Resumen

RENDON, Luis Fernando  y  BEJARANO, Mónica. Remission's request for patients in the Valley of Cauca. Analysis and rules to guide the network of services. 2003-2004. Colomb Med [online]. 2005, vol.36, n.1, pp.23-28. ISSN 1657-9534.

INTRODUCTION: The gap between the functions of modulation, financing, articulation and services inside the health system of social security generated disarticulation of the network, with an acute operative and financial crisis. MATERIALS AND METHODS:The Emergency Control Center (CRU) in Cali, Colombia , takes charge of remission’s request for patients between different health institutions in the State. During the last year, following up of the information collected about remissions allows analysis of the population attended, its health care system affiliation, cause of remissions, diagnosis profile, and movement of patients between levels of health attention. RESULTS:Of the patients 56 percent were women and 71% were assigned to the state and municipal health secretaries. The more frequent specialties requested were gynecology and obstetrics (24.4%), internal medicine (16.6%), general surgery (15.2%) and orthopedics and trauma (12.7%). The majority of remissions were pertinent (89.6%), but not coherent (38.1%). ANALYSIS AND DISCUSSION: The main weakness of the network were the obstetric and gynecologic attention, the insufficient second level of attention and the high number of patients remitted directly from the first to the third level. This information contributes to decision making related to lay out a ground plan of regional service network, its relation with burden of disease and health programs that needs intervention.

Palabras clave : Network health services; Delivery integrated health systems; Vertical and horizontal integration; Health information; Network and health programs.

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