Factors influencing the use of mechanisms for coordinating healthcare levels in Colombia

Objective: To analyse the factors influencing the use of mechanisms for the clinical coordination of two Colombian public healthcare networks’ healthcare levels in Bogotá from the main social actors’ perspective. Method: This was a descriptive-interpretative, qualitative study of two public healthca...

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Tipo de recurso:
Fecha de publicación:
2019
Institución:
Universidad del Rosario
Repositorio:
Repositorio EdocUR - U. Rosario
Idioma:
spa
OAI Identifier:
oai:repository.urosario.edu.co:10336/24113
Acceso en línea:
https://doi.org/10.1016/j.gaceta.2019.06.005
https://repository.urosario.edu.co/handle/10336/24113
Palabra clave:
Colombia
Health services administration
Health services evaluation
Integrated health care systems
Qualitative research
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id EDOCUR2_ea08e2fc07882ed72cfad652328e8342
oai_identifier_str oai:repository.urosario.edu.co:10336/24113
network_acronym_str EDOCUR2
network_name_str Repositorio EdocUR - U. Rosario
repository_id_str
spelling d50e28d6-224a-46d9-887d-1e39808b9783-176e8092a-89fd-47e5-a791-51d71fd149bb-12d7eb9d8-4bd0-4b03-ab40-332c16df882f-1519094356002020-05-26T00:08:47Z2020-05-26T00:08:47Z2019Objective: To analyse the factors influencing the use of mechanisms for the clinical coordination of two Colombian public healthcare networks’ healthcare levels in Bogotá from the main social actors’ perspective. Method: This was a descriptive-interpretative, qualitative study of two public healthcare networks. Discussion groups and semi-structured interviews were used for collecting information. The approach involved two-stage theoretical sampling of a selection of centres operating at different healthcare levels and a selection of informants, including managers (n = 19), healthcare employees (n = 23) and administrative staff (n = 20). Content analysis involved adopting a mixed method approach for generating categories, segmented by network, informant group and topic. Results: Both networks had few mechanisms for enabling the clinical coordination of healthcare levels; information transfer mechanisms predominated and clinical management coordination mechanisms only dealt with maternal-perinatal care. Organisational factor-related complications were found regarding their use: lack of time, staff turnover, administrative use and technological deficiency. Employee/staff-related difficulties were due to lack of interest. These factors directly affected coordination with limited information transfer, patient follow-up and healthcare quality (diagnosis and treatment delays). Conclusions: The results highlighted the limited use of clinical coordination mechanisms in both public healthcare networks studied here, with problems in their use. Changes are required that affect directly organisational factors (time for coordination and working conditions) and professional factors (attitudes towards collaborative work). © 2019application/pdfhttps://doi.org/10.1016/j.gaceta.2019.06.0052139111https://repository.urosario.edu.co/handle/10336/24113spaEdiciones Doyma, S.L.Gaceta SanitariaGaceta Sanitaria, ISSN:2139111,(2019)https://www.scopus.com/inward/record.uri?eid=2-s2.0-85073811521&doi=10.1016%2fj.gaceta.2019.06.005&partnerID=40&md5=b5703b52c83288646fc83c6a2dfc5cdaAbierto (Texto Completo)http://purl.org/coar/access_right/c_abf2instname:Universidad del Rosarioreponame:Repositorio Institucional EdocURColombiaHealth services administrationHealth services evaluationIntegrated health care systemsQualitative researchFactors influencing the use of mechanisms for coordinating healthcare levels in ColombiaFactores que influyen en el uso de mecanismos de coordinación entre niveles asistenciales en ColombiaarticleArtículohttp://purl.org/coar/version/c_970fb48d4fbd8a85http://purl.org/coar/resource_type/c_6501León-Arce, Heisel GloriaLorenzo, Ingrid VargasNavarrete, María-Luisa VázquezMogollón Pérez, Amparo Susana10336/24113oai:repository.urosario.edu.co:10336/241132022-05-02 07:37:14.853139https://repository.urosario.edu.coRepositorio institucional EdocURedocur@urosario.edu.co
dc.title.spa.fl_str_mv Factors influencing the use of mechanisms for coordinating healthcare levels in Colombia
dc.title.TranslatedTitle.spa.fl_str_mv Factores que influyen en el uso de mecanismos de coordinación entre niveles asistenciales en Colombia
title Factors influencing the use of mechanisms for coordinating healthcare levels in Colombia
spellingShingle Factors influencing the use of mechanisms for coordinating healthcare levels in Colombia
Colombia
Health services administration
Health services evaluation
Integrated health care systems
Qualitative research
title_short Factors influencing the use of mechanisms for coordinating healthcare levels in Colombia
title_full Factors influencing the use of mechanisms for coordinating healthcare levels in Colombia
title_fullStr Factors influencing the use of mechanisms for coordinating healthcare levels in Colombia
title_full_unstemmed Factors influencing the use of mechanisms for coordinating healthcare levels in Colombia
title_sort Factors influencing the use of mechanisms for coordinating healthcare levels in Colombia
dc.subject.keyword.spa.fl_str_mv Colombia
Health services administration
Health services evaluation
Integrated health care systems
Qualitative research
topic Colombia
Health services administration
Health services evaluation
Integrated health care systems
Qualitative research
description Objective: To analyse the factors influencing the use of mechanisms for the clinical coordination of two Colombian public healthcare networks’ healthcare levels in Bogotá from the main social actors’ perspective. Method: This was a descriptive-interpretative, qualitative study of two public healthcare networks. Discussion groups and semi-structured interviews were used for collecting information. The approach involved two-stage theoretical sampling of a selection of centres operating at different healthcare levels and a selection of informants, including managers (n = 19), healthcare employees (n = 23) and administrative staff (n = 20). Content analysis involved adopting a mixed method approach for generating categories, segmented by network, informant group and topic. Results: Both networks had few mechanisms for enabling the clinical coordination of healthcare levels; information transfer mechanisms predominated and clinical management coordination mechanisms only dealt with maternal-perinatal care. Organisational factor-related complications were found regarding their use: lack of time, staff turnover, administrative use and technological deficiency. Employee/staff-related difficulties were due to lack of interest. These factors directly affected coordination with limited information transfer, patient follow-up and healthcare quality (diagnosis and treatment delays). Conclusions: The results highlighted the limited use of clinical coordination mechanisms in both public healthcare networks studied here, with problems in their use. Changes are required that affect directly organisational factors (time for coordination and working conditions) and professional factors (attitudes towards collaborative work). © 2019
publishDate 2019
dc.date.created.spa.fl_str_mv 2019
dc.date.accessioned.none.fl_str_mv 2020-05-26T00:08:47Z
dc.date.available.none.fl_str_mv 2020-05-26T00:08:47Z
dc.type.eng.fl_str_mv article
dc.type.coarversion.fl_str_mv http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.coar.fl_str_mv http://purl.org/coar/resource_type/c_6501
dc.type.spa.spa.fl_str_mv Artículo
dc.identifier.doi.none.fl_str_mv https://doi.org/10.1016/j.gaceta.2019.06.005
dc.identifier.issn.none.fl_str_mv 2139111
dc.identifier.uri.none.fl_str_mv https://repository.urosario.edu.co/handle/10336/24113
url https://doi.org/10.1016/j.gaceta.2019.06.005
https://repository.urosario.edu.co/handle/10336/24113
identifier_str_mv 2139111
dc.language.iso.spa.fl_str_mv spa
language spa
dc.relation.citationTitle.none.fl_str_mv Gaceta Sanitaria
dc.relation.ispartof.spa.fl_str_mv Gaceta Sanitaria, ISSN:2139111,(2019)
dc.relation.uri.spa.fl_str_mv https://www.scopus.com/inward/record.uri?eid=2-s2.0-85073811521&doi=10.1016%2fj.gaceta.2019.06.005&partnerID=40&md5=b5703b52c83288646fc83c6a2dfc5cda
dc.rights.coar.fl_str_mv http://purl.org/coar/access_right/c_abf2
dc.rights.acceso.spa.fl_str_mv Abierto (Texto Completo)
rights_invalid_str_mv Abierto (Texto Completo)
http://purl.org/coar/access_right/c_abf2
dc.format.mimetype.none.fl_str_mv application/pdf
dc.publisher.spa.fl_str_mv Ediciones Doyma, S.L.
institution Universidad del Rosario
dc.source.instname.spa.fl_str_mv instname:Universidad del Rosario
dc.source.reponame.spa.fl_str_mv reponame:Repositorio Institucional EdocUR
repository.name.fl_str_mv Repositorio institucional EdocUR
repository.mail.fl_str_mv edocur@urosario.edu.co
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