English (United Kingdom)

https://curated-unify.zendy.io/wp-json/zendy-region/v1/featured_content/oa?rat=en

https://curated-unify.zendy.io/wp-json/zendy-region/v1/highlighted_journal/

Global: Zendy Plus annual

Presents the access of premium content as premium feature

Premium Content

Presents the keyphrase highlighting as premium feature

Keyphrase Highlighting

Presents the summarisation as premium feature

Summarisation

Insights

Presents the pdf analysis as premium feature

PDF Analysis

Presents the zaia usage as premium feature

ZAIA

Global: Zendy Tools annual

Global: Zendy Free Plan

Global: Zendy Tools monthly

Global: Zendy Plus monthly

Up to 80% of deaths related to chronic diseases (CDs) occur in low-middle income countries. Ecuadorian social security implemented a new policy for improving health care to chronic patients by two main strategies: (i) by adopting the frame of the renewed primary health care of the World Health Organization; and (ii) by massive contracting of family physicians into their primary health care centres. In order to improve the care of homebound chronic patients assigned to our healthcare center – insured to the social security health care system –, and as an answer for the mentioned change in institutional policies, we implemented an Integrated Care (IC) approach, by developing a Home Visit (HV) service in the north of Quito. The service was implemented in a real scenario and it is currently ongoing. Objectives: (i) describe the processes of the service and the tasks of different health professionals: nursing, social care, specialists and family physicians; and along different tiers of care: the patients’ home, the primary health care centre and the hospital; (ii) verify its adequacy as an Integrated Care (IC) intervention; and, (iii) identify demographic and clinical determinants of the usage of the service, in order to facilitate a comprehensive future assessment of HV service and its impacts on patients' experience of care, workforce satisfaction, effectiveness and costs.

international journal of integrated care

Demographics and clinical determinants of integrated care usage in social security patients: an Ecuadorian experience / Demografía y determinantes clínicos del uso de la atención integral de los pacientes de la seguridad social: una experiencia de Ecuador