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Fieldwork’s development of coordination and continuity across care levels surveys

2015-07-01

Currently is being carried out simultaneously in the six countries studied, fieldwork of two surveys to measure coordination (COORDENA-LA survey) and continuity between levels of care ( CCAENA-LA survey).

The survey of coordination across care levels (COORDENA-LA) is aimed at primary care physicians and specialists working in the network of intervention and control selected in each country. Its aim is to analyze the perception of clinical management coordination and information between levels of care, factors that influence, level of knowledge and use of the mechanisms of coordination between across levels implemented in networks. The sample network and country is 174 doctors.

The survey of continuity across care levels CCAENA-LA is intended for users with a chronic condition on the Networks of the study, which in the last six months have seen a general physician at primary level and also a specialist in hospital emergency for the same reason. The aim is to analyze the elements of continuity and discontinuity perceived by users for the use of different care levels and the degree of continuity of management and information received and factors that influence. The sample size in each network and country is 392 users.

Surveys will provide additional information to the qualitative studies that have been developed previously to conduct the baseline study. This information will identify the critical elements in the coordination and continuity across levels at the networks of the study, from which will be selected and designed interventions to be implemented in the support network in each country.

The realization of the two surveys involves the participation of 32 researchers in the preparation and coordination of the survey, 43 supervisors and 131 interviewers in the six countries.

In the study baseline, as well as at the different stages of the project, are also involved local committees in each country. The surveys are being carried out in close collaboration with the health services, municipal health departments and other public institutions in the countries of the study.

Fieldwork began in early May 2015 and is expected to conclude in late August 2015.

Preliminary results will be presented at the International Workshop to be held in Veracruz, Mexico, from 24 September to 2 October 2015, that will attended by researchers from all participating countries of the project.

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