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Doctors' experience of coordination across care levels and associated factors. A cross-sectional study in public healthcare networks of six Latin American countries

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dc.creatorVázquez, María-Luisa
dc.creatorVargas, Ingrid
dc.creatorGarcia-Subirats, Irene
dc.creatorUnger, Jean-Pierre
dc.creatorDe Paepe, Pierre
dc.creatorMogollón Pérez, Amparo Susana
dc.creatorSamico, Isabella
dc.creatorEguiguren, Pamela
dc.creatorCisneros, Angelica-Ivonne
dc.creatorHuerta, Adriana
dc.creatorMuruaga, María-Cecilia
dc.creatorBertolotto, Fernando
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.spa
dc.creator.googleVázquez, María-Luisaspa
dc.creator.googleVargas, Ingridspa
dc.creator.googleGarcia-Subirats, Irenespa
dc.creator.googleUnger, Jean-Pierrespa
dc.creator.googleDe Paepe, Pierrespa
dc.creator.googleMogollon-Pérez, Amparo Susanaspa
dc.creator.googleSamico, Isabellaspa
dc.creator.googleEguiguren, Pamelaspa
dc.creator.googleCisneros, Angelica-Ivonnespa
dc.creator.googleMuruaga, María-Ceciliaspa
dc.creator.googleMuruaga, María-Ceciliaspa
dc.creator.googleBertolotto, Fernandospa
dc.date.accessioned2018-12-10T14:45:10Z
dc.date.available2018-12-10T14:45:10Z
dc.date.created2017
dc.date.issued2017
dc.description.abstractImproving 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 Authorseng
dc.format.mimetypeapplication/pdf
dc.identifier.issnISSN0277-9536
dc.identifier.urihttp://repository.urosario.edu.co/handle/10336/18787
dc.language.isoengspa
dc.relation.citationEndPage19
dc.relation.citationStartPage10
dc.relation.citationTitleSocial Science and Medicine
dc.relation.citationVolumeVol. 182
dc.relation.ispartofSocial Science and Medicine, ISSN: 0277-9536, Vol. 182 (2017) pp. 10-19spa
dc.relation.urihttps://reader.elsevier.com/reader/sd/pii/S0277953617302241?token=C57EFB477B07E4BC898446B25355280E55575EA906DD7C0478582C60889D3CBB10F77FF1CDD52E63FC87085A31CAE6F9spa
dc.rights.accesRightsinfo:eu-repo/semantics/openAccess
dc.rights.accesoAbierto (Texto Completo)spa
dc.rights.cchttps://creativecommons.org/licenses/by-nc-nd/4.0/spa
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. 323spa
dc.source.instnameinstname:Universidad del Rosario
dc.source.reponamereponame:Repositorio Institucional EdocUR
dc.subjectCare Coordinationspa
dc.subjectCare Integrationspa
dc.subjectHealth Services Researchspa
dc.subjectHealth-Care Surveysspa
dc.subjectIntegrated Delivery Systemsspa
dc.subjectLatin Americaspa
dc.subjectPrimary Health Carespa
dc.subjectQuality Of Health Carespa
dc.subject.decsHealth Servicesspa
dc.subject.decsHealth Surveyspa
dc.subject.decsHealth Workerspa
dc.subject.decsLatino Peoplespa
dc.subject.decsPerceptionspa
dc.subject.decsPublic Healthspa
dc.subject.decsArgentinaspa
dc.subject.decsBrazilspa
dc.subject.decsChilespa
dc.subject.decsColombiaspa
dc.subject.decsConsultationspa
dc.subject.decsCoordinationspa
dc.subject.decsCross-Sectional Studyspa
dc.subject.decsDoctor Patient Relationspa
dc.subject.decsEmploymentspa
dc.subject.decsFollow Upspa
dc.subject.decsGeneral Practitionerspa
dc.subject.decsHealth Care Surveyspa
dc.subject.decsHealth Services Researchspa
dc.subject.decsHumanspa
dc.subject.decsLogistic Regression Analysisspa
dc.subject.decsMexicospa
dc.subject.decsModelspa
dc.subject.decsPatient Carespa
dc.subject.decsPerceptionspa
dc.subject.decsQuestionnairespa
dc.subject.decsSalaryspa
dc.subject.decsSatisfactionspa
dc.subject.decsSecondary Health Carespa
dc.subject.decsSkillspa
dc.subject.decsUruguayspa
dc.subject.decsArgentinaspa
dc.subject.decsBrazilspa
dc.subject.decsChilespa
dc.subject.decsColombiaspa
dc.subject.decsMexico [North America]spa
dc.subject.decsUruguayspa
dc.subject.lembAtención primaria en saludspa
dc.subject.lembAdministración de servicios de saludspa
dc.subject.lembAdministración hospitalariaspa
dc.titleDoctors' experience of coordination across care levels and associated factors. A cross-sectional study in public healthcare networks of six Latin American countriesspa
dc.typearticleeng
dc.type.hasVersioninfo:eu-repo/semantics/publishedVersion
dc.type.spaArtículospa
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