ArticleInternational journal of integrated care2018
Integration between Primary Health Care and Emergency Services in Brazil: Barriers and Facilitators.
Article in International journal of integrated care, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Strengthening the WHO Emergency Care Systems Framework: insights from an integrated, patient-centered approach in the Copenhagen Emergency Medical Services system-a qualitative system analysis.BMC health services research · 2025Article
- Article
- Continuity of care for children with chronic conditions: mixed methods research.Revista da Escola de Enfermagem da U S P · 2023Article
- An integrated approach for designing in-time and economically sustainable emergency care networks: A case study in the public sector.PloS one · 2020Article
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Authors and funding
3 authors.
Funding
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Abstract
introductionCharacteristics of primary health care and emergency services may hamper their integration and, therefore, reduce the quality of care and the effectiveness of health systems. This study aims to identify and analyse policy, structural and organizational aspects of healthcare services that may affect the integration between primary health and emergency care networks. THEORY AND
methodsWe conducted a qualitative research study based on grounded theory that included: (1) interviews with 30 health care leaders; and (2) documental analysis of the summaries of Regional Interagency Committee meetings from two regions in the state of Sao Paulo, Brazil.
resultsThe integration between primary health and emergency care network is inefficient. The barriers that contributed to this situation are as follows: (1) policy: the municipal health department is responsible for providing primary health care and the regional health department provides emergency care, but there is a lack of space for the integration of services; (2) structural: distinct criteria for planning mechanisms; and (3) organizational: ineffective point of interaction between different levels of the health system. CONCLUSIONS AND DISCUSSION: Our findings have implications for health management and planning in low-and middle-income countries (LMICs) with suggestions for interventions for overcoming the aforementioned barriers.
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