'Missing time⟫: Experiences of demand management doctors in Chilean primary health care

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dc.contributor.authorTroncoso, Jonathan
dc.contributor.authorGonzalez, Cristian
dc.contributor.authorMena, Francisca
dc.contributor.authorValencia, Angelica
dc.contributor.authorCuevas, Paulina
dc.contributor.authorPablo Rubio, Juan
dc.date.accessioned2025-01-20T22:03:26Z
dc.date.available2025-01-20T22:03:26Z
dc.date.issued2021
dc.description.abstractObjective: Characterize the current situation of the demand manager physician (DMP) in pri-mary health care (PHC), from the perceptions of those who fulfill this role, their medical peers and the directors of the family health centers (CESFAMs). Design: Qualitative cross-sectional study with a grounded theory approach. Site: Four CESFAMs from the South East Metropolitan Health Service in Santiago, Chile. Participants: Demand manager physician, general practitioners and directors of CESFAM. Method: A semi-structured interview and discussion group were used as data collection tech-nique. Open, axial, and selective coding was carried out with the support of the NVivo12 software. Results: In practice, DMP performs more functions than those defined for the position by the Ministry of Health, generating the feeling of lack of time to carry out their work, what represents their main barrier at work and reflects the absence of institutional support they receive from their employees. Among these invisible functions are: providing feedback to the medical team, leading clinical meetings, and generating reference protocols. For the good performance of the DMP it is necessary to have technical skills and be recognized by their peers. It was estimated that the family doctor is the most suitable professional for the position. The work of the DMP is limited by institutional factors such as waiting lists, lack of specialists, and poor coordination between levels of care. Conclusions: Standardizing the functions of the DMP is a necessary element for its consolidation and achieving the objectives of maintaining continuity of care in the population. (c) 2021 The Authors. Published by Elsevier Espana, S.L.U. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
dc.fuente.origenWOS
dc.identifier.doi10.1016/j.aprim.2021.102159
dc.identifier.eissn1578-1275
dc.identifier.issn0212-6567
dc.identifier.urihttps://doi.org/10.1016/j.aprim.2021.102159
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/94041
dc.identifier.wosidWOS:000734382500013
dc.issue.numero10
dc.language.isoen
dc.revistaAtencion primaria
dc.rightsacceso restringido
dc.subjectPrimary health care
dc.subjectClinical management
dc.subjectFamily medicine
dc.subjectQualitative research
dc.subject.ods03 Good Health and Well-being
dc.subject.odspa03 Salud y bienestar
dc.title'Missing time⟫: Experiences of demand management doctors in Chilean primary health care
dc.typeartículo
dc.volumen53
sipa.indexWOS
sipa.trazabilidadWOS;2025-01-12
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