Understanding how to improve the use of clinical coordination mechanisms between primary and secondary care doctors: clues from Catalonia
Mostra el registre complet Registre parcial de l'ítem
- 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.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.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.doi http://dx.doi.org/10.3390/ijerph18063224
- dc.identifier.issn 1661-7827
- dc.identifier.uri http://hdl.handle.net/10230/48486
- 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.accessRights info:eu-repo/semantics/openAccess
- dc.rights.uri http://creativecommons.org/licenses/by/4.0/
- 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.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.type.version info:eu-repo/semantics/publishedVersion