波哥大两个公共医疗网络的护理协调:一项针对医生的横断面研究

IF 0.8 Q4 NURSING
Andrés Daniel Gallego-Ardila, Á. M. Pinzón-Rondón, A. Mogollón-Pérez, C. Cardozo, I. Vargas, M. Vázquez
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引用次数: 5

摘要

引言护理协调是医疗保健系统的首要关注点。哥伦比亚缺乏关于这一专题的资料。这项研究分析了波哥大两个公共医疗网络的医生如何感知医疗水平之间的协调,以及哪些因素与他们的感知相关。方法采用COORDENA-CO问卷对363名医生进行横断面研究(网络-1 = 181;网络-2 = 182)。该问卷询问了护理协调的类型和维度:信息和临床管理,项目采用Likert量表,以及与卫生系统、组织和医生条件有关的条件。进行描述性统计和逻辑回归分析。结果医生对高度协调的感知不超过25.4%,在信息协调方面,临床信息传递有限。在临床管理方面,护理一致性有限,患者随访不足,专业护理等待时间过长。高度的协调意识与50岁以上的女性有关 岁,是一名专家,工作经验不足一年,工作时间不足20 每周h在中心,构成网络-1的一部分,有时间执行协调任务,有工作满意度,不确定医疗保险公司施加的限制。讨论对协调的认识有限,在不同的维度和类型上,网络之间存在一些差异。研究结果支持了保证工作满意度、确保有足够的时间协调相关活动以及干预医疗保险公司施加的限制以改善护理协调的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Care coordination in two of Bogota’s public healthcare networks: A cross-sectional study among doctors
Introduction Care coordination is a priority concern for healthcare systems. In Colombia, there is a lack of information on the topic. This study analysed how doctors of two Bogotá’s public healthcare networks perceived coordination between healthcare levels and what factors are associated with their perception. Methods A cross-sectional study using the COORDENA-CO questionnaire to a sample of 363 doctors (network-1 = 181; network-2 = 182) in 2015. The questionnaire asks about types and dimensions of care coordination: information and clinical management, with items in a Likert scale, as well as conditions regarding health system, organisational and doctors’ conditions. Descriptive statistics and logistic regression analysis were performed. Results The doctors’ perception of a high level of coordination did not exceed 25.4%. On coordination of information, limited transfer of clinical information was found. Concerning clinical management, there were limited care coherence, deficits in patient follow-up and lengthy waiting times for specialised care. A high perception of coordination were associated with being female, being over 50 years old, being a specialist, having less than one year’s working experience, working less than 20 h per week at the centre, forming part of network-1, having time available for performing coordination tasks, having job satisfaction and not identifying limitations imposed by healthcare insurers. Discussion There was limited perception of coordination, in its different dimensions and types with some differences between networks. The results support the importance of guaranteeing job satisfaction, ensuring sufficient time to coordination-related activities and intervening in the restrictions imposed by healthcare insurers to improve care coordination.
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来源期刊
CiteScore
3.10
自引率
14.30%
发文量
15
期刊介绍: The International Journal of Care Coordination (formerly published as the International Journal of Care Pathways) provides an international forum for the latest scientific research in care coordination. The Journal publishes peer-reviewed original articles which describe basic research to a multidisciplinary field as well as other broader approaches and strategies hypothesized to improve care coordination. The Journal offers insightful overviews and reflections on innovation, underlying issues, and thought provoking opinion pieces in related fields. Articles from multidisciplinary fields are welcomed from leading health care academics and policy-makers. Published articles types include original research, reviews, guidelines papers, book reviews, and news items.
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