TY - JOUR
T1 - Care continuity across levels of care perceived by patients withchronic conditions in six Latin-American countrie
AU - Ollé-Espluga, Laia
AU - Vargas, Ingrid
AU - Mogollón-Pérez, Amparo
AU - Soares-de-Jesus, Renata Patricia Freitas
AU - Eguiguren, Pamela
AU - Cisneros, Angélica Ivonne
AU - Muruaga, María Cecilia
AU - Huerta, Adriana
AU - Bertolotto, Fernando
AU - Vázquez, María Luisa
PY - 2020/9/1
Y1 - 2020/9/1
N2 - ObjectiveTo analyse the care continuity across levels of care perceived by patients with chronic conditions in public healthcare networks in six Latin American countries (Argentina, Brazil, Chile, Colombia, Mexico and Uruguay), and to explore associated factors.MethodCross-sectional study by means of a survey conducted to a random sample of chronic patients in primary care centres of the study networks (784 per country) using the questionnaire Cuestionario de Continuidad Asistencial Entre Niveles de Atención (CCAENA)©. Patients had at least one chronic condition and had used two levels of care in the 6 months prior to the survey for the same medical condition. Descriptive analysis and multivariable logistic regression were carried out.ResultsAlthough there are notable differences between the networks analysed, the results show that chronic patients perceive significant discontinuities in the exchange of clinical information between primary care and secondary care doctors and in access to secondary care following a referral; as well as, to a lesser degree, regarding clinical coherence across levels. Relational continuity with primary care and secondary care doctors and information transfer are positively associated with care continuity across levels; no individual factor is systematically associated with care continuity.ConclusionsMain perceived discontinuities relate to information transfer and access to secondary care after a referral. The study indicates the importance of organisational factors to improve chronic patients’ quality of care.
AB - ObjectiveTo analyse the care continuity across levels of care perceived by patients with chronic conditions in public healthcare networks in six Latin American countries (Argentina, Brazil, Chile, Colombia, Mexico and Uruguay), and to explore associated factors.MethodCross-sectional study by means of a survey conducted to a random sample of chronic patients in primary care centres of the study networks (784 per country) using the questionnaire Cuestionario de Continuidad Asistencial Entre Niveles de Atención (CCAENA)©. Patients had at least one chronic condition and had used two levels of care in the 6 months prior to the survey for the same medical condition. Descriptive analysis and multivariable logistic regression were carried out.ResultsAlthough there are notable differences between the networks analysed, the results show that chronic patients perceive significant discontinuities in the exchange of clinical information between primary care and secondary care doctors and in access to secondary care following a referral; as well as, to a lesser degree, regarding clinical coherence across levels. Relational continuity with primary care and secondary care doctors and information transfer are positively associated with care continuity across levels; no individual factor is systematically associated with care continuity.ConclusionsMain perceived discontinuities relate to information transfer and access to secondary care after a referral. The study indicates the importance of organisational factors to improve chronic patients’ quality of care.
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U2 - 10.1016/j.gaceta.2020.02.013
DO - 10.1016/j.gaceta.2020.02.013
M3 - Artículo
C2 - 32654876
AN - SCOPUS:85087799863
SN - 0213-9111
VL - 35
SP - 411
EP - 419
JO - Gaceta Sanitaria
JF - Gaceta Sanitaria
IS - 5
ER -
