Summary After finishing the qualitative and quantitative baseline research of the Equity-LA II project, in each of the six partner countries in Latin America a list of detected problems of care coordination and continuity was elaborated, preparing the intervention phase in this Participatory Action-Research. With the Local Steering Committee and the Platform of Professionals, and in some cases with users of health services, the processes of prioritisation of the problem(s) and the selection of the intervention(s) were then completed. The next step was what we inform in this deliverable 3.2, the design of the intervention(s) and the detailed plan of its implementation.
Since the process is part of a participatory action-research, the intervention and its implementation are different in each country. Nevertheless, we can find some common features, in the detected problems as well as in the proposed solutions. Referral systems are not functioning adequately, and contacts between health teams of the different care levels are far too few to create mutual trust and to guarantee a fluid coordination of care, essential for chronic patients to perceive continuity of care. Clearly defined and feasible patient pathways for chronic patients are lacking in some of the countries of the project. Each country team will now test context- and system-specific solutions to these common problems.
We present a summary of the much larger reports in Spanish of the six partners. Readers will observe that progress in the six countries is unequal, some partners have already defined a detailed implementation plan for the intervention strategy, with indicators for evaluation of the process and its results, others are still discussing which strategy they will apply.