Problemas de coordinación en el manejo del dolor lumbar en una IPS de Bogotá: una aproximación bajo el concepto de gestión de enfermedades
ilustraciones, tablas
- Autores:
-
Martínez Vallejo, Tania Alejandra
- Tipo de recurso:
- Fecha de publicación:
- 2022
- Institución:
- Universidad Nacional de Colombia
- Repositorio:
- Universidad Nacional de Colombia
- Idioma:
- spa
- OAI Identifier:
- oai:repositorio.unal.edu.co:unal/82011
- Palabra clave:
- 650 - Gerencia y servicios auxiliares
Análisis de Modo y Efecto de Fallas en la Atención de la Salud
Administración de los Servicios de Salud
Healthcare Failure Mode and Effect Analysis
Health Services Administration
Dolor lumbar
Gestión de enfermedades
Sistemas de salud
Políticas en salud
Coordinación en salud
Low back pain
Disease management
Health systems
Health policies
Health coordination
- Rights
- openAccess
- License
- Atribución-NoComercial-CompartirIgual 4.0 Internacional
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| dc.title.spa.fl_str_mv |
Problemas de coordinación en el manejo del dolor lumbar en una IPS de Bogotá: una aproximación bajo el concepto de gestión de enfermedades |
| dc.title.translated.eng.fl_str_mv |
Coordination problems in low back pain management in Bogotá IPS: an approach from a disease management concept |
| title |
Problemas de coordinación en el manejo del dolor lumbar en una IPS de Bogotá: una aproximación bajo el concepto de gestión de enfermedades |
| spellingShingle |
Problemas de coordinación en el manejo del dolor lumbar en una IPS de Bogotá: una aproximación bajo el concepto de gestión de enfermedades 650 - Gerencia y servicios auxiliares Análisis de Modo y Efecto de Fallas en la Atención de la Salud Administración de los Servicios de Salud Healthcare Failure Mode and Effect Analysis Health Services Administration Dolor lumbar Gestión de enfermedades Sistemas de salud Políticas en salud Coordinación en salud Low back pain Disease management Health systems Health policies Health coordination |
| title_short |
Problemas de coordinación en el manejo del dolor lumbar en una IPS de Bogotá: una aproximación bajo el concepto de gestión de enfermedades |
| title_full |
Problemas de coordinación en el manejo del dolor lumbar en una IPS de Bogotá: una aproximación bajo el concepto de gestión de enfermedades |
| title_fullStr |
Problemas de coordinación en el manejo del dolor lumbar en una IPS de Bogotá: una aproximación bajo el concepto de gestión de enfermedades |
| title_full_unstemmed |
Problemas de coordinación en el manejo del dolor lumbar en una IPS de Bogotá: una aproximación bajo el concepto de gestión de enfermedades |
| title_sort |
Problemas de coordinación en el manejo del dolor lumbar en una IPS de Bogotá: una aproximación bajo el concepto de gestión de enfermedades |
| dc.creator.fl_str_mv |
Martínez Vallejo, Tania Alejandra |
| dc.contributor.advisor.none.fl_str_mv |
Garzón Santos, Claudia Alexandra |
| dc.contributor.author.none.fl_str_mv |
Martínez Vallejo, Tania Alejandra |
| dc.subject.ddc.spa.fl_str_mv |
650 - Gerencia y servicios auxiliares |
| topic |
650 - Gerencia y servicios auxiliares Análisis de Modo y Efecto de Fallas en la Atención de la Salud Administración de los Servicios de Salud Healthcare Failure Mode and Effect Analysis Health Services Administration Dolor lumbar Gestión de enfermedades Sistemas de salud Políticas en salud Coordinación en salud Low back pain Disease management Health systems Health policies Health coordination |
| dc.subject.decs.spa.fl_str_mv |
Análisis de Modo y Efecto de Fallas en la Atención de la Salud Administración de los Servicios de Salud |
| dc.subject.decs.eng.fl_str_mv |
Healthcare Failure Mode and Effect Analysis Health Services Administration |
| dc.subject.proposal.spa.fl_str_mv |
Dolor lumbar Gestión de enfermedades Sistemas de salud Políticas en salud Coordinación en salud |
| dc.subject.proposal.eng.fl_str_mv |
Low back pain Disease management Health systems Health policies Health coordination |
| description |
ilustraciones, tablas |
| publishDate |
2022 |
| dc.date.accessioned.none.fl_str_mv |
2022-08-23T14:03:26Z |
| dc.date.available.none.fl_str_mv |
2022-08-23T14:03:26Z |
| dc.date.issued.none.fl_str_mv |
2022-04 |
| dc.type.spa.fl_str_mv |
Trabajo de grado - Maestría |
| dc.type.driver.spa.fl_str_mv |
info:eu-repo/semantics/masterThesis |
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info:eu-repo/semantics/acceptedVersion |
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Text |
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http://purl.org/redcol/resource_type/TM |
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acceptedVersion |
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https://repositorio.unal.edu.co/handle/unal/82011 |
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Universidad Nacional de Colombia |
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Repositorio Institucional Universidad Nacional de Colombia |
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https://repositorio.unal.edu.co/ |
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https://repositorio.unal.edu.co/handle/unal/82011 https://repositorio.unal.edu.co/ |
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Universidad Nacional de Colombia Repositorio Institucional Universidad Nacional de Colombia |
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spa |
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spa |
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F., Greitemann, B., Kladny, B., Petzke, F., Pfingsten, M., & Schorr, S. G. (2017). Clinical practice guideline: Non-specific low back pain. Deutsches Arzteblatt International, 114(51–52), 883–890. https://doi.org/10.3238/arztebl.2017.0883 Chou, L., Cicuttini, F. M., Urquhart, D. M., Anthony, S. N., Sullivan, K., Seneviwickrama, M., Briggs, A. M., & Wluka, A. E. (2018). People with low back pain perceive needs for non-biomedical services in workplace, financial, social and household domains: a systematic review. Journal of Physiotherapy, 64(2), 74–83. https://doi.org/10.1016/j.jphys.2018.02.011 Chou, R., Côté, P., Randhawa, K., Torres, P., Yu, H., Nordin, M., Hurwitz, E. L., Haldeman, S., & Cedraschi, C. (2018). The Global Spine Care Initiative: applying evidence-based guidelines on the non-invasive management of back and neck pain to low- and middle-income communities. European Spine Journal, 27, 851–860. https://doi.org/10.1007/s00586-017-5433-8 Chou, L., Ranger, T. 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Malik, A., Singh, D., Mansor, M., Muhamed, O., Yin, C., Suma, M., Hasnan, N., & Vijayan, R. (2014). The Malaysian Low Back Pain Guideline. The FEBS journal, 281(9), 2313. https://doi.org/10.1111/febs.12678 Mardain, A. S., Hanson, E. R., & Villarroel, L. (2020). Flipping the pain care model: A sociopsychobiological approach to high-value chronic pain care. Pain Medicine, 21(6), 1168–1180. Mäntyselkä, P. T., Kumpusalo, E. A., Ahonen, R. S., & Takala, J. K. (2002). Direct and indirect costs of managing patients with musculoskeletal pain - Challenge for health care. European Journal of Pain, 6(2), 141–148. https://doi.org/10.1053/eujp.2001.0311 Meroni, R., Piscitelli, D., Ravasio, C., Vanti, C., Bertozzi, L., De Vito, G., Perin, C., Guccione, A. A., Cerri, C. G., & Pillastrini, P. (2021). Evidence for managing chronic low back pain in primary care: a review of recommendations from high-quality clinical practice guidelines. Disability & Rehabilitation, 43(7), 1029–1043. https://doi.org/10.1080/09638288.2019.1645888 Ministerio de de Salud y Protección Social. (2014). Resolución 2003 de 2014 (p. 225). https://www.minsalud.gov.co/Normatividad_Nuevo/Resolución 2003 de 2014.pdf Ministerio de de Salud y Protección Social. (2016). Modelo Integral de Atención en Salud – MIAS (p. 47). https://www.dssa.gov.co/images/botones_n/mias_pais/documentos/9. MIAS 2016.pdf Resolución 429 de 2016, 6 (2016). Ministerio de de Salud y Protección Social. (2022). CUOTAS MODERADORAS Y COPAGOS. Ministerio de la Protección Social. (2006). Guía de Atención Integral Basada en la Evidencia para Dolor Lumbar Inespecífico y Enfermedad Discal Relacionados con la Manipulación Manual de Cargas y otros Factores de Riesgo en el Lugar de Trabajo (GATI- DLI- ED) (Vol. 2007). https://www.minsalud.gov.co/Documentos y Publicaciones/GATISO-DOLOR LUMBAR INESPECÍFICO.pdf Ministerio de salud y protección social. (2020). Buscador Guías de Práctica Clínica. http://gpc.minsalud.gov.co/gpc/SitePages/buscador_gpc.aspx Ministerio de Salud y Protección Social. (2014). Manual de implementación de guías de práctica clínica basadas en evidencia, en instituciones prestadoras de servicios de salud en Colombia (pp. 1–70). http://gpc.minsalud.gov.co/recursos/Documentos compartidos/Manual_de_implementacion.pdf Ministerio de Salud y Protección Social. (2016). Política de Atención Integral en Salud. Repositorio Institucional Digital Minsalud (RID), 97. https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/DE/modelo-pais-2016.pdf Ministerio de Salud y Protección Social. (2019). Resolución No. 3100 de 2019 Por la cual se definen los procedimientos y condiciones de inscripción de los prestadores de servicios de salud y de habilitación de los servicios de salud y se adopta el Manual de Inscripción de Prestadores y Habilitación de Servicios de salud. En Diario oficial (p. 230). https://www.minsalud.gov.co/Normatividad_Nuevo/Resolución No. 3100 de 2019.pdf Ministerio de Salud y Protección Social, & Fundación Santa Fé de Bogotá. (2014). Guía Metodológica para la elaboración de Guías de Práctica Clínica con Evaluación Económica en el Sistema General de Seguridad Social en Salud Colombiano MARZO DE 2014 REVISORES PARES NACIONALES REVISORES PARES INTERNACIONALES. 154. http://gpc.minsalud.gov.co/recursos/Documentos compartidos/Guia_Metodologica_Web.pdf Miyamoto, G. C., Lin, C. W. C., Cabral, C. M. N., Van Dongen, J. M., & Van Tulder, M. W. (2019). Cost-effectiveness of exercise therapy in the treatment of non-specific neck pain and low back pain: A systematic review with meta-analysis. British Journal of Sports Medicine, 53(3), 172–181. https://doi.org/10.1136/bjsports-2017-098765 Moore, A., & Jull, G. (2010). Capitalising on effective treatment strategies for low back pain - How do we bridge the self-management gap? Manual Therapy, 15(2), 133–134. https://doi.org/10.1016/j.math.2010.01.007 Morgan, T., Wu, J., Ovchinikova, L., Lindner, R., Blogg, S., & Moorin, R. (2019). A national intervention to reduce imaging for low back pain by general practitioners: a retrospective economic program evaluation using Medicare Benefits Schedule data. BMC Health Services Research, 19(1), 1–10. https://doi.org/10.1186/s12913-019-4773-y Mota da Silva, T., da Cunha Menezes Costa, L., Garcia, A. N., & Costa, L. O. P. (2015). What do physical therapists think about evidence-based practice? A systematic review. Manual Therapy, 20(3), 388–401. https://doi.org/10.1016/j.math.2014.10.009 Mutubuki, E. N., Beljon, Y., Maas, E. T., Huygen, F. J. P. M., Ostelo, R. W. J. G., van Tulder, M. W., & van Dongen, J. M. (2020). The longitudinal relationships between pain severity and disability versus health-related quality of life and costs among chronic low back pain patients. 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Ausentismo por accidentes y enfermedad laboral y costos indirectos relacionados con la lumbalgia no específica en una entidad prestadora de servicios de salud en Cali 2013. Revista Colombiana de Salud Ocupacional, 6(1), 14–19. https://doi.org/10.18041/2322-634x/rcso.1.2016.4884 Philippine Academy of Rehabilitation Medicine. (2017). Clinical Practice Guidelines on the Diagnosis and Management of Low Back Pain. https://parm.org.ph/pdf/lbp.pdf Piedrahita, H. (2006). Costs of work-related musculoskeletal disorders (msds) in developing countries: Colombia case. International Journal of Occupational Safety and Ergonomics, 12(4), 379–386. https://doi.org/10.1080/10803548.2006.11076696 Pinzón-Espitia, O. L., Chicaiza-Becerra, L., García-Molina, M., & González-Rodríguez, J. L. (2016). Programas de gestión de enfermedades en el siglo XXI. Revista de la Facultad de Medicina, 64(4), 735. https://doi.org/10.15446/revfacmed.v64n4.55022 Pohjolainen, T., Leinonen, V., Frantén, J., Haanpää, M., Jousimaa, J., Karppinen, J., Kuukkanen, T., Luoma, K., Salmenkivi, J., Osterman, H., Malmivaara, A., & Päivitystiivistelmä. (2014). Update on Current Care Guideline: Low back pain. Duodecim, 131(1), 92–94. Qaseem, A., Wilt, T. J., McLean, R. M., & Forciea, M. A. (2017). Noninvasive treatments for acute, subacute, and chronic low back pain: A clinical practice guideline from the American College of Physicians. Annals of Internal Medicine, 166(7), 514–530. https://doi.org/10.7326/M16-2367 Rhon, D. I., Fritz, J. M., Greenlee, T. A., Dry, K. E., Mayhew, R. J., Laugesen, M. C., Dragusin, E., & Teyhen, D. S. (2021). Move to health-a holistic approach to the management of chronic low back pain: an intervention and implementation protocol developed for a pragmatic clinical trial. Journal of Translational Medicine, 19(1), 1–13. https://doi.org/10.1186/s12967-021-03013-y Rhon, D. I., Miller, R. B., & Fritz, J. M. (2018). Effectiveness and downstream healthcare utilization for patients that received early physical therapy versus usual care for low back pain: A randomized clinical trial. Spine, 43(19), 1313–1321. https://doi.org/10.1097/BRS.0000000000002619 Ross, M., Adams, K., Engle, K., Enser, T., Muehlemann, A., Schenk, R., & Tall, M. (2018). The knowledge of low back pain management between physical therapists and family practice physicians. Journal of Manual and Manipulative Therapy, 26(5), 264–271. https://doi.org/10.1080/10669817.2018.1500772 Ross, M., Childs, J. D., Middel, C., Kujawa, J., Brown, D., Corrigan, M., & Parsons, N. (2014). Physical Therapist vs. Family Practitioner Knowledge of Simple Low Back Pain Management in the U.S. Air Force. Military Medicine, 179(2), 162–168. https://doi.org/10.7205/milmed-d-13-00099 Santa Barbara, M., Cortazzo, M., Emerick, T., Furnier, J., Duff, J., Shapiro, S., Zigler, C., Badway, A., & Sowa, G. (2020). Descriptive Analysis of an Interdisciplinary Musculoskeletal Program. PM&R: the journal of injury, function, and rehabilitation, 12(7), 639–646. https://doi.org/10.1002/pmrj.12288 Scott, N. A., Moga, C., & Harstall, C. (2010). Managing low back pain in the primary care setting: The know-do gap. Pain Research and Management, 15(6), 392–400. https://doi.org/10.1155/2010/252695 Setchell, J., Costa, N., Ferreira, M., & Hodges, P. W. (2019). What decreases low back pain? A qualitative study of patient perspectives. Scandinavian Journal of Pain, 19(3), 597–603. https://doi.org/10.1515/sjpain-2019-0018 Siebra, M. M. R., & Vasconcelos, T. B. de. (2017). Quality of life and mood state of chronic pain patients. Revista Dor, 18(1), 43–46. https://doi.org/10.5935/1806-0013.20170010 Slade, S. C., Kent, P., Bucknall, T., Molloy, E., Patel, S., & Buchbinder, R. (2015). Barriers to primary care clinician adherence to clinical guidelines for the management of low back pain: Protocol of a systematic review and meta-synthesis of qualitative studies. BMJ Open, 5(4), 1–6. https://doi.org/10.1136/bmjopen-2014-007265 Smuck, M., Barrette, K., Martinez-Ith, A., Sultana, G., & Zheng, P. (2022). What does the patient with back pain want? A comparison of patient preferences and physician assumptions. The Spine Journal February, 22(2), 207–213. https://doi.org/10.1016/j.spinee.2021.09.007 Sokunbi, O., Cross, V., Watt, P., & Moore, A. (2010). Experiences of individuals with chronic low back pain during and after their participation in a spinal stabilisation exercise programme - A pilot qualitative study. Manual Therapy, 15(2), 179–184. https://doi.org/10.1016/j.math.2009.10.006 Speerin, R., Slater, H., Li, L., Moore, K., Chan, M., Dreinhöfer, K., Ebeling, P. R., Willcock, S., & Briggs, A. M. (2014). Moving from evidence to practice: Models of care for the prevention and management of musculoskeletal conditions. Best Practice and Research: Clinical Rheumatology, 28(3), 479–515. https://doi.org/10.1016/j.berh.2014.07.001 Stochkendahl, M. J., Kjaer, P., Hartvigsen, J., Kongsted, A., Aaboe, J., Andersen, M., Andersen, M., Fournier, G., Højgaard, B., Jensen, M. B., Jensen, L. D., Karbo, T., Kirkeskov, L., Melbye, M., Morsel-Carlsen, L., Nordsteen, J., Palsson, T. S., Rasti, Z., Silbye, P. F., … Vaagholt, M. (2018). National Clinical Guidelines for non-surgical treatment of patients with recent onset low back pain or lumbar radiculopathy. En European Spine Journal (Vol. 27, Número 1). https://doi.org/10.1007/s00586-017-5099-2 Stucki, G., Kostanjsek, N., & A., C. (2017). Introduction: A classification for functioning: The international classification of functioning, disability and health. 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M., Russell, R., Kazal, L. A., & Nagare, M. (2020). Implementation of the Primary Spine Care Model in a Multi-Clinician Primary Care Setting: An Observational Cohort Study. Journal of Manipulative & Physiological Therapeutics, 43(7), 667–674. https://doi.org/10.1016/j.jmpt.2020.05.002 Wong, J., Côté, P., Tricco, A., & Rosella, L. (2019). Examining the effects of low back pain and mental health symptoms on healthcare utilisation and costs: a protocol for a population-based cohort study. BMJ open, 9(9). https://doi.org/10.1136/bmjopen-2019-031749 World Health Organization. (2020). Atención primaria de salud. https://www.who.int/topics/primary_health_care/es/ Woodward, B. (1995). Disease management: opportunity for pharmaceutical care? Hosp Pharm, 30(7), 596, 599–603, 606–608. |
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Derechos reservados al autor, 2022 |
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http://purl.org/coar/access_right/c_abf2 |
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Atribución-NoComercial-CompartirIgual 4.0 Internacional |
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http://creativecommons.org/licenses/by-nc-sa/4.0/ |
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info:eu-repo/semantics/openAccess |
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Atribución-NoComercial-CompartirIgual 4.0 Internacional Derechos reservados al autor, 2022 http://creativecommons.org/licenses/by-nc-sa/4.0/ http://purl.org/coar/access_right/c_abf2 |
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openAccess |
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125 páginas |
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application/pdf |
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Bogotá |
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Universidad Nacional de Colombia |
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Bogotá - Ciencias Económicas - Maestría en Administración |
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Escuela de Administración y Contaduría Pública |
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Facultad de Ciencias Económicas |
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Bogotá, Colombia |
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Universidad Nacional de Colombia - Sede Bogotá |
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Universidad Nacional de Colombia |
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Atribución-NoComercial-CompartirIgual 4.0 InternacionalDerechos reservados al autor, 2022http://creativecommons.org/licenses/by-nc-sa/4.0/info:eu-repo/semantics/openAccesshttp://purl.org/coar/access_right/c_abf2Garzón Santos, Claudia Alexandra33c1bfe6266dd57a4240f9d0fa9df858Martínez Vallejo, Tania Alejandraf06e0808b1ebbbb419ced3a21cc77bed6002022-08-23T14:03:26Z2022-08-23T14:03:26Z2022-04https://repositorio.unal.edu.co/handle/unal/82011Universidad Nacional de ColombiaRepositorio Institucional Universidad Nacional de Colombiahttps://repositorio.unal.edu.co/ilustraciones, tablasLa gestión de enfermedades es un proceso de transformación estratégica cuyo objetivo es optimizar la provisión de cuidados durante el curso natural de una enfermedad, mediante la coordinación de los recursos disponibles y basados en la mejor evidencia científica disponible. El dolor lumbar es la enfermedad musculoesquelética de mayor impacto a nivel mundial la cual genera cargas considerables en aspectos económicos, sociales y laborales en la población que la padece. La atención de esta patología requiere múltiples relaciones entre los diferentes actores del proceso; sin embargo, se han identificado discrepancias entre las indicaciones de la mejor evidencia disponible y lo que se ejecuta en la atención de estos pacientes. El objetivo de este trabajo de grado fue identificar las diferencias existentes entre lo planteado por la literatura como correcto y lo ejecutado por una IPS en la ciudad de Bogotá. Se analizaron los procesos de atención de la IPS y se realizó una revision de literatura para identificar las dificultades de coordinación ya determinados. Se identificaron 3 tipos de problemas dentro del proceso: los relacionados con la atención clínica, con la gestión de la IPS y con la configuración del sistema de salud, donde los dos últimos fueron los de mayor frecuencia. Se propone a la gestión de enfermedades como un marco acertado de trabajo para el análisis y gestión de enfermedades de este tipo, y se proponen posibles ajustes para ser aplicados al proceso de atención del dolor lumbar, con miras a la optimización del mismo.Disease management is a process of strategic transformation whose objective is to optimize the provision of care during the natural course of a disease, through the coordination of available resources and based on the best available scientific evidence. Low back pain is the musculoskeletal disease with the greatest impact worldwide, which generates considerable burdens in economic, social and labor aspects in the population that suffers from it. The attention of this pathology requires multiple relationships between the different actors of the process; however, discrepancies have been identified between the indications of the best available evidence and what is executed in the care of these patients. The objective of this degree work was to identify the differences between what is proposed by the literature as correct and what is executed by an IPS in Bogotá. The care processes of the IPS were analyzed and a literature review was carried out to identify the coordination difficulties already determined. Three types of problems were identified within the process: those related to clinical care, to the management of the IPS and to the configuration of the health system, where the last two were the most frequent. Disease management is proposed as a successful framework for the analysis and management of diseases of this type, and possible adjustments are proposed to be applied to the low back pain care process, with a view to optimizing it.MaestríaMagíster en AdministraciónGestión de organizaciones125 páginasapplication/pdfspaUniversidad Nacional de ColombiaBogotá - Ciencias Económicas - Maestría en AdministraciónEscuela de Administración y Contaduría PúblicaFacultad de Ciencias EconómicasBogotá, ColombiaUniversidad Nacional de Colombia - Sede Bogotá650 - Gerencia y servicios auxiliaresAnálisis de Modo y Efecto de Fallas en la Atención de la SaludAdministración de los Servicios de SaludHealthcare Failure Mode and Effect AnalysisHealth Services AdministrationDolor lumbarGestión de enfermedadesSistemas de saludPolíticas en saludCoordinación en saludLow back painDisease managementHealth systemsHealth policiesHealth coordinationProblemas de coordinación en el manejo del dolor lumbar en una IPS de Bogotá: una aproximación bajo el concepto de gestión de enfermedadesCoordination problems in low back pain management in Bogotá IPS: an approach from a disease management conceptTrabajo de grado - Maestríainfo:eu-repo/semantics/masterThesisinfo:eu-repo/semantics/acceptedVersionTexthttp://purl.org/redcol/resource_type/TMBogotáAcaroğlu, E., Nordin, M., Randhawa, K., Chou, R., Côté, P., Mmopelwa, T., & Haldeman, S. (2018). The Global Spine Care Initiative: a summary of guidelines on invasive interventions for the management of persistent and disabling spinal pain in low- and middle-income communities. European Spine Journal, 27, 870–878. https://doi.org/10.1007/s00586-017-5392-0Andronis, L., Kinghorn, P., Qiao, S., Whitehurst, D. G. T., Durrell, S., & McLeod, H. (2017). Cost-Effectiveness of Non-Invasive and Non-Pharmacological Interventions for Low Back Pain: a Systematic Literature Review. Applied Health Economics and Health Policy, 15(2), 173–201. https://doi.org/10.1007/s40258-016-0268-8Arce-Eslava, S. L., Parra-González, E., Parra-González, E., & Cruz-Libreros, A. M. (2015). Costos por Dolor Lumbar en una EPS en Cali, Colombia. Revista Colombiana de Salud Ocupacional, 3(2), 22–25. http://revistasojs.unilibrecali.edu.co/index.php/rcso/article/view/90Asamblea general de las Naciones Unidas. (2015). 70/1. 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Hosp Pharm, 30(7), 596, 599–603, 606–608.AdministradoresPúblico generalResponsables políticosORIGINAL1016076526.2022.pdf1016076526.2022.pdfTesis de Maestría en Administraciónapplication/pdf1065081https://repositorio.unal.edu.co/bitstream/unal/82011/8/1016076526.2022.pdfa85e25995c42d9650b8b83d7f28d9d4aMD58Anexo 1 - Proceso de atención de dolor lumbar (1).pngAnexo 1 - Proceso de atención de dolor lumbar (1).pngimage/png163970https://repositorio.unal.edu.co/bitstream/unal/82011/3/Anexo%201%20-%20Proceso%20de%20atencio%cc%81n%20de%20dolor%20lumbar%20%281%29.png45a9a2b8f61df17ee59624d2ba6e98dcMD53Anexo 2. Formato de verificación y registro de problemas de coordinación en la atención del dolor lumbar (1).pdfAnexo 2. 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Formato de verificación y registro de problemas de coordinación en la atención del dolor lumbar (1).pdf.jpgGenerated Thumbnailimage/jpeg5077https://repositorio.unal.edu.co/bitstream/unal/82011/10/Anexo%202.%20Formato%20de%20verificacio%cc%81n%20y%20registro%20de%20problemas%20de%20coordinacio%cc%81n%20en%20la%20atencio%cc%81n%20del%20dolor%20lumbar%20%281%29.pdf.jpg4de205dce921dee896057d8a43b7540dMD510unal/82011oai:repositorio.unal.edu.co:unal/820112023-08-07 23:04:19.89Repositorio Institucional Universidad Nacional de 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EVESURBIFBPUiBMQSBTRUNSRVRBUsONQSBHRU5FUkFMLiAqTEEgVEVTSVMgQSBQVUJMSUNBUiBERUJFIFNFUiBMQSBWRVJTScOTTiBGSU5BTCBBUFJPQkFEQS4gCgpBbCBoYWNlciBjbGljIGVuIGVsIHNpZ3VpZW50ZSBib3TDs24sIHVzdGVkIGluZGljYSBxdWUgZXN0w6EgZGUgYWN1ZXJkbyBjb24gZXN0b3MgdMOpcm1pbm9zLiBTaSB0aWVuZSBhbGd1bmEgZHVkYSBzb2JyZSBsYSBsaWNlbmNpYSwgcG9yIGZhdm9yLCBjb250YWN0ZSBjb24gZWwgYWRtaW5pc3RyYWRvciBkZWwgc2lzdGVtYS4KClVOSVZFUlNJREFEIE5BQ0lPTkFMIERFIENPTE9NQklBIC0gw5psdGltYSBtb2RpZmljYWNpw7NuIDE5LzEwLzIwMjEK 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