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The impact of alternative care integration strategies on Health Care Networks’ performance in different Latin American health systems

Objective

Health services fragmentation is one of the main obstacles to effective health care in Latin-America, particularly for chronic diseases. This research builds upon results from Equity-LA (FP7-B-223123) and focuses on one of the most promoted policies to respond to fragmentation in LA, the development of Integrated Health Care Networks (IHN). The general objective is to evaluate the effectiveness of different care integration strategies in improving coordination and quality of care of IHN in different health care systems in Latin America, with particular reference to chronic diseases. Methods: The study adopts a quasi-experimental design, with a participatory action-research approach. In each country, two comparable IHN will be selected -one acting as the intervention and the other as the control area. It is structured in four phases: 1) a base-line study using qualitative and quantitative methods to carry out an initial evaluation of IHN performance; 2) design and implementation of an intervention focused on care coordination and quality of care; and based on health professionals training; 3) evaluation of effectiveness and limitations of interventions and associated contextual factors; and; 4) cross-country comparative analysis and elaboration of tools for getting research into policy. In each country, a research steering committee will be set up to lead the project, composed by health care professionals, managers, users and researchers. Results and relevance: The project will contribute to FP7 Cooperation Work Programme Health (SICA)’s objectives by: 1) generating evidence-based policies to improve integration of care in Latin American countries; 2) strengthening research capacity of all involved institutions in order to enhance knowledge development on care integration in their countries; and by 3) contributing to skills improvement and motivation of health workforce, through training programs aimed at improving care coordination and quality.

Call for proposal

FP7-HEALTH-2012-INNOVATION-1
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Coordinator

CONSORCI DE SALUT I D'ATENCIO SOCIAL DE CATALUNYA
Address
Avenida Del Tibidabo 21
08022 Barcelona
Spain
Activity type
Research Organisations
EU contribution
€ 1 250 999,68
Administrative Contact
Eduard Casadevalls (Mr.)

Participants (8)

PRINS LEOPOLD INSTITUUT VOOR TROPISCHE GENEESKUNDE
Belgium
EU contribution
€ 545 984
Address
Nationalestraat 155
2000 Antwerpen
Activity type
Higher or Secondary Education Establishments
Administrative Contact
Jef Van Lint (Mr.)
COLEGIO MAYOR DE NUESTRA SENORA DELROSARIO CORPORACION SIN ANIMO DE LUCRO
Colombia
EU contribution
€ 746 076
Address
Calle 12C 6-25
11001 Bogota Dc
Activity type
Higher or Secondary Education Establishments
Administrative Contact
Lucy Ariari Cortés Trujillo (Ms.)
INSTITUTO DE MEDICINA INTEGRAL PROFESSOR FERNANDO FIGUEIRA
Brazil
EU contribution
€ 559 244,79
Address
Rua Dos Coelhos 300 Boa Vista
50070 550 Recife Pe
Activity type
Research Organisations
Administrative Contact
Silvia Vidon (Ms.)
FUNDACAO UNIVERSIDADE DE PERNAMBUCO

Participation ended

Brazil
EU contribution
€ 23 382,13
Address
Av Agamenon Magalhaes S/n
50100 010 Recife
Activity type
Higher or Secondary Education Establishments
Administrative Contact
Alessandro Guedes Monteiro (Dr.)
UNIVERSIDAD DE CHILE
Chile
EU contribution
€ 729 172,40
Address
Av. Libertador Bernardo O'higgins 1058
10 Santiago
Activity type
Higher or Secondary Education Establishments
Administrative Contact
Paola Alejandra González Sánchez (Mrs.)
UNIVERSIDAD VERACRUZANA
Mexico
EU contribution
€ 618 438
Address
Zona Universitaria, Rectoria Edif A, Lomas Del Estadio
91090 Xalapa
Activity type
Higher or Secondary Education Establishments
Administrative Contact
María Angélica Tapia (Mrs.)
UNIVERSIDAD NACIONAL DE ROSARIO - UNR
Argentina
EU contribution
€ 718 687,20
Address
Cordoba Street 1814
2000 Rosario
Activity type
Higher or Secondary Education Establishments
Administrative Contact
Irene Luppi (Mrs.)
UNIVERSIDAD DE LA REPUBLICA
Uruguay
EU contribution
€ 734 952,80
Address
Avenida 18 De Julio 1824
11200 Montevideo
Activity type
Higher or Secondary Education Establishments
Administrative Contact
Susana Verdias (Ms.)