ObjectiveThe increasing complexity in healthcare delivery might impede the achievement of continuity care, being defined as 'one patient experiencing care over time coherent and linked'. This article aims to improve knowledge on patients' perceptions relational (RC), informational (IC) management (MC) across levels.

There are few comprehensive studies available on barriers encountered from the initial seeking of healthcare through to resolution health problem; in other words, access its broad domain. For Colombia and Brazil, countries with different systems but common stated principles, there have been no such analyses date. This paper compares factors that influence domain two municipalities each country, by means a cross-sectional study based survey multistage probability sample people who had at...

ABSTRACT Our study was designed to contribute an understanding of the timing and conditions under which transmission Andes hantavirus in Oligoryzomys longicaudatus reservoir populations takes place. Mice were caged test habitats consisting steel drums containing holding cages, where seronegative rodents exposed wild seropositive individuals by freely sharing same cage or being separated a wire mesh. Tests also performed for potential viral mice from excrement-tainted bedding cages. virus...

<h3>Background:</h3> Spain has recently become an inward migration country. Little is known about the occupational health of immigrant workers. This study aimed to explore perceptions that workers in had their working conditions. <h3>Methods:</h3> Qualitative, exploratory, descriptive study. Criterion sampling. Data collected between September 2006 and May 2007 through semi-structured focus groups individual interviews, with a topic guide. One hundred fifty-eight (90 men/68 women) from...

Abstract Background Household service work has been largely absent from occupational health studies. We examine the hazards and effects identified by immigrant women household workers. Methods Exploratory, descriptive study of 46 documented undocumented in services Spain, using a phenomenological approach. Data were collected between September 2006 May 2007 through focus groups semi‐structured individual interviews. separated for analysis documentation status sorted mixed‐generation process....

Abstract Background Since the 1980s, changes in labor market have modified power relations between capital and labor, leading to greater levels of precarious employment among workers. Globalization has led a growth migration, as people leave their countries search work. We aimed describe dimensions for immigrant workers Spain. Methods Qualitative study using analytic induction. Criterion sampling was used recruit 129 Spain with documented undocumented administrative status. Data quality...

Health system reforms are undertaken with the aim of improving equity access to health care. Their impact is generally analyzed based on care utilization, without distinguishing between levels This study aims analyze inequities in continuum municipalities Brazil and Colombia. A cross-sectional was conducted a survey multistage probability sample people who had at least one problem prior three months (2,163 Colombia 2,167 Brazil). The outcome variables were dichotomous utilization curative...

Although integrated healthcare networks (IHNs) are promoted in Latin America response to health system fragmentation, few analyses on the coordination of care across levels these have been conducted region. The aim is analyse existence and factors influencing it from personnel' perspective two countries with different systems: Colombia, a social security based managed competition Brazil, decentralized national system. A qualitative, exploratory descriptive-interpretative study was conducted,...

Introduction Although fragmentation in the provision of healthcare is considered an important obstacle to effective care, there scant evidence on best practices care coordination Latin America. The aim evaluate effectiveness a participatory shared strategy improving across levels and related quality, health services networks six different systems Methods analysis A controlled before after quasi-experimental study taking action research approach. In each country, two comparable were...

The health sector reform in Colombia, initiated by Law 100 (1993) that introduced a managed competition model, is generally presented as successful experience of improving access to care through insurance regulated market. study's objective improve our understanding the factors influencing continuum Colombian from social actors' point view. An exploratory, descriptive-interpretative qualitative study was carried out, based on case studies four healthcare networks rural and urban areas....

Improving coordination between primary care (PC) and secondary (SC) has become a policy priority in recent years for many Latin American public health systems looking to reinforce healthcare model based on PC. However, despite being longstanding concern, it scarcely been analyzed this region. This paper analyses the level of clinical PC SC experienced by doctors explores influencing factors networks Argentina, Brazil, Chile, Colombia, Mexico Uruguay. A cross-sectional study was carried out...

Las inequidades e ineficiencias de los sistemas salud America Latina motivaron algunas reformas, concentradas en las ultimas dos decadas, particularmente el financiamiento y suministro la atencion sanitaria. Este trabajo se enfoca introduccion redes integradas sanitaria (RIAS) varios paises ubica contexto internacional. La descripcion analisis RIAS, ya fueran regionales o afiliacion, resaltan debate actual sobre sus posibles beneficios riesgos. El impacto RIAS -en terminos del mejoramiento...

Regional-based Integrated Healthcare Networks (IHNs) have been promoted in Brazil to overcome the fragmentation due health system decentralization municipal level; however, evaluations are scarce. The aim of this article is analyse content IHN policies force Brazil, and factors that influence policy implementation from policymakers' perspective.A two-fold, exploratory descriptive qualitative study was carried out based on (1) analysis documents selected meet following criteria: legislative...

A pesar de la crisis económica, España continúa albergando un importante volumen población extranjera, 5,7 millones (11,4%). Esta población, cuyas necesidades en salud son comparables a las general, suele ser más vulnerable por su exposición peores determinantes sociales (condiciones vida, trabajo y riesgo exclusión los servicios sociales). En este artículo analizamos cómo económica afecta o puede afectar inmigrante España, partir distintos factores poblacionales institucionales que influyen...

The fragmentation of healthcare provision has given rise to a wide range interventions within organizations improve coordination across levels care, primarily in high income countries but also some middle and low-income countries. aim is analyze the use mechanisms networks its implications for delivery health care. This studied from perspective personnel two with different systems, Colombia Brazil. A qualitative, exploratory descriptive-interpretative study was conducted, based on case...

Objetivo: Analizar la coordinacion entre niveles asistenciales desde perspectiva de directivos y profesionales organizaciones sanitarias integradas (OSI). Metodos: Estudio cualitativo, descriptivo e interpretativo, mediante entrevistas individuales semiestructuradas, con muestreo teorico en dos etapas. En primera se seleccionaron los contextos (las OSI) segunda informantes: (n=18) (n=23). Analisis contenido, generacion mixta categorias segmentacion por temas informantes. Resultados: La es...

An adequate use of referral and reply letters-the main form communication between primary care (PC) out-patient secondary (SC)-helps to avoid medical errors, test duplications delays in diagnosis. However, it has been little studied date Latin America. The aim is determine the level characteristics PC SC doctors' letters explore influencing factors public healthcare networks Argentina, Brazil, Chile, Colombia, Mexico Uruguay. A cross-sectional study was conducted through a survey doctors...

Resumen Objetivo Describir las caracteristicas de la precariedad laboral en inmigrantes irregulares Espana y su relacion con salud. Metodos Estudio cualitativo que utiliza los principios induccion analitica. Se definio una submuestra del proyecto ITSAL, cuya muestra teorica se identifico a partir definicion inmigrante literatura. Las areas estudio fueron 4 ciudades Espana. La final fue 44 trabajadores irregulares, nacionalidades. Resultados Algunas percibidas por fueron: elevada...