Evidence map›Paper›PMID 39627140›Full record

ArticleBMJ open2024

Ecuadorian healthcare professionals' perspectives on attributes of asthma care coordination: a qualitative study.

Emily Granadillo, Adriana Romero-Sandoval, Maria Jose Cisneros-Caceres, Jose Montalvo-Yepez, Guillermo Gómez-Urrego, Carolina Barbosa, Ana Luiza Barreto de Oliveira, Gabriela Pimentel Pinheiro, Max Bachmann, Alvaro Cruz and 3 more

Abstract read
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Article in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

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No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

13 authors.

Emily GranadilloSchool of Medicine, Universidad Internacional del Ecuador, Quito, Pichincha, Ecuador.
Adriana Romero-SandovalSchool of Basic Sciences, Universidad Internacional del Ecuador, Quito, Pichincha, Ecuador.
Maria Jose Cisneros-CaceresSchool of Medicine, Universidad Internacional del Ecuador, Quito, Pichincha, Ecuador.ORCID http://orcid.org/0000-0001-5996-5147
Jose Montalvo-YepezSchool of Medicine, Universidad Internacional del Ecuador, Quito, Pichincha, Ecuador.
Guillermo Gómez-UrregoSchool of Medicine, Universidad Internacional del Ecuador, Quito, Pichincha, Ecuador.ORCID http://orcid.org/0000-0002-0118-7554
Carolina BarbosaProAR-Center of Excellence for Asthma, Salvador de Bahia, Brazil.
Ana Luiza Barreto de OliveiraProAR-Center of Excellence for Asthma, Salvador de Bahia, Brazil.
Gabriela Pimentel PinheiroProAR-Center of Excellence for Asthma, Salvador de Bahia, Brazil.
Max BachmannNorwich Medical School, University of East Anglia, Norwich, UK.ORCID http://orcid.org/0000-0003-1770-3506
Alvaro CruzProAR-Center of Excellence for Asthma, Salvador de Bahia, Brazil.
Philip CooperSchool of Medicine, Universidad Internacional del Ecuador, Quito, Pichincha, Ecuador.ORCID http://orcid.org/0000-0002-6770-6871
Rejane FerreiraGRAAL, Grup's de Recerca d' Amèrica i Àfrica Llatines, Barcelona, Spain.
Natalia Cristina Romero-SandovalSchool of Medicine, Universidad Internacional del Ecuador, Quito, Pichincha, Ecuador nromero@uide.edu.ec.ORCID http://orcid.org/0000-0001-6881-6581

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study explored the attributes of asthma care coordination from the perspective of healthcare professionals at different levels of care in Ecuador.

designQualitative descriptive study. The Integrated Health Networks Model was the theoretical framework of reference. Narrative analysis was used to identify significant phrases from the interviews.

settingHealthcare professionals involved in the care of patients with asthma in primary care, specialists, emergency and management in three Ecuadorian cities between 2019 and 2021.

participants25 healthcare professionals participated in semistructured in-depth interviews. Convenience sampling was used.

resultsParticipants highlighted the scarce use of institutional documents for the referral of asthma patients from the first level to specialists and vice versa, duplication of tests and medical prescriptions, and lack of appointment availability that limits access to specialised care. From the first level, they considered that specialists do not return patients and specialists stressed that the first level does not have enough training to follow asthma patients. Managers highlighted the system's inability to assign appointments on time and failures in administrative processes for follow-up. Emergency professionals did not have access to the medical records of patients suffering from asthma attacks.

conclusionsThe lack of shared objectives and effective communication between different levels of care for the follow-up of asthma patients were attributes of asthma care coordination perceived by healthcare professionals at different levels of care in Ecuador. The Ecuadorian health system should consider these to improve its performance.

Indexed as

AsthmaAttitude of Health PersonnelHealth PersonnelQualitative ResearchAdultEcuadorFemaleHealth Services AccessibilityHumansInterviews as TopicMaleMiddle AgedPrimary Health CareReferral and ConsultationAsthmaHealth ServicesPrimary Health CareQUALITATIVE RESEARCH

Identifiers

PMID39627140
PMCPMC11624828

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LicenceCC BY-NC
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.