Demographics and clinical determinants of integrated care usage in social security patients: an Ecuadorian experience / Demografía y determinantes clínicos del uso de la atención integral de los pacientes de la seguridad social: una experiencia de Ecuador
| Autor: | Hugo Sant Ana Pereira, Ivan Dueñas-Espín, Fernando Espinosa-Herrera, Myriam Abril-Saltos, Erika Quishpe-Narváez, Pamela Merino-Salazar |
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| Jazyk: | angličtina |
| Rok vydání: | 2015 |
| Předmět: |
Gerontology
Health (social science) determinantes de la utilización de la atención de salud Sociology and Political Science determinants of health care usage World health chronic care model home visits atención integral Nursing Intervention (counseling) Health care Medicine integrated care Service (business) Ecuado lcsh:R5-920 business.industry Latin-American Health Policy Quito-Ecuador visitas a domicilio modelo de atención crónica Quito Future assessment Integrated care Social security Workforce business lcsh:Medicine (General) |
| Zdroj: | International Journal of Integrated Care, Vol 15, Iss 8 (2015) International Journal of Integrated Care; Vol 15, WCIC Conference Supplement 2015 |
| ISSN: | 1568-4156 |
| Popis: | Introduction: Up to 80% of deaths related to chronic diseases (CDs) occur in low-middle income countries. Ecuadorian social security implemented a new policy for improving health care to chronic patients by two main strategies: (i) by adopting the frame of the renewed primary health care of the World Health Organization; and (ii) by massive contracting of family physicians into their primary health care centres. In order to improve the care of homebound chronic patients assigned to our healthcare center – insured to the social security health care system –, and as an answer for the mentioned change in institutional policies, we implemented an Integrated Care (IC) approach, by developing a Home Visit (HV) service in the north of Quito. The service was implemented in a real scenario and it is currently ongoing. Objectives: (i) describe the processes of the service and the tasks of different health professionals: nursing, social care, specialists and family physicians; and along different tiers of care: the patients’ home, the primary health care centre and the hospital; (ii) verify its adequacy as an Integrated Care (IC) intervention; and, (iii) identify demographic and clinical determinants of the usage of the service, in order to facilitate a comprehensive future assessment of HV service and its impacts on patients' experience of care, workforce satisfaction, effectiveness and costs. |
| Databáze: | OpenAIRE |
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