Ítem
Solo Metadatos

Knowledge and use of clinical coordination mechanisms in healthcare networks in Latin America

Mostrar el registro sencillo de la publicación
dc.creatorMiranda-Mendizábal, Andreaspa
dc.creatorVargas, Ingridspa
dc.creatorMogollón Pérez, Amparo Susanaspa
dc.creatorEguiguren, Pamelaspa
dc.creatorSamico, Isabellaspa
dc.creatorLópez, Julietaspa
dc.creatorBertolotto, Fernandospa
dc.creatorAmarilla, Deliaspa
dc.creatorVázquez, María-Luisaspa
dc.date.accessioned2020-05-26T00:08:46Z
dc.date.available2020-05-26T00:08:46Z
dc.date.created2018spa
dc.description.abstractObjective: To analyze the level of knowledge and use, and the characteristics of use, of care coordination mechanisms in public healthcare networks of six Latin America countries. Method: Cross-sectional study based on a survey using the COORDENA® questionnaire with primary and secondary care doctors (348 doctors/country) of public healthcare networks in Argentina, Brazil, Chile, Colombia, Mexico and Uruguay (May-October 2015). Analyzed variables: degree of knowledge and use of information coordination (referral/reply letter, discharge report, phone, e-mail) and of clinical management coordination (shared clinical guidelines, joint meetings) mechanisms. Descriptive analyses were conducted. Results: Knowledge of clinical information coordination mechanisms was high in both care levels and analyzed networks as was the use of referral/reply letter. There was greater variability in the use of discharge reports (from 40.0% in Brazil to 79.4% in Mexico) and, except for Argentina, a low reception reported by primary care doctors stands out (12.3% in Colombia and 55.1% in Uruguay). In contrast, knowledge of clinical management coordination mechanisms was limited, especially among secondary care doctors. It is noteworthy, however, that adherence to clinical guidelines was high (from 83.1% in Mexico to 96.8% in Brazil), while participation in joint meetings varied widely (from 23.7% in Chile to 76.2% in Brazil). The difficulties reported in the use of the mechanisms are related to structural and organizational factors. Conclusions: The limited knowledge and use of coordination mechanisms shows insufficient diffusion and implementation. Strategies to increase its use are needed, including the related factors. © 2018 SESPASspa
dc.format.mimetypeapplication/pdf
dc.identifier.doihttps://doi.org/10.1016/j.gaceta.2018.09.009
dc.identifier.issn2139111
dc.identifier.urihttps://repository.urosario.edu.co/handle/10336/24112
dc.language.isoengspa
dc.publisherEdiciones Doyma, S.L.spa
dc.relation.citationTitleGaceta Sanitaria
dc.relation.ispartofGaceta Sanitaria, ISSN:2139111,(2018)spa
dc.relation.urihttps://www.scopus.com/inward/record.uri?eid=2-s2.0-85058544111&doi=10.1016%2fj.gaceta.2018.09.009&partnerID=40&md5=a5ce706fc5eb402cd2c7e939f7b8dcd7spa
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.keywordArgentinaspa
dc.subject.keywordArticlespa
dc.subject.keywordBrazilspa
dc.subject.keywordChilespa
dc.subject.keywordColombiaspa
dc.subject.keywordCoordinationspa
dc.subject.keywordCross-sectional studyspa
dc.subject.keywordDiffusionspa
dc.subject.keywordE-mailspa
dc.subject.keywordGeneral practitionerspa
dc.subject.keywordHumanspa
dc.subject.keywordHuman experimentspa
dc.subject.keywordJointspa
dc.subject.keywordMexicospa
dc.subject.keywordPatient referralspa
dc.subject.keywordPractice guidelinespa
dc.subject.keywordPrimary health carespa
dc.subject.keywordQuestionnairespa
dc.subject.keywordSecondary health carespa
dc.subject.keywordUruguayspa
dc.subject.keywordClinical coordinationspa
dc.subject.keywordClinical coordination mechanismsspa
dc.subject.keywordIntegrated health carespa
dc.subject.keywordLatin Americaspa
dc.subject.keywordPrimary health carespa
dc.titleKnowledge and use of clinical coordination mechanisms in healthcare networks in Latin Americaspa
dc.title.TranslatedTitleConocimiento y uso de mecanismos de coordinación clínica de servicios de salud de Latinoaméricaspa
dc.typecontributionToPeriodicaleng
dc.type.hasVersioninfo:eu-repo/semantics/publishedVersion
dc.type.spaDiariospa
Archivos
Colecciones
Artículos