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
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Acceso en línea:https://revistas.unc.edu.ar/index.php/RSD/article/view/21276
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Sumario: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.