Conceptos Categóricos

LA COLABORACION ENTRE MEDICOS DE FAMILIA Y ESPECIALISTAS: VACIO DE CONOCIMIENTOS Y NECESIDADES DE INVESTIGACION

LA COLABORACION ENTRE MEDICOS DE FAMILIA Y ESPECIALISTAS: VACIO DE CONOCIMIENTOS Y NECESIDADES DE INVESTIGACION

(especial para SIIC © Derechos reservados)
Las relaciones colaborativas entre médicos de familia y especialistas son procesos de un alto nivel de complejidad, y aún mal conocidos, cuyo estudio ha sido hasta ahora escaso y fragmentado. Su mejor comprension es necesaria para poder convertir la colaboración en una práctica real y eficaz para el mayor beneficio de pacientes y profesionales de la salud de los sistemas de salud contemporaneos.
charorodriguez9_91313.jpg Autor:
Charo Rodriguez
Columnista Experta de SIIC

Institución:
McGill University


Artículos publicados por Charo Rodriguez
Coautores
Nassera Touati* Jean Louis Denis* 
PhD, École National d’Administration Publique, Montreal, Canadá*
Recepción del artículo
1 de Julio, 2013
Aprobación
15 de Agosto, 2013
Primera edición
17 de Septiembre, 2013
Segunda edición, ampliada y corregida
7 de Junio, 2021

Resumen
Objetivo: Identificar las lagunas de conocimiento y las necesidades de investigación de los procesos de colaboración entre médicos de familia y especialistas. Métodos: Revisión tradicional de la literatura empírica sobre la colaboración profesional entre médicos publicada entre 1990 y 2012. Resultados: Veintiséis artículos fueron finalmente incluidos. En los trabajos revisados, el concepto de colaboración aparece poco claro y rara vez definido. La evidencia empírica disponible parece indicar que los médicos de familia se muestran más predispuestos a la colaboración que los especialistas, y alegan dos razones principales para ello: adquirir más conocimientos y fomentar el respeto mutuo. Por su parte, los especialistas tienden a no considerar a los generalistas como sus iguales, y si colaboran con ellos, lo hacen para formarlos y conseguir una mejor gestión del flujo de pacientes. Diversos factores de orden individual, organizativo e institucional parecen ejercer una influencia sobre la dinámica de colaboración entre generalistas y especialistas. Sin embargo, los resultados observados son poco concluyentes. Conclusiones: A pesar de su reconocida relevancia, la colaboración entre médicos de familia y especialistas es un proceso extremadamente complejo y no muy conocido. Para su mayor comprensión, se necesitan trabajos empíricos más exhaustivos que contemplen diferentes niveles de análisis y examinen en profundidad diversas dinámicas de acción de los actores implicados.

Palabras clave
colaboración, colaboración interprofesional, cuidados compartidos, médico de familia, médico especialista


Artículo completo

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Extensión:  +/-6.61 páginas impresas en papel A4
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Abstract
Objective: To identify knowledge gaps and research needs on collaboration between family physicians and specialists. Methods: A traditional literature review of the empirical evidence on medical collaboration from 1990 to 2012 was performed. Results: Twenty-six articles were finally included. In the papers reviewed the concept of collaboration appears unclear and barely defined. The available empirical evidence suggests that family physicians are more inclined than specialists to collaborate due to the following two reasons: to acquire further medical knowledge and to gain mutual respect. Specialists are less inclined to consider family physicians as their equals, and if they collaborate with them, they do so in order to educate them and modulate patients' flow. Several individual, organizational and institutional factors seem to influence collaborative dynamics between generalists and specialists, but the observed results appear inconclusive. Conclusions: Despite its relevance, collaboration between family physicians and specialists appears to be an extremely complex and poorly known process. In order to better understand it, more comprehensive empirical investigations that consider different levels of analysis and to examine in-depth actors' dynamics appear necessary.

Key words
collaboration, interprofessional collaboration, shared care, family physician, specialized physician


Clasificación en siicsalud
Artículos originales > Expertos del Mundo >
página   www.siicsalud.com/des/expertocompleto.php/

Especialidades
Principal: Atención Primaria, Medicina Familiar
Relacionadas: Bioética, Educación Médica, Epidemiología, Salud Pública



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Enviar correspondencia a:
Charo Rodriguez, H2W 1S4, 515-517 Pine Avenue West, Montreal, Canadá
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