La comunicación a distancia en salud. El trabajo interdisciplinario entre distintos niveles asistenciales. = Remote communication in health. Interdisciplinary work among different health care levels.
Tipo de material:
- A.01 J82j Raa
- ABSTRACT This paper introduces some qualitative results of the exploratory case investigation-intervention ´Remote communication in health. Interdisciplinary work among different health care levels´. Initial conditions and evolution of the Remote Communication Program (RCP) are analized in the referral hospital and four provinces of Argentina in relation to local health systems´ features. Conditions for remote communication between levels of care are described. RCP aims to institucionalize this type of communication links between professionals looking forward to simplify inter-consultation and consultation management, studies and remote follow-up prosecution to avoid unnecessary patients transfer and, thus, reduce costs for families and the State. It was noted that, initially, each province and promoters of RCP had different point of view on distance communication between health workers organization and its product as much as about purposes and uses of the RCP. Two position types were distinguished in the provinces regarding their autonomy degree during RCP implementation. Building trustable relationships becomes relevant to facilitate health care organization and managment and patients´ continuity of care.
RESUMEN
Este trabajo presenta avances cualitativos de la investigación-in-
tervención de casos exploratoria ´Comunicación a distancia en
Salud. El trabajo interdisciplinario entre distintos niveles asisten-
ciales´. Se analizan las condiciones de inicio y evolución del Pro-
grama de Comunicación a Distancia (PCD) en el hospital de refe-
rencia y en cuatro provincias argentinas en relación con particula-
ridades del sistema de salud local. Se caracterizan las condicio-
nes necesarias para la comunicación a distancia entre agentes de
salud de los diferentes niveles de complejidad. El PCD busca ins-
tituir entre profesionales este tipo de comunicación permanente-
mente con el objetivo de facilitar la interconsulta, la gestión de
turnos, la realización de estudios y el seguimiento a distancia,
para evitar el traslado innecesario de pacientes y disminuir costos
para las familias y el Estado. Se observó que, inicialmente, cada
provincia y los promotores del PCD tenían concepciones distintas
sobre la organización y el producto de la comunicación a distancia
entre agentes de salud y los objetivos y usos del PCD. Se diferen-
ciaron dos tipos de posicionamientos de las provincias con rela-
ción al grado de autonomía en su concreción. Armar relaciones de
confianza es relevante para facilitar la organización de la asisten-
cia y la continuidad del cuidado de los pacientes.
ABSTRACT
This paper introduces some qualitative results of the exploratory
case investigation-intervention ´Remote communication in health.
Interdisciplinary work among different health care levels´. Initial
conditions and evolution of the Remote Communication Program
(RCP) are analized in the referral hospital and four provinces of
Argentina in relation to local health systems´ features. Conditions
for remote communication between levels of care are described.
RCP aims to institucionalize this type of communication links between professionals looking forward to simplify inter-consultation
and consultation management, studies and remote follow-up
prosecution to avoid unnecessary patients transfer and, thus, reduce costs for families and the State. It was noted that, initially,
each province and promoters of RCP had different point of view
on distance communication between health workers organization
and its product as much as about purposes and uses of the RCP.
Two position types were distinguished in the provinces regarding
their autonomy degree during RCP implementation. Building trustable relationships becomes relevant to facilitate health care organization and managment and patients´ continuity of care.