Process mapping: a tool to foster intra- and inter-organizational coordination in primary care
Journal Title: Family Medicine & Primary Care Review - Year 2018, Vol 20, Issue 1
Abstract
Background. Methods and tools to support the analysis, discussion and improvement of intra- and inter-organizational processes in primary care settings are in urgent need. Objectives. Our goal is to show how using Petri nets to map processes in health centers may improve intra- and inter-organizational coordination of care. Material and methods. We carried out a case study on a health center located in the Centro Region of Portugal. Information was collected through direct observation, documental analysis and semi-structured interviews to relevant collaborators. Petri nets were used as a modeling tool. Results. Generally, health center collaborators do not have a global vision of the processes in which they are involved. Process mapping has allowed one to identify the specificities of each process, sub-processes and tasks and related documentation and actors; to identify transitions of care, to define and to represent the actions, waiting times and decisions in a visual way and to promote the enlarged discussion of processes, tacit knowledge and working practice. A number of opportunities for process improvement have been identified, namely in care transitions where patient management and safety are critical. Conclusions. Process modelling techniques are an effective tool to support better process design and implementation and more effective coordination of care intra- and inter-organizations. They may be used at several levels, to allow depicting and visualizing more or less detail in a particular process, depending on the objective of the exercise and the actors involved.
Authors and Affiliations
Silvina Santana, Patricia Redondo
Keywords
Related Articles
- EP ID EP352250
- DOI -
- Views 56
- Downloads 0
Analiza przyczyn hospitalizacji dzieci w oddziale otolaryngologicznym wybranego szpitala w Warszawie
Wstęp. Nawracające infekcje górnych dróg oddechowych (ostre zapalenia uszu, gardła i krtani) należą do najczęstszych chorób u dzieci, szczególnie w okresie wczesnowiosennym i jesienno-zimowym. Jedną z najczęstszych choró...
Ocena ukształtowania fizjologicznych krzywizn kręgosłupa dziewcząt trenujących sport pływacki i nie uprawiających pływania
Wstęp. Środowisko wodne posiada właściwości odciążające stawy i kręgosłup oraz obniżające tonus mięśniowy całego gorsetu mięśniowego. Stwarza to nieocenione możliwości wprowadzania skutecznych i celowych działań o różnym...
Badania przesiewowe w kierunku zaburzeń psychicznych w populacji wiejskiej prowadzone w ramach akcji profilaktycznej
Wstęp. Zaburzenia psychiczne (ZPs) widnieją wśród najczęstszych przyczyn wizyt pacjentów w gabinetach lekarzy rodzinnych (LR ). Zaburzenia te współistnieją z chorobami somatycznymi,zaburzając ich przebieg...
The phenomenon of domestic violence against children in north-western Poland
violence. An analysis of the phenomenon of violence seems a fundamental step to counteract it. Objectives. The aim of this study was to analyze the phenomenon of domestic violence against children in north-western Poland...
Influence of ω-3 polyunsaturated fatty acids on the structure of immunocompetent cell membranes and the parameters of cellular and humoral immunity in children with rheumatoid arthritis
Background. ω-3 polyunsaturated fatty acids (ω-3 PUFA) in treatment of inflammations were presented in many clinical studies. Although inflammatory responses are carried out by a wide spectrum of cells, CD4 T-cells are c...