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Understanding how to improve the use of clinical coordination mechanisms between primary and secondary care doctors: clues from Catalonia

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dc.contributor.author Esteve Matalí, Laura
dc.contributor.author Vargas Lorenzo, Ingrid
dc.contributor.author Amigo, Franco
dc.contributor.author Plaja, Pere
dc.contributor.author Cots Reguant, Francesc
dc.contributor.author Mayer, Erick F.
dc.contributor.author Pérez Castejón, Joan Manuel
dc.contributor.author Vázquez, María Luisa
dc.date.accessioned 2021-09-21T06:01:25Z
dc.date.available 2021-09-21T06:01:25Z
dc.date.issued 2021
dc.identifier.citation Esteve-Matalí L, Vargas I, Amigo F, Plaja P, Cots F, Mayer EF, Pérez-Castejón JM, Vázquez ML. Understanding how to improve the use of clinical coordination mechanisms between primary and secondary care doctors: clues from Catalonia. Int J Environ Res Public Health. 2021;18(6):3224. DOI: 10.3390/ijerph18063224
dc.identifier.issn 1661-7827
dc.identifier.uri http://hdl.handle.net/10230/48486
dc.description.abstract Clinical coordination between primary (PC) and secondary care (SC) is a challenge for health systems, and clinical coordination mechanisms (CCM) play an important role in the interface between care levels. It is therefore essential to understand the elements that may hinder their use. This study aims to analyze the level of use of CCM, the difficulties and factors associated with their use, and suggestions for improving clinical coordination. A cross-sectional online survey-based study using the questionnaire COORDENA-CAT was conducted with 3308 PC and SC doctors in the Catalan national health system. Descriptive bivariate analysis and logistic regression models were used. Shared Electronic Medical Records were the most frequently used CCM, especially by PC doctors, and the one that presented most difficulties in use, mostly related to technical problems. Some factors positively associated with frequent use of various CCM were: working full-time in integrated areas, or with local hospitals. Interactional and organizational factors contributed to a greater extent among SC doctors. Suggestions for improving clinical coordination were similar between care levels and related mainly to the improvement of CCM. In an era where management tools are shifting towards technology-based CCM, this study can help to design strategies to improve their effectiveness.
dc.format.mimetype application/pdf
dc.language.iso eng
dc.publisher MDPI
dc.relation.ispartof Int J Environ Res Public Health. 2021;18(6):3224
dc.rights © 2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
dc.rights.uri http://creativecommons.org/licenses/by/4.0/
dc.title Understanding how to improve the use of clinical coordination mechanisms between primary and secondary care doctors: clues from Catalonia
dc.type info:eu-repo/semantics/article
dc.identifier.doi http://dx.doi.org/10.3390/ijerph18063224
dc.subject.keyword Clinical coordination
dc.subject.keyword Coordination mechanisms
dc.subject.keyword Electronic medical record
dc.subject.keyword Health services research
dc.subject.keyword Primary care
dc.subject.keyword Questionnaire
dc.subject.keyword Remote consultation
dc.subject.keyword Secondary care
dc.rights.accessRights info:eu-repo/semantics/openAccess
dc.type.version info:eu-repo/semantics/publishedVersion

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