COORDINATION OF CARE BETWEEN LEVELS AND THEIR ASSOCIATED FACTORS IN TWO SUBNETS OF THE MUNICIPAL HEALTH NETWORK IN THE CITY OF ROSARIO, ARGENTINA

The objective was to evaluate care coordination between levels and influential factors from the experience of Primary Care (PC) and Secondary Care (SC) level doctors in subnets of the public system in the city of Rosario. Methods: Cross sectional study, based on face-to-face surveys to doctors of fi...

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Autores principales: Puzzolo, Julia, Amarilla, Delia Ines, Colautti, Marisel, Moreno, María Justina, De Paepe, Pierre, Vargas Lorenzo, Ingrid, Vazquez Navarrete, Maria Luisa
Formato: Artículo revista
Lenguaje:Español
Publicado: Escuela de Salud Pública y Ambiente. Fac. Cs. Médicas UNC 2019
Materias:
Chronic disease
Health services
Health care
Argentina
enfermedad crónica
servicios de salud
atención de salud
Acceso en línea:https://revistas.unc.edu.ar/index.php/RSD/article/view/21276
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Revista de Salud Pública de Universidad Nacional de Córdoba
id I10-R360-article-21276
record_format ojs
institution Universidad Nacional de Córdoba
institution_str I-10
repository_str R-360
container_title_str Revista de Salud Pública
language Español
format Artículo revista
topic Chronic disease
Health services
Health care
Argentina
enfermedad crónica
servicios de salud
atención de salud
Argentina
spellingShingle Chronic disease
Health services
Health care
Argentina
enfermedad crónica
servicios de salud
atención de salud
Argentina
Puzzolo, Julia
Amarilla, Delia Ines
Colautti, Marisel
Moreno, María Justina
De Paepe, Pierre
Vargas Lorenzo, Ingrid
Vazquez Navarrete, Maria Luisa
COORDINATION OF CARE BETWEEN LEVELS AND THEIR ASSOCIATED FACTORS IN TWO SUBNETS OF THE MUNICIPAL HEALTH NETWORK IN THE CITY OF ROSARIO, ARGENTINA
topic_facet Chronic disease
Health services
Health care
Argentina
enfermedad crónica
servicios de salud
atención de salud
Argentina
author Puzzolo, Julia
Amarilla, Delia Ines
Colautti, Marisel
Moreno, María Justina
De Paepe, Pierre
Vargas Lorenzo, Ingrid
Vazquez Navarrete, Maria Luisa
author_facet Puzzolo, Julia
Amarilla, Delia Ines
Colautti, Marisel
Moreno, María Justina
De Paepe, Pierre
Vargas Lorenzo, Ingrid
Vazquez Navarrete, Maria Luisa
author_sort Puzzolo, Julia
title COORDINATION OF CARE BETWEEN LEVELS AND THEIR ASSOCIATED FACTORS IN TWO SUBNETS OF THE MUNICIPAL HEALTH NETWORK IN THE CITY OF ROSARIO, ARGENTINA
title_short COORDINATION OF CARE BETWEEN LEVELS AND THEIR ASSOCIATED FACTORS IN TWO SUBNETS OF THE MUNICIPAL HEALTH NETWORK IN THE CITY OF ROSARIO, ARGENTINA
title_full COORDINATION OF CARE BETWEEN LEVELS AND THEIR ASSOCIATED FACTORS IN TWO SUBNETS OF THE MUNICIPAL HEALTH NETWORK IN THE CITY OF ROSARIO, ARGENTINA
title_fullStr COORDINATION OF CARE BETWEEN LEVELS AND THEIR ASSOCIATED FACTORS IN TWO SUBNETS OF THE MUNICIPAL HEALTH NETWORK IN THE CITY OF ROSARIO, ARGENTINA
title_full_unstemmed COORDINATION OF CARE BETWEEN LEVELS AND THEIR ASSOCIATED FACTORS IN TWO SUBNETS OF THE MUNICIPAL HEALTH NETWORK IN THE CITY OF ROSARIO, ARGENTINA
title_sort coordination of care between levels and their associated factors in two subnets of the municipal health network in the city of rosario, argentina
description The objective was to evaluate care coordination between levels and influential factors from the experience of Primary Care (PC) and Secondary Care (SC) level doctors in subnets of the public system in the city of Rosario. Methods: Cross sectional study, based on face-to-face surveys to doctors of first and second care levels.  Univariate and bivariate analysis.   Results: similar in both subnets.  Low information exchange, but highly valued.  Adequate remission between levels, agreements among PC with SC’s recommendations.  Studies are not repeated.  PC doctor is responsible for the patient’s follow up; SC doctor sends patients for a follow up consultation with PC doctor, SC makes recommendations to PC and PC asks doubts to SC.  A minority perceives coordinated care.  Age, care level, seniority at work, care network, time/patient, coordination time in consultation, satisfaction with salary, and confidence on clinical abilities are influential factors.  Conclusions: common features with particularities due to the construction of local networks.
publisher Escuela de Salud Pública y Ambiente. Fac. Cs. Médicas UNC
publishDate 2019
url https://revistas.unc.edu.ar/index.php/RSD/article/view/21276
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spelling I10-R360-article-212762025-04-03T12:06:04Z COORDINATION OF CARE BETWEEN LEVELS AND THEIR ASSOCIATED FACTORS IN TWO SUBNETS OF THE MUNICIPAL HEALTH NETWORK IN THE CITY OF ROSARIO, ARGENTINA Coordinación de la atención entre niveles y sus factores asociados en dos subredes de la Red Municipal de Salud de la ciudad de Rosario, Argentina COORDENAÇÃO DE CUIDADOS ENTRE OS NÍVEIS E FATORES ASSOCIADOS EM DOIS SUB-REDES DA REDE MUNICIPAL DE SAÚDE DA CIDADE DE ROSARIO, ARGENTINA Puzzolo, Julia Amarilla, Delia Ines Colautti, Marisel Moreno, María Justina De Paepe, Pierre Vargas Lorenzo, Ingrid Vazquez Navarrete, Maria Luisa Chronic disease Health services Health care Argentina enfermedad crónica servicios de salud atención de salud Argentina The objective was to evaluate care coordination between levels and influential factors from the experience of Primary Care (PC) and Secondary Care (SC) level doctors in subnets of the public system in the city of Rosario. Methods: Cross sectional study, based on face-to-face surveys to doctors of first and second care levels.  Univariate and bivariate analysis.   Results: similar in both subnets.  Low information exchange, but highly valued.  Adequate remission between levels, agreements among PC with SC’s recommendations.  Studies are not repeated.  PC doctor is responsible for the patient’s follow up; SC doctor sends patients for a follow up consultation with PC doctor, SC makes recommendations to PC and PC asks doubts to SC.  A minority perceives coordinated care.  Age, care level, seniority at work, care network, time/patient, coordination time in consultation, satisfaction with salary, and confidence on clinical abilities are influential factors.  Conclusions: common features with particularities due to the construction of local networks. Objetivo: evaluar la coordinación de atención entre niveles y factores que influyen a partir de experiencia de médicos de primer y segundo nivel en subredes del sistema público Municipalidad de Rosario.Método: Estudio transversal, encuestas presenciales a médicos de Primer (AP) y Segundo (AE) nivel. Análisis univariado y bivariado.Resultados: similares en subredes. Bajo intercambio de información, pero alta valoración. Remisión oportuna entre niveles; prevalece entre AP existencia de acuerdos de indicaciones de médicos de AE. No se repiten estudios. AP es responsable del seguimiento del paciente, AE envía a pacientes al primer nivel post consulta, AE hacen recomendaciones a AP y AP consultan dudas a AE. La minoría percibe atención coordinada. Factores que influyen: edad, nivel de atención, antigüedad de trabajo, red de atención, tiempo/paciente, tiempo para coordinación en consulta, satisfacción salarial y confianza en habilidades clínicas. Conclusiones: rasgos comunes con particularidades producto de la construcción de redes locales. O objetivo foi avaliar a coordenação do atendimento entre níveis e fatores que influenciam a partir da experiência de médicos de primeiro e segundo nível em sub-redes do sistema público do município de Rosário. O método foi um estudo transversal, enquetes presenciais a médicos do primeiro (AP) e segundo (AE) nível. Análise univariada e bivariada. Resultados: semelhantes em sub-redes. Baixa troca de informações, mas alta valorização. Transmissão oportuna entre os níveis; a existência de acordos de indicações de médicos de EA prevalece entre aqueles de AP. Nenhum estudo é repetido. AP é responsável pelo acompanhamento do paciente. AE envia pacientes para o primeiro nível após consulta, AE faz recomendações para dúvidas de AP, e AP consulta dúvidas para AE. A minoria percebe atenção coordenada. Fatores que influenciam: idade, nível de cuidados, antigüidade  no serviço, rede de cuidados, tempo / paciente, tempo de coordenação da consulta, satisfação salarial e confiança nas habilidades clínicas. Conclusões: características comuns com particularidades decorrentes da construção de redes locais. Escuela de Salud Pública y Ambiente. Fac. Cs. Médicas UNC 2019-04-12 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf application/vnd.openxmlformats-officedocument.wordprocessingml.document application/vnd.openxmlformats-officedocument.wordprocessingml.document https://revistas.unc.edu.ar/index.php/RSD/article/view/21276 10.31052/1853.1180.v23.n1.21276 Revista de Salud Pública; Vol. 23 Núm. 1 (2019): Revista de Salud Pública; 26-40 1852-9429 1853-1180 10.31052/1853.1180.v23.n1 spa https://revistas.unc.edu.ar/index.php/RSD/article/view/21276/23459 https://revistas.unc.edu.ar/index.php/RSD/article/view/21276/27026 https://revistas.unc.edu.ar/index.php/RSD/article/view/21276/27027 Derechos de autor 2019 Universidad Nacional de Córdoba https://creativecommons.org/licenses/by-nc/4.0

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