/semantics/publishedVersion
dc.type.spaArtículospa
Archivos
Bloque original
Mostrando1 - 1 de 1
Miniatura
Nombre:
65.pdf
Tamaño:
297.97 KB
Formato:
Adobe Portable Document Format
Descripción:
Descargar
Colecciones
Artículos