Care coordination in two of Bogota’s public healthcare networks: A cross-sectional study among doctors

Andrés Daniel Gallego-Ardila; Ángela María Pinzón-Rondón; Amparo Susana Mogollón-Pérez; Carol Ximena Cardozo; Ingrid Vargas; María Luisa Vázquez

doi:10.1177/2053434519892469

Care coordination in two of Bogota’s public healthcare networks: A cross-sectional study among doctors

Título traducido de la contribución: Coordinación asistencial en dos redes públicas de salud de Bogotá: Un estudio transversal entre médicos

Andrés Daniel Gallego-Ardila
, Ángela María Pinzón-Rondón
, Amparo Susana Mogollón-Pérez
, Carol Ximena Cardozo
, Ingrid Vargas
, María Luisa Vázquez

Producción científica: Contribución a revista › Artículo de Investigación › revisión exhaustiva

5 Citas (Scopus)

Resumen

Introducción: La coordinación de la atención es una preocupación prioritaria para los sistemas de salud. En Colombia, existe una falta de información sobre el tema. Este estudio analizó cómo perciben los médicos de dos redes públicas de salud de Bogotá la coordinación entre niveles asistenciales y qué factores están asociados a su percepción. Métodos: Estudio transversal utilizando el cuestionario COORDENA-CO a una muestra de 363 médicos (red-1 = 181; red-2 = 182) en 2015. El cuestionario pregunta sobre tipos y dimensiones de la coordinación asistencial: información y gestión clínica, con ítems en escala Likert, así como condiciones relativas al sistema sanitario, organizativas y de los médicos. Se realizó estadística descriptiva y análisis de regresión logística. Resultados: La percepción de un alto nivel de coordinación por parte de los médicos no superó el 25,4%. En cuanto a la coordinación de la información, se constató una transferencia limitada de información clínica. En cuanto a la gestión clínica, se observó una coherencia asistencial limitada, déficits en el seguimiento de los pacientes y tiempos de espera prolongados para la atención especializada. Una alta percepción de coordinación se asoció a ser mujer, tener más de 50 años, ser especialista, tener menos de un año de experiencia laboral, trabajar menos de 20 h semanales en el centro, formar parte de la red-1, disponer de tiempo para realizar tareas de coordinación, tener satisfacción laboral y no identificar limitaciones impuestas por las aseguradoras sanitarias. Discusión: Existe una percepción limitada de la coordinación, en sus diferentes dimensiones y tipos, con algunas diferencias entre redes. Los resultados apoyan la importancia de garantizar la satisfacción laboral, asegurar tiempo suficiente a las actividades relacionadas con la coordinación e intervenir en las restricciones impuestas por las aseguradoras sanitarias para mejorar la coordinación asistencial.

Título traducido de la contribución	Coordinación asistencial en dos redes públicas de salud de Bogotá: Un estudio transversal entre médicos
Idioma original	Inglés estadounidense
Páginas (desde-hasta)	127-139
Número de páginas	13
Publicación	International Journal of Care Coordination
Volumen	22
N.º	3-4
DOI	https://doi.org/10.1177/2053434519892469
Estado	Publicada - sep. 1 2019

ODS de las Naciones Unidas

Este resultado contribuye a los siguientes Objetivos de Desarrollo Sostenible

ODS 3: Salud y bienestar

Áreas temáticas de ASJC Scopus

Liderazgo y gestión
Políticas sanitarias

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10.1177/2053434519892469

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title = "Care coordination in two of Bogota{\textquoteright}s public healthcare networks: A cross-sectional study among doctors",

abstract = "Introduction: Care coordination is a priority concern for healthcare systems. In Colombia, there is a lack of information on the topic. This study analysed how doctors of two Bogot{\'a}{\textquoteright}s public healthcare networks perceived coordination between healthcare levels and what factors are associated with their perception. Methods: A cross-sectional study using the COORDENA-CO questionnaire to a sample of 363 doctors (network-1 = 181; network-2 = 182) in 2015. The questionnaire asks about types and dimensions of care coordination: information and clinical management, with items in a Likert scale, as well as conditions regarding health system, organisational and doctors{\textquoteright} conditions. Descriptive statistics and logistic regression analysis were performed. Results: The doctors{\textquoteright} perception of a high level of coordination did not exceed 25.4\%. On coordination of information, limited transfer of clinical information was found. Concerning clinical management, there were limited care coherence, deficits in patient follow-up and lengthy waiting times for specialised care. A high perception of coordination were associated with being female, being over 50 years old, being a specialist, having less than one year{\textquoteright}s working experience, working less than 20 h per week at the centre, forming part of network-1, having time available for performing coordination tasks, having job satisfaction and not identifying limitations imposed by healthcare insurers. Discussion: There was limited perception of coordination, in its different dimensions and types with some differences between networks. The results support the importance of guaranteeing job satisfaction, ensuring sufficient time to coordination-related activities and intervening in the restrictions imposed by healthcare insurers to improve care coordination.",

author = "Gallego-Ardila, \{Andr{\'e}s Daniel\} and Pinz{\'o}n-Rond{\'o}n, \{{\'A}ngela Mar{\'i}a\} and Mogoll{\'o}n-P{\'e}rez, \{Amparo Susana\} and Cardozo, \{Carol Ximena\} and Ingrid Vargas and V{\'a}zquez, \{Mar{\'i}a Luisa\}",

year = "2019",

month = sep,

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doi = "10.1177/2053434519892469",

language = "English (US)",

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Care coordination in two of Bogota’s public healthcare networks: A cross-sectional study among doctors. / Gallego-Ardila, Andrés Daniel; Pinzón-Rondón, Ángela María ; Mogollón-Pérez, Amparo Susana et al.
En: International Journal of Care Coordination, Vol. 22, N.º 3-4, 01.09.2019, p. 127-139.

Producción científica: Contribución a revista › Artículo de Investigación › revisión exhaustiva

TY - JOUR

T1 - Care coordination in two of Bogota’s public healthcare networks: A cross-sectional study among doctors

AU - Gallego-Ardila, Andrés Daniel

AU - Pinzón-Rondón, Ángela María

AU - Mogollón-Pérez, Amparo Susana

AU - Cardozo, Carol Ximena

AU - Vargas, Ingrid

AU - Vázquez, María Luisa

PY - 2019/9/1

Y1 - 2019/9/1

N2 - Introduction: Care coordination is a priority concern for healthcare systems. In Colombia, there is a lack of information on the topic. This study analysed how doctors of two Bogotá’s public healthcare networks perceived coordination between healthcare levels and what factors are associated with their perception. Methods: A cross-sectional study using the COORDENA-CO questionnaire to a sample of 363 doctors (network-1 = 181; network-2 = 182) in 2015. The questionnaire asks about types and dimensions of care coordination: information and clinical management, with items in a Likert scale, as well as conditions regarding health system, organisational and doctors’ conditions. Descriptive statistics and logistic regression analysis were performed. Results: The doctors’ perception of a high level of coordination did not exceed 25.4%. On coordination of information, limited transfer of clinical information was found. Concerning clinical management, there were limited care coherence, deficits in patient follow-up and lengthy waiting times for specialised care. A high perception of coordination were associated with being female, being over 50 years old, being a specialist, having less than one year’s working experience, working less than 20 h per week at the centre, forming part of network-1, having time available for performing coordination tasks, having job satisfaction and not identifying limitations imposed by healthcare insurers. Discussion: There was limited perception of coordination, in its different dimensions and types with some differences between networks. The results support the importance of guaranteeing job satisfaction, ensuring sufficient time to coordination-related activities and intervening in the restrictions imposed by healthcare insurers to improve care coordination.

AB - Introduction: Care coordination is a priority concern for healthcare systems. In Colombia, there is a lack of information on the topic. This study analysed how doctors of two Bogotá’s public healthcare networks perceived coordination between healthcare levels and what factors are associated with their perception. Methods: A cross-sectional study using the COORDENA-CO questionnaire to a sample of 363 doctors (network-1 = 181; network-2 = 182) in 2015. The questionnaire asks about types and dimensions of care coordination: information and clinical management, with items in a Likert scale, as well as conditions regarding health system, organisational and doctors’ conditions. Descriptive statistics and logistic regression analysis were performed. Results: The doctors’ perception of a high level of coordination did not exceed 25.4%. On coordination of information, limited transfer of clinical information was found. Concerning clinical management, there were limited care coherence, deficits in patient follow-up and lengthy waiting times for specialised care. A high perception of coordination were associated with being female, being over 50 years old, being a specialist, having less than one year’s working experience, working less than 20 h per week at the centre, forming part of network-1, having time available for performing coordination tasks, having job satisfaction and not identifying limitations imposed by healthcare insurers. Discussion: There was limited perception of coordination, in its different dimensions and types with some differences between networks. The results support the importance of guaranteeing job satisfaction, ensuring sufficient time to coordination-related activities and intervening in the restrictions imposed by healthcare insurers to improve care coordination.

UR - https://www.scopus.com/pages/publications/85077215081

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U2 - 10.1177/2053434519892469

DO - 10.1177/2053434519892469

M3 - Research Article

AN - SCOPUS:85077215081

SN - 2053-4345

VL - 22

SP - 127

EP - 139

JO - International Journal of Care Coordination

JF - International Journal of Care Coordination

IS - 3-4

ER -

Care coordination in two of Bogota’s public healthcare networks: A cross-sectional study among doctors

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