Doctors' opinions on clinical coordination between primary and secondary care in the Catalan healthcare system
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- dc.contributor.author Aller, Marta-Beatrizca
- dc.contributor.author Vargas Lorenzo, Ingridca
- dc.contributor.author Coderch, Jordica
- dc.contributor.author Calero, Sebastiàca
- dc.contributor.author Cots Reguant, Francescca
- dc.contributor.author Abizanda, Mercèca
- dc.contributor.author Colomés, Lluísca
- dc.contributor.author Farré, Joanca
- dc.contributor.author Vázquez, María Luisaca
- dc.date.accessioned 2018-05-30T06:54:29Z
- dc.date.available 2018-05-30T06:54:29Z
- dc.date.issued 2017
- dc.description.abstract OBJECTIVE: To analyse doctors' opinions on clinical coordination between primary and secondary care in different healthcare networks and on the factors influencing it. METHODS: A qualitative descriptive-interpretative study was conducted, based on semi-structured interviews. A two-stage theoretical sample was designed: 1) healthcare networks with different management models; 2) primary care and secondary care doctors in each network. Final sample size (n = 50) was reached by saturation. A thematic content analysis was conducted. RESULTS: In all networks doctors perceived that primary and secondary care given to patients was coordinated in terms of information transfer, consistency and accessibility to SC following a referral. However, some problems emerged, related to difficulties in acceding non-urgent secondary care changes in prescriptions and the inadequacy of some referrals across care levels. Doctors identified the following factors: 1) organizational influencing factors: coordination is facilitated by mechanisms that facilitate information transfer, communication, rapid access and physical proximity that fosters positive attitudes towards collaboration; coordination is hindered by the insufficient time to use mechanisms, unshared incentives in prescription and, in two networks, the change in the organizational model; 2) professional factors: clinical skills and attitudes towards coordination. CONCLUSIONS: Although doctors perceive that primary and secondary care is coordinated, they also highlighted problems. Identified factors offer valuable insights on where to direct organizational efforts to improve coordination.
- dc.format.mimetype application/pdf
- dc.identifier.citation Aller MB, Vargas I, Coderch J, Calero S, Cots F, Abizanda M. et al. Doctors' opinions on clinical coordination between primary and secondary care in the Catalan healthcare system. Gac Sanit. 2019;33(1):66-73. DOI: 10.1016/j.gaceta.2017.06.001
- dc.identifier.doi http://dx.doi.org/10.1016/j.gaceta.2017.06.001
- dc.identifier.issn 0213-9111
- dc.identifier.uri http://hdl.handle.net/10230/34753
- dc.language.iso eng
- dc.publisher Elsevierca
- dc.relation.ispartof Gaceta Sanitaria. 2019;33(1):66-73
- dc.rights © 2017 Published by Elsevier España, S.L.U. on behalf of SESPAS. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
- dc.rights.accessRights info:eu-repo/semantics/openAccess
- dc.rights.uri http://creativecommons.org/licenses/by-nc-nd/4.0/
- dc.subject.keyword Clinical coordination between care levels
- dc.subject.keyword Coordinación clínica entre niveles de atención
- dc.subject.keyword Integrated health care
- dc.subject.keyword Interprofessional relations
- dc.subject.keyword Investigación cualitativa
- dc.subject.keyword Modelos organizativos
- dc.subject.keyword Organizational models
- dc.subject.keyword Prestación integrada de atención de salud
- dc.subject.keyword Qualitative research
- dc.subject.keyword Relaciones interprofesionales
- dc.subject.other Metges -- Responsabilitat professional
- dc.subject.other Serveis sanitaris
- dc.title Doctors' opinions on clinical coordination between primary and secondary care in the Catalan healthcare systemca
- dc.type info:eu-repo/semantics/article
- dc.type.version info:eu-repo/semantics/acceptedVersion