Knowledge and use of clinical coordination mechanisms in healthcare networks in Latin America

Andrea Miranda-Mendizábal, Ingrid Vargas, Amparo Susana Mogollón-Pérez, Pamela Eguiguren, Isabella Samico, Julieta López, Fernando Bertolotto, Delia Amarilla, María Luisa Vázquez

Resultado de la investigación: Contribución a RevistaArtículo

Resumen

© 2018 SESPAS Objective: To analyze the level of knowledge and use, and the characteristics of use, of care coordination mechanisms in public healthcare networks of six Latin America countries. Method: Cross-sectional study based on a survey using the COORDENA® questionnaire with primary and secondary care doctors (348 doctors/country) of public healthcare networks in Argentina, Brazil, Chile, Colombia, Mexico and Uruguay (May-October 2015). Analyzed variables: degree of knowledge and use of information coordination (referral/reply letter, discharge report, phone, e-mail) and of clinical management coordination (shared clinical guidelines, joint meetings) mechanisms. Descriptive analyses were conducted. Results: Knowledge of clinical information coordination mechanisms was high in both care levels and analyzed networks as was the use of referral/reply letter. There was greater variability in the use of discharge reports (from 40.0% in Brazil to 79.4% in Mexico) and, except for Argentina, a low reception reported by primary care doctors stands out (12.3% in Colombia and 55.1% in Uruguay). In contrast, knowledge of clinical management coordination mechanisms was limited, especially among secondary care doctors. It is noteworthy, however, that adherence to clinical guidelines was high (from 83.1% in Mexico to 96.8% in Brazil), while participation in joint meetings varied widely (from 23.7% in Chile to 76.2% in Brazil). The difficulties reported in the use of the mechanisms are related to structural and organizational factors. Conclusions: The limited knowledge and use of coordination mechanisms shows insufficient diffusion and implementation. Strategies to increase its use are needed, including the related factors.
Idioma originalEnglish (US)
PublicaciónGaceta Sanitaria
DOI
EstadoAccepted/In press - ene 1 2018

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Miranda-Mendizábal, A., Vargas, I., Mogollón-Pérez, A. S., Eguiguren, P., Samico, I., López, J., ... Vázquez, M. L. (Aceptado/En prensa). Knowledge and use of clinical coordination mechanisms in healthcare networks in Latin America. Gaceta Sanitaria. https://doi.org/10.1016/j.gaceta.2018.09.009
Miranda-Mendizábal, Andrea ; Vargas, Ingrid ; Mogollón-Pérez, Amparo Susana ; Eguiguren, Pamela ; Samico, Isabella ; López, Julieta ; Bertolotto, Fernando ; Amarilla, Delia ; Vázquez, María Luisa. / Knowledge and use of clinical coordination mechanisms in healthcare networks in Latin America. En: Gaceta Sanitaria. 2018.
@article{f34aaf6d98c648ee84c90aafda059aae,
title = "Knowledge and use of clinical coordination mechanisms in healthcare networks in Latin America",
abstract = "{\circledC} 2018 SESPAS Objective: To analyze the level of knowledge and use, and the characteristics of use, of care coordination mechanisms in public healthcare networks of six Latin America countries. Method: Cross-sectional study based on a survey using the COORDENA{\circledR} questionnaire with primary and secondary care doctors (348 doctors/country) of public healthcare networks in Argentina, Brazil, Chile, Colombia, Mexico and Uruguay (May-October 2015). Analyzed variables: degree of knowledge and use of information coordination (referral/reply letter, discharge report, phone, e-mail) and of clinical management coordination (shared clinical guidelines, joint meetings) mechanisms. Descriptive analyses were conducted. Results: Knowledge of clinical information coordination mechanisms was high in both care levels and analyzed networks as was the use of referral/reply letter. There was greater variability in the use of discharge reports (from 40.0{\%} in Brazil to 79.4{\%} in Mexico) and, except for Argentina, a low reception reported by primary care doctors stands out (12.3{\%} in Colombia and 55.1{\%} in Uruguay). In contrast, knowledge of clinical management coordination mechanisms was limited, especially among secondary care doctors. It is noteworthy, however, that adherence to clinical guidelines was high (from 83.1{\%} in Mexico to 96.8{\%} in Brazil), while participation in joint meetings varied widely (from 23.7{\%} in Chile to 76.2{\%} in Brazil). The difficulties reported in the use of the mechanisms are related to structural and organizational factors. Conclusions: The limited knowledge and use of coordination mechanisms shows insufficient diffusion and implementation. Strategies to increase its use are needed, including the related factors.",
author = "Andrea Miranda-Mendiz{\'a}bal and Ingrid Vargas and Mogoll{\'o}n-P{\'e}rez, {Amparo Susana} and Pamela Eguiguren and Isabella Samico and Julieta L{\'o}pez and Fernando Bertolotto and Delia Amarilla and V{\'a}zquez, {Mar{\'i}a Luisa}",
year = "2018",
month = "1",
day = "1",
doi = "10.1016/j.gaceta.2018.09.009",
language = "English (US)",
journal = "Gaceta Sanitaria",
issn = "0213-9111",
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Miranda-Mendizábal, A, Vargas, I, Mogollón-Pérez, AS, Eguiguren, P, Samico, I, López, J, Bertolotto, F, Amarilla, D & Vázquez, ML 2018, 'Knowledge and use of clinical coordination mechanisms in healthcare networks in Latin America', Gaceta Sanitaria. https://doi.org/10.1016/j.gaceta.2018.09.009

Knowledge and use of clinical coordination mechanisms in healthcare networks in Latin America. / Miranda-Mendizábal, Andrea; Vargas, Ingrid; Mogollón-Pérez, Amparo Susana; Eguiguren, Pamela; Samico, Isabella; López, Julieta; Bertolotto, Fernando; Amarilla, Delia; Vázquez, María Luisa.

En: Gaceta Sanitaria, 01.01.2018.

Resultado de la investigación: Contribución a RevistaArtículo

TY - JOUR

T1 - Knowledge and use of clinical coordination mechanisms in healthcare networks in Latin America

AU - Miranda-Mendizábal, Andrea

AU - Vargas, Ingrid

AU - Mogollón-Pérez, Amparo Susana

AU - Eguiguren, Pamela

AU - Samico, Isabella

AU - López, Julieta

AU - Bertolotto, Fernando

AU - Amarilla, Delia

AU - Vázquez, María Luisa

PY - 2018/1/1

Y1 - 2018/1/1

N2 - © 2018 SESPAS Objective: To analyze the level of knowledge and use, and the characteristics of use, of care coordination mechanisms in public healthcare networks of six Latin America countries. Method: Cross-sectional study based on a survey using the COORDENA® questionnaire with primary and secondary care doctors (348 doctors/country) of public healthcare networks in Argentina, Brazil, Chile, Colombia, Mexico and Uruguay (May-October 2015). Analyzed variables: degree of knowledge and use of information coordination (referral/reply letter, discharge report, phone, e-mail) and of clinical management coordination (shared clinical guidelines, joint meetings) mechanisms. Descriptive analyses were conducted. Results: Knowledge of clinical information coordination mechanisms was high in both care levels and analyzed networks as was the use of referral/reply letter. There was greater variability in the use of discharge reports (from 40.0% in Brazil to 79.4% in Mexico) and, except for Argentina, a low reception reported by primary care doctors stands out (12.3% in Colombia and 55.1% in Uruguay). In contrast, knowledge of clinical management coordination mechanisms was limited, especially among secondary care doctors. It is noteworthy, however, that adherence to clinical guidelines was high (from 83.1% in Mexico to 96.8% in Brazil), while participation in joint meetings varied widely (from 23.7% in Chile to 76.2% in Brazil). The difficulties reported in the use of the mechanisms are related to structural and organizational factors. Conclusions: The limited knowledge and use of coordination mechanisms shows insufficient diffusion and implementation. Strategies to increase its use are needed, including the related factors.

AB - © 2018 SESPAS Objective: To analyze the level of knowledge and use, and the characteristics of use, of care coordination mechanisms in public healthcare networks of six Latin America countries. Method: Cross-sectional study based on a survey using the COORDENA® questionnaire with primary and secondary care doctors (348 doctors/country) of public healthcare networks in Argentina, Brazil, Chile, Colombia, Mexico and Uruguay (May-October 2015). Analyzed variables: degree of knowledge and use of information coordination (referral/reply letter, discharge report, phone, e-mail) and of clinical management coordination (shared clinical guidelines, joint meetings) mechanisms. Descriptive analyses were conducted. Results: Knowledge of clinical information coordination mechanisms was high in both care levels and analyzed networks as was the use of referral/reply letter. There was greater variability in the use of discharge reports (from 40.0% in Brazil to 79.4% in Mexico) and, except for Argentina, a low reception reported by primary care doctors stands out (12.3% in Colombia and 55.1% in Uruguay). In contrast, knowledge of clinical management coordination mechanisms was limited, especially among secondary care doctors. It is noteworthy, however, that adherence to clinical guidelines was high (from 83.1% in Mexico to 96.8% in Brazil), while participation in joint meetings varied widely (from 23.7% in Chile to 76.2% in Brazil). The difficulties reported in the use of the mechanisms are related to structural and organizational factors. Conclusions: The limited knowledge and use of coordination mechanisms shows insufficient diffusion and implementation. Strategies to increase its use are needed, including the related factors.

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