Management of unexplained: poly-consultation and hyperfrequency on Primary Health Chilean Attention. A qualitative and exploratory study

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dc.contributor.authorFuster Sánchez , Nicolás
dc.contributor.authorRivera López, Diego
dc.contributor.authorSir Retamales, Hugo
dc.contributor.authorGómez Pérez, Constanza
dc.contributor.authorRodríguez Torres, Magdalena
dc.date.accessioned2022-11-30T02:46:21Z
dc.date.available2022-11-30T02:46:21Z
dc.date.issued2021
dc.description.abstractBackground: In Europe, Latin-America, and Asia, poly-consultation has become a complex problem for managing diferent healthcare systems. However, in the current literature, little attention has been paid to exploring territorial and critical analysis perspectives to manage unexplained symptoms. The purpose of this study is to analyze the socio-structural elements that underlie the users’ phenomenon of poly-consultation or hyperfrequency in the Chilean primary healthcare system (PHCS). Methods: This paper represents qualitative data collected as part of an exploratory study that used mixed methods across three metropolitan areas of Santiago, Valparaíso, and Concepción, Chile. The study involved a sample of 24 subjects from administrative and management positions in PHC who were recruited from Family Health Care Centers, considering urban municipalities from the low, medium, and high stratum. The study collected data using one set of semi-standardized interviews during a year—data analysis using qualitative content analysis. Results: This article shows that poly-consultant patients provide a critical clinic category to management that cannot be cover by current biomedical models. Data showed the strain of a somatoform category, especially in the clinic and epistemological exercise. Precisely, the relevance of Chile’s case, a mixed health system, and their efects: the naturalization of collective problems managed as individual problems. Conclusions: The study results can inform healthcare professionals and managers of developing practical and territorially based. We conclude that hyperfrequency and poly-consultation in Chile reveal relevant stratifcation in the territory. Those particularities open an opportunity to study quantitative methods, including current analysis categories, to develop new research.en_ES
dc.facultadFacultad de Medicinaen_ES
dc.file.nameFuster_Mana2021.pdf
dc.identifier.citationFuster Sánchez N, Rivera López D, Sir Retamales H, Gómez Pérez C, Rodríguez Torres M. Management of unexplained: poly-consultation and hyperfrequency on Primary Health Chilean Attention. A qualitative and exploratory study. Int J Ment Health Syst. 2021;15(1):9. Published 2021 Jan 14. doi:10.1186/s13033-021-00436-4en_ES
dc.identifier.doihttps://doi.org/10.1186/s13033-021-00436-4
dc.identifier.urihttp://repositoriobibliotecas.uv.cl/handle/uvscl/7337
dc.languageen
dc.publisherSpringer
dc.rightsThis article is licensed under a Creative Commons Attribution 4.0 International License
dc.sourceInternational Journal of Mental Health Systems
dc.subjectHIPERFREQUENCYen_ES
dc.subjectPRIMARY HEALTH CAREen_ES
dc.subjectUNSPECIFCen_ES
dc.subjectPOLY-CONSULTANTen_ES
dc.subjectDISCOMFORTen_ES
dc.titleManagement of unexplained: poly-consultation and hyperfrequency on Primary Health Chilean Attention. A qualitative and exploratory study
dc.typeArticulo

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