[The coordination between primary and specialized healthcare from the point of view of the professionals]

Arcelay A, Martinez C, Iruretagoyena ML, Aguirrebena J, Gonzalez RM, Sancho JA, Olascoaga A, Marques ML, Ortueta PJ, Saenz de Ormijana A, Almeida A, Ezeizabarrena A, Garcia JC, Irastorza L, Irurzun J, Lopez de Gauna P, Ruiz MC, Del Valle ML
Record ID 32011000151
Spanish
Original Title: La coordinación entre atención primaria y especializada desde la perspectiva de los profesionales
Authors' objectives: The aim of this research is the development of a deep approach to the coordination between Primary and Specialised Healthcare from the point of view of the professionals who develop it, right from the identification of values, beliefs, attitudes, habits… that determine their behaviour in the healthcare process. Secondly, we should try and help improve the coordination among the different stages, identifying some improvement areas and finally, we should set some priorities in the detected lines of work.
Authors' results and conclusions: Most of the ideas gathered have been repeated both in the bibliographical research as well as in the interviews and focus groups. They are put forward as follows: - The most relevant improvement areas which have been detected belong to the field of communication. - The professionals claim that with the help of the shared medical history an important improvement in the field of coordination will be achieved. - The human factor is fundamental in the coordination. - Promote mutual understanding among the professionals in both groups would result in a considerable improvement in the coordination. - We have not been able to go as much into the values and attitudes in depth as we had expected. - In most of the discussions which took place in the focus groups and interviews a lack of reference to the patients has been detected. - The feeling that both the GPs and managers have regarding the coordination between Primary and Specialised healthcare is not as different as expected.
Authors' recommendations: The lines of work that we recommend should be put first are as follows, - Development of a shared medical history. - Development of a forum between Primary and Specialised Healthcare so as to encourage the mutual understanding of the professionals, the communication and development and set in motion of joint strategies such as agreed aims between Primary and Specialised Healthcare, clinical sessions and shared training processes, improvement in the referral note and method in the nursery care, establishment of guides for clinical practice, development of referral protocol, among them. - To encourage the use of telemedicine in order to improve the efficiency in the medical assistance in some processes and specialities on which we focussed.
Authors' methods: The method used was divided into three stages. In the first stage, a revision on the literature and on the documents was carried out. In the second one, five interviews were carried out, as well as three focus groups in order to watch and analyse the reality of the phenomenon. In the third and last one, priority was given to the lines of work extracted and gathered during the second stage and we proceeded to draw the conclusions and recommendations of this research.
Details
Project Status: Completed
Year Published: 2009
URL for published report: https://www.euskadi.eus/contenidos/informacion/2009_osteba_publicacion/es_def/adjuntos/D_09_07.%20Coordinacion_A.P.%20y%20Especializada.pdf
English language abstract: An English language summary is available
Publication Type: Not Assigned
Country: Spain
MeSH Terms
  • Attitude of Health Personnel
  • Primary Health Care
  • Referral and Consultation
Keywords
  • Secondary Care
  • Secondary Care Centers
  • Interprofessional Relations
  • Disease Management
  • Case Management
  • Continuity of Patient Care
  • Continuidad de la Atención al Paciente
  • Manejo de Caso
  • Manejo de la Enfermedad
  • Relaciones Interprofesionales
  • Centros de Atención Secundaria
  • Atención Secundaria de Salud
  • Derivación y Consulta
  • Atención Primaria
  • Actitud del Personal Sanitario
Contact
Organisation Name: Basque Office for Health Technology Assessment
Contact Address: C/ Donostia – San Sebastián, 1 (Edificio Lakua II, 4ª planta) 01010 Vitoria - Gasteiz
Contact Name: Lorea Galnares-Cordero
Contact Email: lgalnares@bioef.eus
Copyright: <p>Basque Office for Health Technology Assessment (OSTEBA)</p>
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.