Factors that difficult coordination among care levels: A case study in Colombia

Revista de la Universidad Industrial de Santander. Salud

López, Sandra Liliana¹  Mogollón, Amparo¹  Barragán, Ana María¹  Pinilla, Mónica¹  de Paepe, Pierre³  Ferreira, María Rejane⁴  Unger, Jean Pierre³  García, Virginia¹  Valencia, Sandra Carolina¹  Vázquez, María Luisa²  Vargas, Ingrid²  Morales, Natalia¹  Rodríguez, Luis Fernando¹ 

[1] Universidad del Rosario, Bogotá, Colombia;Consorcio de Salud y Social de Cataluña, Barcelona, España;Prins Leopold Instituut voor Tropishe Geneeskunde, Bélgica;Universidad de Pernambuco, Brasil

关键词: Delivery of health care;    integrated;    health services research;    health care levels;    qualitative research;   

DOI  :  

学科分类：医学（综合）

来源: Universidad Industrial de Santander

【 摘 要 】

Care coordination is the agreement of diverse activities requested to attend a patient along care continuum. A narrative analysis of contentment was developed to 32 semi-structured interviews, applied to key informants intentional Selected from a subsidized HCN. Internally arises as barriers, failures in communication and lack of collaboration among professionals, inadequate work conditions and deficiencies in programming mechanisms implementation. External barriers were related with deficient national politics to regulate care provider-insurer contracting, coordination mechanisms and poor view of integrated health. These barriers break the continuity in health care provision. Effective implementation of care coordination is requested among different levels of care. Salud UIS 2011; 43(1): 77-79.

【 授权许可】

Unknown