Visión crítica y argumentación sobre los programas de atención de la cronicidad en Atención Primaria y Comunitaria

Abstract

The detailed analysis of the chronic care plans developed by the Spanish regional health services show a surprising level of uniformity in their design and deployment, despite differences between these services. The reviews about theoretical models that support it and tools they develop does not provide conclusive evidence to support the chronic care models achieve better results than another alternatives of care. Although the whole Spanish chronic care plans includes assessment proposals no rigorous studies on their effect have been published to date. Given that, on the contrary, there is a strong and repeated evidence that health systems with Primary Care high performance obtains better outcomes, it is necessary to ask about the need to look for alternative models, when the proposed goals could be reached strengthen Primary Care.

Do primary and secondary care doctors have a different experience and perception of cross-level clinical coordination? Results of a cross-sectional study in the Catalan National Health System (Spain)

“…In the Spanish NHS, in which primary health care acts as the gate-keeper and coordinator of patient care across the different healthcare levels, clinical coordination is still an unresolved issue [ 28 , 31 , 32 ], so it is crucial to foster collaboration between doctors from different levels of care. In the Spanish region of Catalonia, the NHS is characterized by a split of the financing and provision functions.…”

COVID-19 y cronicidad. Una oportunidad de reinventar los servicios de Medicina Física y Rehabilitación

“…Los modelos poblacionales ponen el foco en dar respuesta a las necesidades de sujetos con condiciones crónicas. Uno de ellos es el modelo pirámide de riesgo de Kaiser permanente, que está orientado a la estratificación de pacientes de acuerdo con su complejidad 2 .…”

Respuesta a: Reflexiones sobre «Visión crítica y argumentación sobre los programas de atención a la cronicidad en Atención Primaria y Comunitaria»

“…Agradecemos el interesante comentario realizado por Sáez-Benito et al a nuestro artículo «Visión crítica y argumentación sobre los programas de atención de la cronicidad en Atención Primaria y Comunitaria» 1 .…”