[Perception of Primary Care physicians on the integration with cardiology through continuity of healthcare programs in secondary prevention].
Por:
Cosin-Sales J, Orozco Beltrán D, Ledesma Rodríguez R, Barbon Ortiz Casado A and Fernández G
Publicada:
1 sep 2018
Ahead of Print:
17 feb 2018
Resumen:
OBJECTIVE: To determine the perception of Primary Care (PC) physicians
on the integration with cardiology (CA) through continuity of healthcare
programs.
MATERIAL AND METHODS: A cross-sectional and multicentre study was
conducted, in which a total of 200 PC physicians from all over Spain
completed a qualitative survey that evaluated the level of integration
with CA in secondary prevention. Physicians were grouped according to
the level of PC-CA integration.
RESULTS: The integration between CA and PC was good, but it was better
in those centres with a higher integration (74.0% vs. 60.0%; p=.02) and
in general, physicians considered that integration had improved (92.0%
vs. 73.0%; p<.001). Almost all PC physicians received the hospital
discharge report. The majority of the hospital discharge reports
included recommendations about the CA and PC follow-up, control of risk
factors, as well as the duration of secondary prevention treatment, with
not significant differences according to the level of integration. In
55.8%, 63.6%, and 51.3% of hospital discharge reports, indications were
given on when to perform the follow-up blood analysis, as well as
information about returning to working life and sexual activity,
respectively. The most common communication method was the paper-based
report (75 vs. 84%; p=NS). The communication between healthcare levels
was greater in those Primary Care centres with a higher level of
integration, as well as periodicity of the communication and the
satisfaction of physicians (80.0% vs. 63.0%; p=.005).
CONCLUSIONS: The level of integration between PC and CA is, in general,
satisfactory, but those centres with a higher level of integration
benefit more from a greater communication and satisfaction.
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