María-Luisa Vázquez
Dados Biográficos
| ID | 1726473 |
|---|---|
| NOME | María-Luisa Vázquez |
| PRENOMES | María-Luisa |
| SOBRENOME | Vázquez |
| ASSINATURA | VÁZQUEZ M |
| AFILIAÇÕES | Consortium for Health and Social Catalonia |
| ORCID | 0000-0002-6091-8193 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 41 |
| TOTAL DE CITAÇÕES | 121 |
| TOTAL COMO AUTOR | 41 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 1992 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2025 |
| ÍNDICE H | 7 |
Barreras De Acceso Al Diagnóstico Temprano Del Cáncer en Colombia
Coordinación clínica y fortalecimiento de la atención primaria en el diagnóstico del cáncer en Latinoamérica
Objetivo. Sintetizar el conocimiento disponible en Latinoamérica sobre la coordinación clínica (CC) entre niveles de atención, el conocimiento de profesionales de atención primaria (AP) en el diagnóstico del cáncer, factores asociados y las intervenciones para su mejora. Métodos. Se realizó una revisión de alcance en bases de datos MEDLINE, LILACS, SciELO. Tras la revisión de títulos, resúmenes y texto completo, se extrajeron datos sobre las cara…
Participatory action research for adapting an integrated care intervention to reduce cancer diagnosis delays
Fragmentation of healthcare in Latin America (including Ecuador) causes delays in cancer diagnosis, especially among vulnerable populations. The context of this study was the EU-funded EquityCancer-LA project, and we aimed to describe the co-design process and adaptation of an integrated care intervention to reduce cancer diagnosis delays in Quito. These study's results target the population of Quito, Ecuador, aiming to reduce cancer diagnosis de…
Understanding the health system drivers of delayed cancer diagnosis in public healthcare networks of Chile, Colombia and Ecuador
Although the greatest delays in cancer diagnosis in Latin America occur in the provider interval little is known about the related factors. This study aims to analyze factors influencing access to cancer diagnosis -from initial contact with health services to confirmation- from institutional stakeholders' perspective in public healthcare networks of Chile, Colombia, and Ecuador. A qualitative, descriptive-interpretative study was conducted in two…
La integración de la gestión de servicios sanitarios mejora la coordinación clínica? Experiencia en Cataluña
Analizar la experiencia y la percepción de coordinación clínica entre niveles asistenciales y los factores relacionados, organizativos y de interacción entre profesionales, según el tipo de integración de la gestión de los servicios de salud del área en Cataluña. Estudio transversal basado en una encuesta on-line mediante autoadministración del cuestionario COORDENA-CAT (octubre-diciembre 2017). Población de estudio: médicos/as de atención primar…
Relational Continuity of Chronic Patients with Primary and Secondary Care Doctors
Despite relational continuity (RC) with the doctor being key to care quality for chronic patients, particularly in fragmented healthcare systems, like many in Latin America (LA), little is known about RC and its attributes, particularly regarding specialists. Aim: We aim to analyse chronic patients' perceptions of RC with primary (PC) and secondary (SC) care doctors, and record changes between 2015 and 2017 in the public healthcare networks of si…
Assessing the impact of clinical coordination interventions on the continuity of care for patients with chronic conditions
Although fragmentation in the provision of services is considered an obstacle to effective health care, there is scant evidence on the impact of interventions to improve care coordination between primary care and secondary care in terms of continuity of care—i.e. from the patient perspective—particularly in Latin America (LA). Within the framework of the Equity-LA II project, interventions to improve coordination across care levels were implement…
Care continuity across levels of care perceived by patients with chronic conditions in six Latin-American countries
OBJECTIVE: To analyse the care continuity across levels of care perceived by patients with chronic conditions in public healthcare networks in six Latin American countries (Argentina, Brazil, Chile, Colombia, Mexico and Uruguay), and to explore associated factors. METHOD: Cross-sectional study by means of a survey conducted to a random sample of chronic patients in primary care centres of the study networks (784 per country) using the questionnai…
Understanding How to Improve the Use of Clinical Coordination Mechanisms between Primary and Secondary Care Doctors
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 c…
Interventions to Improve Clinical Coordination between Levels
The involvement of professionals in designing the interventions, as well as institutional support and reflexive methods for training, all decisively improved clinical coordination between levels
Barreras y factores asociados al uso de mecanismos de coordinación entre niveles de atención en México
El objetivo fue analizar el nivel y caracterizar el uso de mecanismos de coordinación clínica entre niveles de atención, y sus factores asociados, en dos redes públicas de servicios de salud en México. Se realizó estudio transversal mediante el cuestionario COORDENA a médicos de atención primaria y especializada del estado de Veracruz. Se encontraron diferencias entre redes y niveles de atención, según el mecanismo. En ambas, la referencia/contra…
Experiência de coordenação do cuidado entre médicos da atenção primária e especializada e fatores relacionados
O artigo analisa a coordenação da informação e da gestão clínica entre níveis assistenciais na experiência de médicos e explora fatores laborais, organizacional, de atitude frente ao trabalho e de interação relacionados. Trata-se de estudo transversal com aplicação do questionário COORDENA-BR à amostra de 64 médicos da atenção primária à saúde (APS) e 56 da atenção especializada (AE) da rede pública em um município de médio porte. Os resultados m…
Understanding the factors influencing the implementation of participatory interventions to improve care coordination. An analytical framework based on an evaluation in Latin America
Healthcare coordination is considered key to improving care quality. Although participatory action research (PAR) has been used effectively to bridge the gap between evidence and practice in other areas, little is known about the key success factors of its use in healthcare organizations. This article analyses the factors influencing the implementation of PAR interventions to improve clinical coordination from the perspective of actors in public …
Conhecimento e uso de mecanismos para articulação clínica entre níveis em duas redes de atenção à saúde de Pernambuco, Brasil
O artigo avalia o conhecimento e o uso dos mecanismos de articulação clínica entre níveis assistenciais em duas redes de atenção à saúde no Estado de Pernambuco, Brasil. Trata-se de estudo descritivo e transversal, do tipo inquérito. Foram entrevistados 381 médicos das redes públicas de saúde da atenção básica e atenção especializada dos municípios de Caruaru e Recife (Distritos Sanitários III e VII). Foi aplicado um questionário estruturado (COO…
Understanding communication breakdown in the outpatient referral process in Latin America
An adequate use of referral and reply letters-the main form of communication between primary care (PC) and out-patient secondary care (SC)-helps to avoid medical errors, test duplications and delays in diagnosis. However, it has been little studied to date in Latin America. The aim is to determine the level and characteristics of PC and SC doctors' use of referral and reply letters and to explore influencing factors in public healthcare networks …
Patient perceptions of continuity of health care and associated factors. Cross-sectional study in municipalities of central Colombia and north-eastern Brazil
Despite the fragmentation of healthcare provision being considered one of the main obstacles to attaining effective health care in Latin America, very little is known about patients' perceptions. This paper analyses the level of continuity of health care perceived by users and explores influencing factors in two municipalities of Colombia and Brazil, by means of a cross-sectional study based on a survey of a multistage probability sample of peopl…
Doctors' experience of coordination across care levels and associated factors. A cross-sectional study in public healthcare networks of six Latin American countries
Improving coordination between primary care (PC) and secondary care (SC) has become a policy priority in recent years for many Latin American public health systems looking to reinforce a healthcare model based on PC. However, despite being a longstanding concern, it has scarcely been analyzed in this region. This paper analyses the level of clinical coordination between PC and SC experienced by doctors and explores influencing factors in public h…
What are factors influencing coordination and continuity across care levels in the Catalan national health care system
Introduction: The identification of factors influencing care coordination can offer valuable insights to healthcare managers and professionals on where to direct their efforts to improve health care service towards the provision of a smooth patient trajectory. Nevertheless, literature that comprehensively analyse influencing factors from the physician’s and patient’s perspective is scarce. Care coordination is the harmonious connection of the dif…
Coordination and continuity across care levels in the Catalan national health system
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 2.913 (2021 JCR, received in June 2022)The IJIC 20th Anniversary Issue was published in 2021
Barriers to healthcare coordination in market-based and decentralized public health systems
Although integrated healthcare networks (IHNs) are promoted in Latin America in response to health system fragmentation, few analyses on the coordination of care across levels in these networks have been conducted in the region. The aim is to analyse the existence of healthcare coordination across levels of care and the factors influencing it from the health personnel' perspective in healthcare networks of two countries with different health syst…
The performance of integrated health care networks in continuity of care
Study findings suggest a generally perceived adequate performance of IHN in continuity of care but also the existence of a series of difficulties related to all continuity types. Results can provide opportunities to improving the care process of COPD patients but also of patients with other conditions who receive care across the primary and secondary care level
Regional-based Integrated Healthcare Network policy in Brazil
BACKGROUND: Regional-based Integrated Healthcare Networks (IHNs) have been promoted in Brazil to overcome the fragmentation due to the health system decentralization to the municipal level; however, evaluations are scarce. The aim of this article is to analyse the content of IHN policies in force in Brazil, and the factors that influence policy implementation from the policymakers' perspective. METHODS: A two-fold, exploratory and descriptive qua…
Changes in Access to Health Services of the Immigrant and Native-Born Population in Spain in the Context of Economic Crisis
Access to healthcare did not worsen, possibly due to the fact that, until 2012, the national health system may have cushioned the deterioration of social determinants as a consequence of the financial crisis. Further studies are necessary to evaluate the effects of health policy responses to the crisis after 2012
Inequities in access to health care in different health systems
Twenty years after the introduction of reforms implemented to improve equity in access to health care, inequities, defined in terms of unequal use for equal need, are still present in both countries. The design of the health systems appears to determine access to the health services: two insurance schemes in Colombia with different benefits packages and a segmented system in Brazil, with a significant private component
Validation of the Brazilian and Colombian version of the CCAENA (care continuity across levels of care) scale
Introducción: el cuestionario CCAENA evalúa los tres tipos de continuidad de la atención (relacional, informativa, gerencial) en todos los niveles de atención desde la perspectiva del paciente. Había sido validado para el contexto sanitario español. Objetivo: evaluar las propiedades psicométricas de la versión abreviada de la escala CCAENA en el contexto colombiano y brasileño. Métodos: Estudio transversal mediante encuesta de población en munici…
Barriers to healthcare coordination in market-based and decentralized public health systems
Although integrated healthcare networks (IHNs) are promoted in Latin America in response to health system fragmentation, few analyses on the coordination of care across levels in these networks have been conducted in the region. The aim is to analyse the existence of healthcare coordination across levels of care and the factors influencing it from the health personnel' perspective in healthcare networks of two countries with different health syst…
Barriers in access to healthcare in countries with different health systems. A cross-sectional study in municipalities of central Colombia and north-eastern Brazil
There are few comprehensive studies available on barriers encountered from the initial seeking of healthcare through to the resolution of the health problem; in other words, on access in its broad domain. For Colombia and Brazil, countries with different healthcare systems but common stated principles, there have been no such analyses to date. This paper compares factors that influence access in its broad domain in two municipalities of each coun…
Regional-based Integrated Healthcare Network policy in Brazil
BACKGROUND: Regional-based Integrated Healthcare Networks (IHNs) have been promoted in Brazil to overcome the fragmentation due to the health system decentralization to the municipal level; however, evaluations are scarce. The aim of this article is to analyse the content of IHN policies in force in Brazil, and the factors that influence policy implementation from the policymakers' perspective. METHODS: A two-fold, exploratory and descriptive qua…
Doctors' experience of coordination across care levels and associated factors. A cross-sectional study in public healthcare networks of six Latin American countries
Improving coordination between primary care (PC) and secondary care (SC) has become a policy priority in recent years for many Latin American public health systems looking to reinforce a healthcare model based on PC. However, despite being a longstanding concern, it has scarcely been analyzed in this region. This paper analyses the level of clinical coordination between PC and SC experienced by doctors and explores influencing factors in public h…
Understanding communication breakdown in the outpatient referral process in Latin America
An adequate use of referral and reply letters-the main form of communication between primary care (PC) and out-patient secondary care (SC)-helps to avoid medical errors, test duplications and delays in diagnosis. However, it has been little studied to date in Latin America. The aim is to determine the level and characteristics of PC and SC doctors' use of referral and reply letters and to explore influencing factors in public healthcare networks …
Participação social nos serviços de saúde
A participação da sociedade na gestão do sistema de saúde, nas diferentes esferas do governo, é uma das políticas promovidas na construção do Sistema Único de Saúde no Brasil. O sucesso na implementação de qualquer nova política depende de diversos elementos, entre eles, os interesses e opiniões dos atores principais envolvidos e que nem sempre são considerados. Neste artigo são analisados os conceitos de participação social nos serviços de saúde…
Incidência e fatores de risco de diarréia e infecções respiratórias agudas em comunidades urbanas de Pernambuco, Brasil
Em estudo de intervenção educativa sobre diarréia e infecções respiratórias agudas (IRA) nos Municípios de Olinda e Recife, realizaram-se duas pesquisas domiciliares em uma amostra de famílias, com pelo menos uma criança abaixo de cinco anos, em abril-maio de 1992 e 1994. Foram estudadas 5.436 crianças. A incidência anual corrigida (IAC) de diarréia foi de 2,7 episódios por criança/ano, com uma incidência de 10,2% nas duas semanas prévias ao inqu…
Sociomedical aspects of malaria control in Colombia
Equidad y reformas de los sistemas de salud en Latinoamérica
El fin último de cualquier sistema de salud es contribuir a la mejora de la salud de la población y hacerlo de la manera más eficiente posible. Buscando mejorar las condiciones de eficiencia y equidad en que se prestan los servicios de salud, numerosos países en todo el mundo, incluyendo los latinoamericanos, han implementado reformas. A pesar de la aparente coincidencia en los objetivos de las reformas, la forma en que se implementan responden a…
A tool for assessing continuity of care across care levels
The CCAENA questionnaire has proved to be a valid and reliable tool for measuring patients' perceptions of continuity. Providers and researchers could apply the questionnaire to identify areas for health care improvement
A qualitative study about immigrant workers’ perceptions of their working conditions in Spain
BACKGROUND: Spain has recently become an inward migration country. Little is known about the occupational health of immigrant workers. This study aimed to explore the perceptions that immigrant workers in Spain had of their working conditions. METHODS: Qualitative, exploratory, descriptive study. Criterion sampling. Data collected between September 2006 and May 2007 through semi-structured focus groups and individual interviews, with a topic guid…
Factores que inciden en el acceso de la población desplazada a las instituciones prestadoras de servicios de salud en Colombia
En Colombia, el desplazamiento por conflicto armado genera importantes repercusiones económicas y sociales, que afectan, entre otros, a la salud. A pesar de los esfuerzos normativos, el acceso a los servicios de salud de la población desplazada es limitado. Con el objetivo de analizar los factores que desde las instituciones inciden en el acceso potencial de la población desplazada a los servicios de salud, se desarrolló un estudio cualitativo de…
Experiência de coordenação do cuidado entre médicos da atenção primária e especializada e fatores relacionados
O artigo analisa a coordenação da informação e da gestão clínica entre níveis assistenciais na experiência de médicos e explora fatores laborais, organizacional, de atitude frente ao trabalho e de interação relacionados. Trata-se de estudo transversal com aplicação do questionário COORDENA-BR à amostra de 64 médicos da atenção primária à saúde (APS) e 56 da atenção especializada (AE) da rede pública em um município de médio porte. Os resultados m…
The performance of integrated health care networks in continuity of care
Study findings suggest a generally perceived adequate performance of IHN in continuity of care but also the existence of a series of difficulties related to all continuity types. Results can provide opportunities to improving the care process of COPD patients but also of patients with other conditions who receive care across the primary and secondary care level
Patient perceptions of continuity of health care and associated factors. Cross-sectional study in municipalities of central Colombia and north-eastern Brazil
Despite the fragmentation of healthcare provision being considered one of the main obstacles to attaining effective health care in Latin America, very little is known about patients' perceptions. This paper analyses the level of continuity of health care perceived by users and explores influencing factors in two municipalities of Colombia and Brazil, by means of a cross-sectional study based on a survey of a multistage probability sample of peopl…
Percepciones de usuarios y líderes comunitarios sobre su capacidad para influenciar en la calidad de los servicios de salud
Los sistemas de salud en Colombia y Brasil incluyen políticas que promueven la participación de la población en el control de la calidad de los servicios de salud. El objetivo del artículo es analizar la percepción de usuarios y líderes de ambos países sobre su capacidad para lograr cambios en los servicios de salud. Se realizó un estudio cualitativo, exploratorio y descriptivo mediante grupos focales y entrevistas individuales a usuarios y líder…
Sociomedical aspects of malaria control in Colombia
Incidência e fatores de risco de diarréia e infecções respiratórias agudas em comunidades urbanas de Pernambuco, Brasil
Em estudo de intervenção educativa sobre diarréia e infecções respiratórias agudas (IRA) nos Municípios de Olinda e Recife, realizaram-se duas pesquisas domiciliares em uma amostra de famílias, com pelo menos uma criança abaixo de cinco anos, em abril-maio de 1992 e 1994. Foram estudadas 5.436 crianças. A incidência anual corrigida (IAC) de diarréia foi de 2,7 episódios por criança/ano, com uma incidência de 10,2% nas duas semanas prévias ao inqu…
Equidad y reformas de los sistemas de salud en Latinoamérica
El fin último de cualquier sistema de salud es contribuir a la mejora de la salud de la población y hacerlo de la manera más eficiente posible. Buscando mejorar las condiciones de eficiencia y equidad en que se prestan los servicios de salud, numerosos países en todo el mundo, incluyendo los latinoamericanos, han implementado reformas. A pesar de la aparente coincidencia en los objetivos de las reformas, la forma en que se implementan responden a…
Participação social nos serviços de saúde
A participação da sociedade na gestão do sistema de saúde, nas diferentes esferas do governo, é uma das políticas promovidas na construção do Sistema Único de Saúde no Brasil. O sucesso na implementação de qualquer nova política depende de diversos elementos, entre eles, os interesses e opiniões dos atores principais envolvidos e que nem sempre são considerados. Neste artigo são analisados os conceitos de participação social nos serviços de saúde…
Nível de informação da população e utilização dos mecanismos institucionais de participação social em saúde em dois municipios do Nordeste do Brasil
A reforma do setor saúde no Brasil contempla como eixo fundamental a democratização dos serviços de saúde através do exercício do controle social sobre o sistema de saúde. Foram desenhados diversos mecanismos de participação nos serviços de saúde. No artigo analisam-se o nível de informação e a utilização pela população dos mecanismos de participação em saúde diretos: Conselhos Municipais de Saúde, Conferências de Saúde, Disque-Saúde e Ouvidoria …
Factores que inciden en el acceso de la población desplazada a las instituciones prestadoras de servicios de salud en Colombia
En Colombia, el desplazamiento por conflicto armado genera importantes repercusiones económicas y sociales, que afectan, entre otros, a la salud. A pesar de los esfuerzos normativos, el acceso a los servicios de salud de la población desplazada es limitado. Con el objetivo de analizar los factores que desde las instituciones inciden en el acceso potencial de la población desplazada a los servicios de salud, se desarrolló un estudio cualitativo de…
Integrated health care networks in Latin America
Las inequidades e ineficiencias de los sistemas de salud de América Latina motivaron algunas reformas, concentradas en las últimas dos décadas, particularmente en el financiamiento y el suministro de la atención sanitaria. Este trabajo se enfoca en la introducción de redes integradas de atención sanitaria (RIAS) en varios países de América Latina y los ubica en el contexto internacional. La descripción y el análisis de las RIAS, ya fueran regiona…
Qualitative and quantitative methods in health research
Introduction: Research in the area of health has been traditionally dominated by quantitative research. However, the complexity of ill-health, which is socially constructed by individuals, health personnel and health authorities have motivated the search for other forms to approach knowledge
A qualitative study about immigrant workers’ perceptions of their working conditions in Spain
BACKGROUND: Spain has recently become an inward migration country. Little is known about the occupational health of immigrant workers. This study aimed to explore the perceptions that immigrant workers in Spain had of their working conditions. METHODS: Qualitative, exploratory, descriptive study. Criterion sampling. Data collected between September 2006 and May 2007 through semi-structured focus groups and individual interviews, with a topic guid…
Percepciones de usuarios y líderes comunitarios sobre su capacidad para influenciar en la calidad de los servicios de salud
Los sistemas de salud en Colombia y Brasil incluyen políticas que promueven la participación de la población en el control de la calidad de los servicios de salud. El objetivo del artículo es analizar la percepción de usuarios y líderes de ambos países sobre su capacidad para lograr cambios en los servicios de salud. Se realizó un estudio cualitativo, exploratorio y descriptivo mediante grupos focales y entrevistas individuales a usuarios y líder…
A First Approach to Differences in Continuity of Care Perceived by Immigrants and Natives in the Catalan Public Healthcare System
Similar managerial and informational continuity perceptions seem to point towards a similar treatment of patients, regardless of their immigrant status. However, differences in relational continuity highlight the need for improvements in professionals' skills in treating immigrants' patients
A tool for assessing continuity of care across care levels
The CCAENA questionnaire has proved to be a valid and reliable tool for measuring patients' perceptions of continuity. Providers and researchers could apply the questionnaire to identify areas for health care improvement
Changes in Access to Health Services of the Immigrant and Native-Born Population in Spain in the Context of Economic Crisis
Access to healthcare did not worsen, possibly due to the fact that, until 2012, the national health system may have cushioned the deterioration of social determinants as a consequence of the financial crisis. Further studies are necessary to evaluate the effects of health policy responses to the crisis after 2012
Inequities in access to health care in different health systems
Twenty years after the introduction of reforms implemented to improve equity in access to health care, inequities, defined in terms of unequal use for equal need, are still present in both countries. The design of the health systems appears to determine access to the health services: two insurance schemes in Colombia with different benefits packages and a segmented system in Brazil, with a significant private component
Validation of the Brazilian and Colombian version of the CCAENA (care continuity across levels of care) scale
Introducción: el cuestionario CCAENA evalúa los tres tipos de continuidad de la atención (relacional, informativa, gerencial) en todos los niveles de atención desde la perspectiva del paciente. Había sido validado para el contexto sanitario español. Objetivo: evaluar las propiedades psicométricas de la versión abreviada de la escala CCAENA en el contexto colombiano y brasileño. Métodos: Estudio transversal mediante encuesta de población en munici…
How does perceived informational and managerial continuity affect quality of care? Patients’ opinions on the Catalan public health services
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 2.913 (2021 JCR, received in June 2022)The IJIC 20th Anniversary Issue was published in 2021
Elaboration of indicators to assess coordination across levels of care
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 2.913 (2021 JCR, received in June 2022)The IJIC 20th Anniversary Issue was published in 2021
Barriers to care coordination in market-based and decentralised public health systems
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)The IJIC 20th Anniversary Issue was published in 2021
Barriers in access to healthcare in countries with different health systems. A cross-sectional study in municipalities of central Colombia and north-eastern Brazil
There are few comprehensive studies available on barriers encountered from the initial seeking of healthcare through to the resolution of the health problem; in other words, on access in its broad domain. For Colombia and Brazil, countries with different healthcare systems but common stated principles, there have been no such analyses to date. This paper compares factors that influence access in its broad domain in two municipalities of each coun…
The performance of integrated health care networks in continuity of care
Study findings suggest a generally perceived adequate performance of IHN in continuity of care but also the existence of a series of difficulties related to all continuity types. Results can provide opportunities to improving the care process of COPD patients but also of patients with other conditions who receive care across the primary and secondary care level
Regional-based Integrated Healthcare Network policy in Brazil
BACKGROUND: Regional-based Integrated Healthcare Networks (IHNs) have been promoted in Brazil to overcome the fragmentation due to the health system decentralization to the municipal level; however, evaluations are scarce. The aim of this article is to analyse the content of IHN policies in force in Brazil, and the factors that influence policy implementation from the policymakers' perspective. METHODS: A two-fold, exploratory and descriptive qua…
What are factors influencing coordination and continuity across care levels in the Catalan national health care system
Introduction: The identification of factors influencing care coordination can offer valuable insights to healthcare managers and professionals on where to direct their efforts to improve health care service towards the provision of a smooth patient trajectory. Nevertheless, literature that comprehensively analyse influencing factors from the physician’s and patient’s perspective is scarce. Care coordination is the harmonious connection of the dif…
Coordination and continuity across care levels in the Catalan national health system
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 2.913 (2021 JCR, received in June 2022)The IJIC 20th Anniversary Issue was published in 2021
Barriers to healthcare coordination in market-based and decentralized public health systems
Although integrated healthcare networks (IHNs) are promoted in Latin America in response to health system fragmentation, few analyses on the coordination of care across levels in these networks have been conducted in the region. The aim is to analyse the existence of healthcare coordination across levels of care and the factors influencing it from the health personnel' perspective in healthcare networks of two countries with different health syst…
Patient perceptions of continuity of health care and associated factors. Cross-sectional study in municipalities of central Colombia and north-eastern Brazil
Despite the fragmentation of healthcare provision being considered one of the main obstacles to attaining effective health care in Latin America, very little is known about patients' perceptions. This paper analyses the level of continuity of health care perceived by users and explores influencing factors in two municipalities of Colombia and Brazil, by means of a cross-sectional study based on a survey of a multistage probability sample of peopl…
Medicine (29 obras) · Health care (26 obras) · Political science (21 obras) · Primary Care and Health Outcomes (18 obras) · Nursing (17 obras) · Sociology (13 obras) · Economic growth (12 obras) · Environmental health (12 obras) · Psychology (12 obras) · Economics (11 obras)