Problemas de coordinación en el manejo del dolor lumbar en una IPS de Bogotá: una aproximación bajo el concepto de gestión de enfermedades

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dc.contributor.advisorGarzón Santos, Claudia Alexandra
dc.contributor.authorMartínez Vallejo, Tania Alejandra
dc.coverage.cityBogotá
dc.date.accessioned2022-08-23T14:03:26Z
dc.date.available2022-08-23T14:03:26Z
dc.date.issued2022-04
dc.descriptionilustraciones, tablasspa
dc.description.abstractLa gestión de enfermedades es un proceso de transformación estratégica cuyo objetivo es optimizar la provisión de cuidados durante el curso natural de una enfermedad, mediante la coordinación de los recursos disponibles y basados en la mejor evidencia científica disponible. El dolor lumbar es la enfermedad musculoesquelética de mayor impacto a nivel mundial la cual genera cargas considerables en aspectos económicos, sociales y laborales en la población que la padece. La atención de esta patología requiere múltiples relaciones entre los diferentes actores del proceso; sin embargo, se han identificado discrepancias entre las indicaciones de la mejor evidencia disponible y lo que se ejecuta en la atención de estos pacientes. El objetivo de este trabajo de grado fue identificar las diferencias existentes entre lo planteado por la literatura como correcto y lo ejecutado por una IPS en la ciudad de Bogotá. Se analizaron los procesos de atención de la IPS y se realizó una revision de literatura para identificar las dificultades de coordinación ya determinados. Se identificaron 3 tipos de problemas dentro del proceso: los relacionados con la atención clínica, con la gestión de la IPS y con la configuración del sistema de salud, donde los dos últimos fueron los de mayor frecuencia. Se propone a la gestión de enfermedades como un marco acertado de trabajo para el análisis y gestión de enfermedades de este tipo, y se proponen posibles ajustes para ser aplicados al proceso de atención del dolor lumbar, con miras a la optimización del mismo.spa
dc.description.abstractDisease management is a process of strategic transformation whose objective is to optimize the provision of care during the natural course of a disease, through the coordination of available resources and based on the best available scientific evidence. Low back pain is the musculoskeletal disease with the greatest impact worldwide, which generates considerable burdens in economic, social and labor aspects in the population that suffers from it. The attention of this pathology requires multiple relationships between the different actors of the process; however, discrepancies have been identified between the indications of the best available evidence and what is executed in the care of these patients. The objective of this degree work was to identify the differences between what is proposed by the literature as correct and what is executed by an IPS in Bogotá. The care processes of the IPS were analyzed and a literature review was carried out to identify the coordination difficulties already determined. Three types of problems were identified within the process: those related to clinical care, to the management of the IPS and to the configuration of the health system, where the last two were the most frequent. Disease management is proposed as a successful framework for the analysis and management of diseases of this type, and possible adjustments are proposed to be applied to the low back pain care process, with a view to optimizing it.eng
dc.description.degreelevelMaestríaspa
dc.description.degreenameMagíster en Administraciónspa
dc.description.researchareaGestión de organizacionesspa
dc.format.extent125 páginasspa
dc.format.mimetypeapplication/pdfspa
dc.identifier.instnameUniversidad Nacional de Colombiaspa
dc.identifier.reponameRepositorio Institucional Universidad Nacional de Colombiaspa
dc.identifier.repourlhttps://repositorio.unal.edu.co/spa
dc.identifier.urihttps://repositorio.unal.edu.co/handle/unal/82011
dc.language.isospaspa
dc.publisherUniversidad Nacional de Colombiaspa
dc.publisher.branchUniversidad Nacional de Colombia - Sede Bogotáspa
dc.publisher.departmentEscuela de Administración y Contaduría Públicaspa
dc.publisher.facultyFacultad de Ciencias Económicasspa
dc.publisher.placeBogotá, Colombiaspa
dc.publisher.programBogotá - Ciencias Económicas - Maestría en Administraciónspa
dc.relation.referencesAcaroğlu, E., Nordin, M., Randhawa, K., Chou, R., Côté, P., Mmopelwa, T., & Haldeman, S. (2018). The Global Spine Care Initiative: a summary of guidelines on invasive interventions for the management of persistent and disabling spinal pain in low- and middle-income communities. European Spine Journal, 27, 870–878. https://doi.org/10.1007/s00586-017-5392-0spa
dc.relation.referencesAndronis, L., Kinghorn, P., Qiao, S., Whitehurst, D. G. T., Durrell, S., & McLeod, H. (2017). Cost-Effectiveness of Non-Invasive and Non-Pharmacological Interventions for Low Back Pain: a Systematic Literature Review. Applied Health Economics and Health Policy, 15(2), 173–201. https://doi.org/10.1007/s40258-016-0268-8spa
dc.relation.referencesArce-Eslava, S. L., Parra-González, E., Parra-González, E., & Cruz-Libreros, A. M. (2015). Costos por Dolor Lumbar en una EPS en Cali, Colombia. Revista Colombiana de Salud Ocupacional, 3(2), 22–25. http://revistasojs.unilibrecali.edu.co/index.php/rcso/article/view/90spa
dc.relation.referencesAsamblea general de las Naciones Unidas. (2015). 70/1. Transformar nuestro mundo: la Agenda 2030 para el Desarrollo Sostenible (p. 40). https://unctad.org/system/files/official-document/ares70d1_es.pdfspa
dc.relation.referencesBardin, L. D., King, P., & Maher, C. G. (2017). Diagnostic triage for low back pain: A practical approach for primary care. Medical Journal of Australia, 206(6), 268–273. https://doi.org/10.5694/mja16.00828spa
dc.relation.referencesBarnett, P. G., Jacobs, J. C., Lo, J., Nevedal, A., Jarvik, J. G., Chou, R., & Boothroyd, D. (2020). Assessment of Primary Care Clinician Concordance with Guidelines for Use of Magnetic Resonance Imaging in Patients with Nonspecific Low Back Pain in the Veterans Affairs Health System. JAMA Network Open, 3(7). https://doi.org/10.1001/jamanetworkopen.2020.10343spa
dc.relation.referencesBeinart, N. A., Goodchild, C. E., Weinman, J. A., Ayis, S., & Godfrey, E. L. (2013). Individual and intervention-related factors associated with adherence to home exercise in chronic low back pain: A systematic review. Spine Journal, 13(12), 1940–1950. https://doi.org/10.1016/j.spinee.2013.08.027spa
dc.relation.referencesBerenguera, A., Pujol-Ribera, E., Rodriguez-Blanco, T., Violan, C., Casajuana, M., de Kort, N., & Trapero-Bertran, M. (2011). Study protocol of cost-effectiveness and cost-utility of a biopsychosocial multidisciplinary intervention in the evolution of non-specific sub-acute low back pain in the working population: cluster randomised trial. BMC Musculoskeletal Disorders, 12(195). https://doi.org/10.1186/1471-2474-12-194spa
dc.relation.referencesBMUS. (2015). United States Bone and Joint Initiative: The Burden of Musculoskeletal Diseases in the United States. https://doi.org/ISBN: 978-0-9963091-0-3spa
dc.relation.referencesBrazilian Association of Physical Medicine and Rehabilitation. (2013). Chronic nonspecific low back pain: Rehabilitation. 59(6), 536–553.spa
dc.relation.referencesBriggs, A. M., Persaud, J. G., Deverell, M. L., Bunzli, S., Tampin, B., Sumi, Y., Amundsen, O., Houlding, E. M., Cardone, A., Hugosdottir, T., Rogers, S., Pozsgai, M., & Slater, H. (2019). Integrated prevention and management of non-communicable diseases, including musculoskeletal health: a systematic policy analysis among OECD countries. BMJ global health, 4(5). https://doi.org/. https://doi.org/10.1136/bmjgh-2019-001806spa
dc.relation.referencesBriggs, A. M., Shiffman, J., Shawar, Y. R., Åkesson, K., Ali, N., & Woolf, A. D. (2020). Global health policy in the 21st century: Challenges and opportunities to arrest the global disability burden from musculoskeletal health conditions. Best practice & research. Clinical rheumatology, 34(5). https://doi.org/https://doi.org/10.1016/j.berh.2020.101549spa
dc.relation.referencesCaswell, A. M., & West, J. (2002). An investigation into the factors affecting patient selection of chronic low back management methods, with particular reference to non-utilization of the complimentary therapies, in the United Kingdom. Journal of Back and Musculoskeletal Rehabilitation, 16, 121–133. https://doi.org/10.3233/BMR-2002-16402spa
dc.relation.referencesChenot, J. F., Greitemann, B., Kladny, B., Petzke, F., Pfingsten, M., & Schorr, S. G. (2017). Clinical practice guideline: Non-specific low back pain. Deutsches Arzteblatt International, 114(51–52), 883–890. https://doi.org/10.3238/arztebl.2017.0883spa
dc.relation.referencesChou, L., Cicuttini, F. M., Urquhart, D. M., Anthony, S. N., Sullivan, K., Seneviwickrama, M., Briggs, A. M., & Wluka, A. E. (2018). People with low back pain perceive needs for non-biomedical services in workplace, financial, social and household domains: a systematic review. Journal of Physiotherapy, 64(2), 74–83. https://doi.org/10.1016/j.jphys.2018.02.011spa
dc.relation.referencesChou, R., Côté, P., Randhawa, K., Torres, P., Yu, H., Nordin, M., Hurwitz, E. L., Haldeman, S., & Cedraschi, C. (2018). The Global Spine Care Initiative: applying evidence-based guidelines on the non-invasive management of back and neck pain to low- and middle-income communities. European Spine Journal, 27, 851–860. https://doi.org/10.1007/s00586-017-5433-8spa
dc.relation.referencesChou, L., Ranger, T. A., Peiris, W., Cicuttini, F. M., Urquhart, D. M., Sullivan, K., Seneviwickrama, K. L. M. D., Briggs, A. M., & Wluka, A. E. (2018). Patients’ perceived needs of health care providers for low back pain management: a systematic scoping review. The Spine Journal, 18(4), 691–711. https://doi.org/10.1016/j.spinee.2018.01.006spa
dc.relation.referencesCorp, N., Mansell, G., Stynes, S., Wynne‐Jones, G., Morsø, L., Hill, J. C., & van der Windt, D. A. (2020). Evidence‐based treatment recommendations for neck and low back pain across Europe: A systematic review of guidelines. European journal of pain, 25(2), 275–295. https://doi.org/10.1002/ejp.1679spa
dc.relation.referencesCoviello, K. (2020). Disease management (health). En Salem Press Encyclopedia.spa
dc.relation.referencesDall, T. M., Gallo, P., Koenig, L., Gu, Q., & Ruiz, D. (2013). Modeling the indirect economic implications of musculoskeletal disorders and treatment. Cost Effectiveness and Resource Allocation, 11(1), 1–14. https://doi.org/10.1186/1478-7547-11-5spa
dc.relation.referencesDavin, S., Lapin, B., Mijatovic, D., Fox, R., Benzel, E., Stilphen, M., MacHado, A., & Katzan, I. L. (2019). Comparative Effectiveness of an Interdisciplinary Pain Program for Chronic Low Back Pain, Compared to Physical Therapy Alone. Spine, 44(24), 1715–1722. https://doi.org/10.1097/BRS.0000000000003161spa
dc.relation.referencesDe Souza, F. S., Ladeira, C. E., & Costa, L. O. P. (2017). Adherence to Back Pain Clinical Practice Guidelines by Brazilian Physical Therapists A Cross-sectional Study. Spine, 42(21), 1251–1258. https://doi.org/10.1097/BRS.0000000000002330spa
dc.relation.referencesDelitto, A., George, S. Z., Van Dillen, L., Whitman, J. M., Sowa, G. A., Shekelle, P., Denninger, T. R., & Godges, J. J. (2012). Low Back Pain: Clinical Practice Guidelines Linked to the International Classification of Functioning, Disability, and Health from the Orthopaedic Section of the American Physical Therapy Association Anthony. J Orthop Sports Phys Ther, 42(4), A1-57. https://doi.org/10.2519/jospt.2012.42.4.A1.Lowspa
dc.relation.referencesDi Fabio, R. P., Mackey, G., & Holte, J. B. (1995). Disability and functional status in patients with low back pain receiving workers’ compensation: A descriptive study with implications for the efficacy of physical therapy. Physical Therapy, 75(3), 180–193. https://doi.org/10.1093/ptj/75.3.180spa
dc.relation.referencesDietrich, E. J., Leroux, T., Santiago, C. F., Helgeson, M. D., Richard, P., & Tracey P. Koehlmoos. (2018). Assessing practice pattern differences in the treatment of acute low back pain in the United States Military Health System. BMC Health Services Research, 18(1), 1–6.spa
dc.relation.referencesDonabedian, A. (1966). Evaluating the quality of medical care. Milbank Mem Fund Q, 44, 166–203.spa
dc.relation.referencesDonabedian, A. (1978). The quality of medical care. Science, 200, 856–864.spa
dc.relation.referencesDonabedian, A. (1985). The epidemiology of quality. Inquiry, 22, 282–292.spa
dc.relation.referencesDonabedian, A., Wheeler, J., & Wyszewianski, L. (1982). Quality, costand health: an integrative model. Med Care, 20, 975–992.spa
dc.relation.referencesDuque, I., Zuluaga, D., & Pinilla, A. (2011). Prevalencia De Lumbalgia Y Factores De Riesgo En Enfermeros Y Auxiliares De La Ciudad De Manizales Prevalencia De Lumbalgia E Fatores De Risco Em Emfermeiros E Auxiliares Da Cidade De Manizales Prevalence of Low Back Pain (Lbp) and Risk Factors in Profess. Hacia la Promoción de la Salud, 16(1), 27–38.spa
dc.relation.referencesDziedzic, K. S., French, S., Davis, A. M., Geelhoed, E., & Porcheret, M. (2016). Implementation of musculoskeletal Models of Care in primary care settings: Theory, practice, evaluation and outcomes for musculoskeletal health in high-income economies. Best Practice and Research: Clinical Rheumatology, 30(3), 375–397. https://doi.org/10.1016/j.berh.2016.08.004spa
dc.relation.referencesElleuch, M., El Maghraoui, A., Griene, B., Nejmi, M., Ndongo, S., & Serrie, A. (2015). Consensus formalisé: Recommandations de pratiques cliniques pour la prise en charge de la lombalgie aiguë du patient africain. Pan African Medical Journal, 22, 2817–2823. https://doi.org/10.11604/pamj.2015.22.240.8120spa
dc.relation.referencesFamisanar. (2019). PAC Planes de Atención Complementaria. https://www.famisanar.com.co/wp-content/uploads/documentos/IPS - Medicos/Comunidad médica PAC/Portafolio PAC/Modelo de atencion PAC 29-09-16.pdfspa
dc.relation.referencesFriedrich, M., Gittler, G., Halberstadt, Y., Cermak, T., & Heiller, I. (1998). Combined exercise and motivation program: Effect on the compliance and level of disability of patients with chronic low back pain: A randomized controlled trial. Archives of Physical Medicine and Rehabilitation, 79(5), 475–487. https://doi.org/10.1016/S0003-9993(98)90059-4spa
dc.relation.referencesFritz, J. M., Kim, M., Magel, J. S., & Asche, C. V. (2017). Cost-Effectiveness of Primary Care Management with or Without Early Physical Therapy for Acute Low Back Pain. Spine, 42(5), 285–290. https://doi.org/10.1097/BRS.0000000000001729spa
dc.relation.referencesFritz, J. M., Rhon, D. I., Teyhen, D. S., Kean, J., Vanneman, M. E., Garland, E. L., Lee, I. E., Thorp, R. E., & Greene, T. H. (2020). A Sequential Multiple-Assignment Randomized Trial (SMART) for Stepped Care Management of Low Back Pain in the Military Health System: A Trial Protocol. Pain Medicine, 21, pS73-S82. https://doi.org/10.1093/pm/pnaa338spa
dc.relation.referencesGenootschap, N. H., Vereniging, N. O., Society, D. S., Nederland, E., Associatie, N. C., & Neurochirurgen, N. V. Van. (s/f). Ketenzorgrichtlijn Aspecifieke Lage Rugklachten.spa
dc.relation.referencesGómez-Sánchez, P. I., & Gaitán Duarte, H. (2013). Guías de Práctica Clínica en Colombia. Revista Colombiana de Obstetricia y Ginecología, 64(3), 214–217. https://doi.org/10.18597/rcog.101spa
dc.relation.referencesGonzález-Estavillo, A. C., Jiménez-Ramos, A., Rojas-Zarco, E. M., Velasco-Sordo, L. R., & Chávez-Ramírez, Marco Antonio Coronado-Ávila, S. A. (2018). Correlación entre las escalas unidimensionales utilizadas en la medición de dolor postoperatorio. Revista mexicana de anestesiología, 41(1), 7–14.spa
dc.relation.referencesGuevara-López, U., Covarrubias-Gómez, A., Elías-Dib, J., Reyes-Sánchez, A., & Rodríguez-Reyna, T. S. (2011). Parámetros de práctica para el manejo del dolor de espalda baja. Cirugia y Cirujanos, 79(3), 286–302.spa
dc.relation.referencesGüneÅ, E., & Ayaz-Alkaya, S. (2022). The effect of health education on prevention of low back pain for health caregivers and cleaning workers. International Journal of Nursing Practice, 28(1). https://doi.org/10.1111/ijn.12973spa
dc.relation.referencesHahne, A. J., Ford, J. J., Surkitt, L. D., Richards, M. C., Chan, A. Y. P., Slater, S. L., & Taylor, N. F. (2017). Individualized physical therapy is cost-effective compared with guideline-based advice for people with low back disorders. Spine, 42(3), E169–E176. https://doi.org/10.1097/BRS.0000000000001734spa
dc.relation.referencesHanney, W. J., Masaracchio, M., Liu, X., & Kolber, M. J. (2016). The influence of physical therapy guideline adherence on healthcare utilization and costs among patients with low back pain: A systematic review of the literature. PLoS ONE, 11(6), 1–18. https://doi.org/10.1371/journal.pone.0156799spa
dc.relation.referencesHarrington, J., Dopf, C., & Chalgren, C. (2001). Implementing guidelines for interdisciplinary care of low back pain: a critical role for pre-appointment management of specialty referrals. Jt Comm J Qual Improv .2001 diciembre; 27 (12): 651-63, 27(12), 651–653. https://doi.org/10.1016/s1070-3241(01)27055-2.spa
dc.relation.referencesHo, E., Ferreira, M., Hodges, P., Maher, C., Simic, M., Morton, R., Lonsdale, C., Li, Q., Baysari, M., Amorim, A., Ceprnja, D., Clavisi, O., Halliday, M., Jennings, M., Kongsted, A., Maka, K., Reid, K., & Reynolds, T. (2021). Effectiveness of a coordinated support system linking public hospitals to a health coaching service compared with usual care at discharge for patients with chronic low back pain: protocol for a randomised controlled trial. BMC musculoskeletal disorders, 22(1), 611. https://doi.org/10.1186/s12891-021-04479-zspa
dc.relation.referencesHurwitz, E. L., Randhawa, K., Yu, H., Côté, P., & Haldeman, S. (2018). The Global Spine Care Initiative: a summary of the global burden of low back and neck pain studies. European Spine Journal, 27, 796–801. https://doi.org/10.1007/s00586-017-5432-9spa
dc.relation.referencesInstitute of Health Economics Alberta Canada. (2011). Guideline for the evidenced-informed primary care management of low back pain 2nd edition. Toward Optimized Practice, 283–297. http://www.topalbertadoctors.org/download/572/LBPGUIDELINESNov25.pdf?_20151007135020spa
dc.relation.referencesInstituto de evaluación de tecnologías en salud e investigación del Perú. (2016). Guía de práctica clínica para el diagnóstico y tratamiento de lumbalgia - Versión extensa (pp. 1–53).spa
dc.relation.referencesJeremy Y., N., Uzair, M., & Ashlee M., A. (2021). Clinical practice guidelines for the treatment and management of low back pain: A systematic review of quantity and quality. Musculoskeletal science and practice. https://doi.org/https://doi.org/10.1016/j.msksp.2020.102295spa
dc.relation.referencesJoshipura, M., Mock, C., & Gosselin, R. A. (2014). Global burden of musculoskeletal conditions. Global Orthopedics: Caring for Musculoskeletal Conditions and Injuries in Austere Settings, January, 9–11. https://doi.org/10.1007/978-1-4614-1578-7_2spa
dc.relation.referencesJover, J. Á. (2014). Intervención inmediata. Análisis y resultados de los programas de intervención temprana en patología osteomioarticular implantados [REPositorio Institucional en SALUD del Instituto de Salud Carlos III - ISCIII]. https://doi.org/https://doi-org.ezproxy.unal.edu.co/20.500.12105/12357spa
dc.relation.referencesKeating, J. L., McKenzie, J. E., O’Connor, D. A., French, S., Walker, B. F., Charity, M., Page, M. J., & Green, S. E. (2016). Providing services for acute low-back pain: A survey of Australian physiotherapists. Manual Therapy, 22, 145–152. https://doi.org/10.1016/j.math.2015.11.005spa
dc.relation.referencesKlaber Moffett, J. A., Newbronner, E., Waddell, G., Croucher, K., & Spear, S. (2000). Public perceptions about low back pain and its management: A gap between expectations and reality? Health Expectations, 3(3), 161–168. http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=emed5&NEWS=N&AN=2000298509spa
dc.relation.referencesKlein, B. J., Radecki, R. T., Foris, M. P., Feil, E. I., & Hickey, M. E. (2000). Bridging the gap between science and practice in managing low back pain: A comprehensive spine care system in a health maintenance organization setting. Spine, 25(6), 738–740. https://doi.org/10.1097/00007632-200003150-00015spa
dc.relation.referencesKoes, B. W., Van Tulder, M., Lin, C. W. C., Macedo, L. G., McAuley, J., & Maher, C. (2010). An updated overview of clinical guidelines for the management of non-specific low back pain in primary care. European Spine Journal, 19(12), 2075–2094. https://doi.org/10.1007/s00586-010-1502-yspa
dc.relation.referencesKominski, G. F., Heslin, K. C., Morgenstern, H., Hurwitz, E. L., & Harber, P. I. (2005). Economic evaluation of four treatments for low-back pain: Results from a randomized controlled trial. Medical Care, 43(5), 428–435. https://doi.org/10.1097/01.mlr.0000160379.12806.08spa
dc.relation.referencesLadeira, C. E., Samuel Cheng, M., & Hill, C. J. (2015). Physical therapists’ treatment choices for non-specific low back pain in Florida: An electronic survey. Journal of Manual and Manipulative Therapy, 23(2), 109–118. https://doi.org/10.1179/2042618613Y.0000000065spa
dc.relation.referencesLatorre- Marques, E. (2011). The treatment of low back pain and scientific evidence, low back pain. https://www.intechopen.com/books/low-back-pain/the-treatment-of-low-back-pain-scientific-evidencespa
dc.relation.referencesLayne, E. I., Roffey, D. M., Coyle, M., Phan, P., Kingwell, S. P., & Wai, E. K. (2018). Activities performed and treatments conducted before consultation with a spine surgeon: are patients and clinicians following evidence-based clinical practice guidelines? The Spine Journal, 18(4), 614–619. https://doi.org/10.1016/j.spinee.2017.08.259spa
dc.relation.referencesMagnezi, R., Kaufman, G., Ziv, A., Kalter-Leibovici, O., & Reuveni, H. (2013). Disease management programs: barriers and benefits. Am J Manag Care, 19(4), e140-7.spa
dc.relation.referencesMalik, A., Singh, D., Mansor, M., Muhamed, O., Yin, C., Suma, M., Hasnan, N., & Vijayan, R. (2014). The Malaysian Low Back Pain Guideline. The FEBS journal, 281(9), 2313. https://doi.org/10.1111/febs.12678spa
dc.relation.referencesMardain, A. S., Hanson, E. R., & Villarroel, L. (2020). Flipping the pain care model: A sociopsychobiological approach to high-value chronic pain care. Pain Medicine, 21(6), 1168–1180.spa
dc.relation.referencesMäntyselkä, P. T., Kumpusalo, E. A., Ahonen, R. S., & Takala, J. K. (2002). Direct and indirect costs of managing patients with musculoskeletal pain - Challenge for health care. European Journal of Pain, 6(2), 141–148. https://doi.org/10.1053/eujp.2001.0311spa
dc.relation.referencesMeroni, R., Piscitelli, D., Ravasio, C., Vanti, C., Bertozzi, L., De Vito, G., Perin, C., Guccione, A. A., Cerri, C. G., & Pillastrini, P. (2021). Evidence for managing chronic low back pain in primary care: a review of recommendations from high-quality clinical practice guidelines. Disability & Rehabilitation, 43(7), 1029–1043. https://doi.org/10.1080/09638288.2019.1645888spa
dc.relation.referencesMinisterio de de Salud y Protección Social. (2014). Resolución 2003 de 2014 (p. 225). https://www.minsalud.gov.co/Normatividad_Nuevo/Resolución 2003 de 2014.pdfspa
dc.relation.referencesMinisterio de de Salud y Protección Social. (2016). Modelo Integral de Atención en Salud – MIAS (p. 47). https://www.dssa.gov.co/images/botones_n/mias_pais/documentos/9. MIAS 2016.pdfspa
dc.relation.referencesResolución 429 de 2016, 6 (2016).spa
dc.relation.referencesMinisterio de de Salud y Protección Social. (2022). CUOTAS MODERADORAS Y COPAGOS.spa
dc.relation.referencesMinisterio de la Protección Social. (2006). Guía de Atención Integral Basada en la Evidencia para Dolor Lumbar Inespecífico y Enfermedad Discal Relacionados con la Manipulación Manual de Cargas y otros Factores de Riesgo en el Lugar de Trabajo (GATI- DLI- ED) (Vol. 2007). https://www.minsalud.gov.co/Documentos y Publicaciones/GATISO-DOLOR LUMBAR INESPECÍFICO.pdfspa
dc.relation.referencesMinisterio de salud y protección social. (2020). Buscador Guías de Práctica Clínica. http://gpc.minsalud.gov.co/gpc/SitePages/buscador_gpc.aspxspa
dc.relation.referencesMinisterio de Salud y Protección Social. (2014). Manual de implementación de guías de práctica clínica basadas en evidencia, en instituciones prestadoras de servicios de salud en Colombia (pp. 1–70). http://gpc.minsalud.gov.co/recursos/Documentos compartidos/Manual_de_implementacion.pdfspa
dc.relation.referencesMinisterio de Salud y Protección Social. (2016). Política de Atención Integral en Salud. Repositorio Institucional Digital Minsalud (RID), 97. https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/DE/modelo-pais-2016.pdfspa
dc.relation.referencesMinisterio de Salud y Protección Social. (2019). Resolución No. 3100 de 2019 Por la cual se definen los procedimientos y condiciones de inscripción de los prestadores de servicios de salud y de habilitación de los servicios de salud y se adopta el Manual de Inscripción de Prestadores y Habilitación de Servicios de salud. En Diario oficial (p. 230). https://www.minsalud.gov.co/Normatividad_Nuevo/Resolución No. 3100 de 2019.pdfspa
dc.relation.referencesMinisterio de Salud y Protección Social, & Fundación Santa Fé de Bogotá. (2014). Guía Metodológica para la elaboración de Guías de Práctica Clínica con Evaluación Económica en el Sistema General de Seguridad Social en Salud Colombiano MARZO DE 2014 REVISORES PARES NACIONALES REVISORES PARES INTERNACIONALES. 154. http://gpc.minsalud.gov.co/recursos/Documentos compartidos/Guia_Metodologica_Web.pdfspa
dc.relation.referencesMiyamoto, G. C., Lin, C. W. C., Cabral, C. M. N., Van Dongen, J. M., & Van Tulder, M. W. (2019). Cost-effectiveness of exercise therapy in the treatment of non-specific neck pain and low back pain: A systematic review with meta-analysis. British Journal of Sports Medicine, 53(3), 172–181. https://doi.org/10.1136/bjsports-2017-098765spa
dc.relation.referencesMoore, A., & Jull, G. (2010). Capitalising on effective treatment strategies for low back pain - How do we bridge the self-management gap? Manual Therapy, 15(2), 133–134. https://doi.org/10.1016/j.math.2010.01.007spa
dc.relation.referencesMorgan, T., Wu, J., Ovchinikova, L., Lindner, R., Blogg, S., & Moorin, R. (2019). A national intervention to reduce imaging for low back pain by general practitioners: a retrospective economic program evaluation using Medicare Benefits Schedule data. BMC Health Services Research, 19(1), 1–10. https://doi.org/10.1186/s12913-019-4773-yspa
dc.relation.referencesMota da Silva, T., da Cunha Menezes Costa, L., Garcia, A. N., & Costa, L. O. P. (2015). What do physical therapists think about evidence-based practice? A systematic review. Manual Therapy, 20(3), 388–401. https://doi.org/10.1016/j.math.2014.10.009spa
dc.relation.referencesMutubuki, E. N., Beljon, Y., Maas, E. T., Huygen, F. J. P. M., Ostelo, R. W. J. G., van Tulder, M. W., & van Dongen, J. M. (2020). The longitudinal relationships between pain severity and disability versus health-related quality of life and costs among chronic low back pain patients. Quality of Life Research, 29(1), 275–287. https://doi.org/10.1007/s11136-019-02302-wspa
dc.relation.referencesNational Institute for Health and Care Excellence. (2016). Low back pain and sciatica in over 16s: assessment and management nice. NICE guideline.spa
dc.relation.referencesOliveira, C. B., Maher, C. G., Pinto, R. Z., Traeger, A. C., Lin, C. W. C., Chenot, J. F., van Tulder, M., & Koes, B. W. (2018). Clinical practice guidelines for the management of non-specific low back pain in primary care: an updated overview. European Spine Journal, 27(11), 2791–2803. https://doi.org/10.1007/s00586-018-5673-2spa
dc.relation.referencesOjeda, D. F. (2020). Spinal resonance overindication in patients admitted for outpatient consultation to the spine surgery service of the central military hospital. Universidad Militar Nueva Granada.spa
dc.relation.referencesOrganización Panamericana de la Salud. (1995). Clasificación estadística internacional de enfermedades y problemas relacionados con la salud (10a. revis).spa
dc.relation.referencesOrtiz Mayorga, V. A. (2014). Caracterización del dolor lumbar en pilotos y técnicos de mantenimiento en una aerolínea comercial colombiana, 2011 -2013. 88. http://www.bdigital.unal.edu.co/43643/spa
dc.relation.referencesOrtún Rubio, V. (2007). Gestión clínica y sanitaria: de la práctica diaria a la académica, ida y vuelta (E. Masson (ed.)).spa
dc.relation.referencesOthman, R., Dassanayake, S., Jayakaran, P., Tumilty, S., Swain, N., & Mani, R. (2020). Relationships Between Psychological, Social, Physical Activity, and Sleep Measures and Somatosensory Function in Individuals With Spinal Pain: A Systematic Review and Meta-analysis. The Clinical Journal of Pain, 36(2). https://doi.org/10.1097/AJP.0000000000000775spa
dc.relation.referencesPeiró Moreno, S. (2007). De la gestión de lo complementario a la gestión integral de la atención de salud : gestión de enfermedades e indicadores de actividad. En Gestión clínica y sanitaria: de la práctica diaria a la académica, ida y vuelta. https://doi.org/10.1186/ISRCTN14062994spa
dc.relation.referencesPenagos Moreno, I. V., & García Saa, C. P. (2016). Ausentismo por accidentes y enfermedad laboral y costos indirectos relacionados con la lumbalgia no específica en una entidad prestadora de servicios de salud en Cali 2013. Revista Colombiana de Salud Ocupacional, 6(1), 14–19. https://doi.org/10.18041/2322-634x/rcso.1.2016.4884spa
dc.relation.referencesPhilippine Academy of Rehabilitation Medicine. (2017). Clinical Practice Guidelines on the Diagnosis and Management of Low Back Pain. https://parm.org.ph/pdf/lbp.pdfspa
dc.relation.referencesPiedrahita, H. (2006). Costs of work-related musculoskeletal disorders (msds) in developing countries: Colombia case. International Journal of Occupational Safety and Ergonomics, 12(4), 379–386. https://doi.org/10.1080/10803548.2006.11076696spa
dc.relation.referencesPinzón-Espitia, O. L., Chicaiza-Becerra, L., García-Molina, M., & González-Rodríguez, J. L. (2016). Programas de gestión de enfermedades en el siglo XXI. Revista de la Facultad de Medicina, 64(4), 735. https://doi.org/10.15446/revfacmed.v64n4.55022spa
dc.relation.referencesPohjolainen, T., Leinonen, V., Frantén, J., Haanpää, M., Jousimaa, J., Karppinen, J., Kuukkanen, T., Luoma, K., Salmenkivi, J., Osterman, H., Malmivaara, A., & Päivitystiivistelmä. (2014). Update on Current Care Guideline: Low back pain. Duodecim, 131(1), 92–94.spa
dc.relation.referencesQaseem, A., Wilt, T. J., McLean, R. M., & Forciea, M. A. (2017). Noninvasive treatments for acute, subacute, and chronic low back pain: A clinical practice guideline from the American College of Physicians. Annals of Internal Medicine, 166(7), 514–530. https://doi.org/10.7326/M16-2367spa
dc.relation.referencesRhon, D. I., Fritz, J. M., Greenlee, T. A., Dry, K. E., Mayhew, R. J., Laugesen, M. C., Dragusin, E., & Teyhen, D. S. (2021). Move to health-a holistic approach to the management of chronic low back pain: an intervention and implementation protocol developed for a pragmatic clinical trial. Journal of Translational Medicine, 19(1), 1–13. https://doi.org/10.1186/s12967-021-03013-yspa
dc.relation.referencesRhon, D. I., Miller, R. B., & Fritz, J. M. (2018). Effectiveness and downstream healthcare utilization for patients that received early physical therapy versus usual care for low back pain: A randomized clinical trial. Spine, 43(19), 1313–1321. https://doi.org/10.1097/BRS.0000000000002619spa
dc.relation.referencesRoss, M., Adams, K., Engle, K., Enser, T., Muehlemann, A., Schenk, R., & Tall, M. (2018). The knowledge of low back pain management between physical therapists and family practice physicians. Journal of Manual and Manipulative Therapy, 26(5), 264–271. https://doi.org/10.1080/10669817.2018.1500772spa
dc.relation.referencesRoss, M., Childs, J. D., Middel, C., Kujawa, J., Brown, D., Corrigan, M., & Parsons, N. (2014). Physical Therapist vs. Family Practitioner Knowledge of Simple Low Back Pain Management in the U.S. Air Force. Military Medicine, 179(2), 162–168. https://doi.org/10.7205/milmed-d-13-00099spa
dc.relation.referencesSanta Barbara, M., Cortazzo, M., Emerick, T., Furnier, J., Duff, J., Shapiro, S., Zigler, C., Badway, A., & Sowa, G. (2020). Descriptive Analysis of an Interdisciplinary Musculoskeletal Program. PM&R: the journal of injury, function, and rehabilitation, 12(7), 639–646. https://doi.org/10.1002/pmrj.12288spa
dc.relation.referencesScott, N. A., Moga, C., & Harstall, C. (2010). Managing low back pain in the primary care setting: The know-do gap. Pain Research and Management, 15(6), 392–400. https://doi.org/10.1155/2010/252695spa
dc.relation.referencesSetchell, J., Costa, N., Ferreira, M., & Hodges, P. W. (2019). What decreases low back pain? A qualitative study of patient perspectives. Scandinavian Journal of Pain, 19(3), 597–603. https://doi.org/10.1515/sjpain-2019-0018spa
dc.relation.referencesSiebra, M. M. R., & Vasconcelos, T. B. de. (2017). Quality of life and mood state of chronic pain patients. Revista Dor, 18(1), 43–46. https://doi.org/10.5935/1806-0013.20170010spa
dc.relation.referencesSlade, S. C., Kent, P., Bucknall, T., Molloy, E., Patel, S., & Buchbinder, R. (2015). Barriers to primary care clinician adherence to clinical guidelines for the management of low back pain: Protocol of a systematic review and meta-synthesis of qualitative studies. BMJ Open, 5(4), 1–6. https://doi.org/10.1136/bmjopen-2014-007265spa
dc.relation.referencesSmuck, M., Barrette, K., Martinez-Ith, A., Sultana, G., & Zheng, P. (2022). What does the patient with back pain want? A comparison of patient preferences and physician assumptions. The Spine Journal February, 22(2), 207–213. https://doi.org/10.1016/j.spinee.2021.09.007spa
dc.relation.referencesSokunbi, O., Cross, V., Watt, P., & Moore, A. (2010). Experiences of individuals with chronic low back pain during and after their participation in a spinal stabilisation exercise programme - A pilot qualitative study. Manual Therapy, 15(2), 179–184. https://doi.org/10.1016/j.math.2009.10.006spa
dc.relation.referencesSpeerin, R., Slater, H., Li, L., Moore, K., Chan, M., Dreinhöfer, K., Ebeling, P. R., Willcock, S., & Briggs, A. M. (2014). Moving from evidence to practice: Models of care for the prevention and management of musculoskeletal conditions. Best Practice and Research: Clinical Rheumatology, 28(3), 479–515. https://doi.org/10.1016/j.berh.2014.07.001spa
dc.relation.referencesStochkendahl, M. J., Kjaer, P., Hartvigsen, J., Kongsted, A., Aaboe, J., Andersen, M., Andersen, M., Fournier, G., Højgaard, B., Jensen, M. B., Jensen, L. D., Karbo, T., Kirkeskov, L., Melbye, M., Morsel-Carlsen, L., Nordsteen, J., Palsson, T. S., Rasti, Z., Silbye, P. F., … Vaagholt, M. (2018). National Clinical Guidelines for non-surgical treatment of patients with recent onset low back pain or lumbar radiculopathy. En European Spine Journal (Vol. 27, Número 1). https://doi.org/10.1007/s00586-017-5099-2spa
dc.relation.referencesStucki, G., Kostanjsek, N., & A., C. (2017). Introduction: A classification for functioning: The international classification of functioning, disability and health. En An Emerging Approach for Education and Care: Implementing a Worldwide Classification of Functioning and Disability (pp. 1–2). https://doi.org/10.4324/9781315519692spa
dc.relation.referencesSuka, M., & Yoshida, K. (2010). Burden of Disease and Years Lived with Disability Associated with Musculoskeletal Pain. En Handbook of Disease Burdens and Quality of Life Measures (Springer, pp. 1702–1716). https://doi.org/https://doi.org/10.1007/978-0-387-78665-0_99spa
dc.relation.referencesSylvestri, M., & Marro, E. (1996). Disease management: partnering for better patient care. Med Interface, 9(7), 100–104.spa
dc.relation.referencesTerol, E., Hamby, E. F., & Minue, S. (2001). Gestión de Enfermedades (Disease Management). Una aproximación integral a la provisión de cuidados sanitarios. MEDIFAM - Revista de Medicina Familiar y Comunitaria, 11(2), 47–54. https://doi.org/10.4321/s1131-57682001000200001spa
dc.relation.referencesTolosa-Guzman, I.-A., Florez Hernandez, M. A., Fuentes Chacon, M. F., & Guzman Camacho, M. P. (2017). PREVALENCIA DE DESORDENES MUSCULO ESQUELETICOS EN TRABAJADORES DE UNA EMPRESA AVICOLA DE BOGOTÁ, COLOMBIA [Universidad del Rosario]. https://doi.org/10.1017/CBO9781107415324.004spa
dc.relation.referencesTrillos MC, M. C., Hernández-Jaramillo J, J., Osorio-Camacho AM, A. M., Pulido-Forero ÁM, Á. M., Rodríguez-Muñoz MA, M. A., Rojas-Ramos AM, A. M., & Torres-Cuartas A, A. (2015). Práctica clínica cotidiana frente a la evidencia científica en el manejo fisioterapéutico del dolor lumbar crónico inespecífico. Ciencias de la Salud, 13(2), 215–231. https://doi.org/10.12804/revsalud13.02.2015.06spa
dc.relation.referencesUrrútia Cuchí, G. (2011). Avaluació d’intervencions terapèutiques no farmacològiques en patologies del raquis. Alguns reptes metodològics i del seu procés d’avaluació, aprovació i aplicació al sistema sanitari. Universitat Autònoma de Barcelona.spa
dc.relation.referencesWambeke, P., Desomer, A., Ailliet, L., & Demoulin, C. (2017). Low Back Pain and Radicular Pain: Assessment and Management 2017.spa
dc.relation.referencesWhedon, J. M., Toler, A. W. J., Bezdjian, S., Goehl, J. M., Russell, R., Kazal, L. A., & Nagare, M. (2020). Implementation of the Primary Spine Care Model in a Multi-Clinician Primary Care Setting: An Observational Cohort Study. Journal of Manipulative & Physiological Therapeutics, 43(7), 667–674. https://doi.org/10.1016/j.jmpt.2020.05.002spa
dc.relation.referencesWong, J., Côté, P., Tricco, A., & Rosella, L. (2019). Examining the effects of low back pain and mental health symptoms on healthcare utilisation and costs: a protocol for a population-based cohort study. BMJ open, 9(9). https://doi.org/10.1136/bmjopen-2019-031749spa
dc.relation.referencesWorld Health Organization. (2020). Atención primaria de salud. https://www.who.int/topics/primary_health_care/es/spa
dc.relation.referencesWoodward, B. (1995). Disease management: opportunity for pharmaceutical care? Hosp Pharm, 30(7), 596, 599–603, 606–608.spa
dc.rightsDerechos reservados al autor, 2022spa
dc.rights.accessrightsinfo:eu-repo/semantics/openAccessspa
dc.rights.licenseAtribución-NoComercial-CompartirIgual 4.0 Internacionalspa
dc.rights.urihttp://creativecommons.org/licenses/by-nc-sa/4.0/spa
dc.subject.ddc650 - Gerencia y servicios auxiliaresspa
dc.subject.decsAnálisis de Modo y Efecto de Fallas en la Atención de la Saludspa
dc.subject.decsHealthcare Failure Mode and Effect Analysiseng
dc.subject.decsAdministración de los Servicios de Saludspa
dc.subject.decsHealth Services Administrationeng
dc.subject.proposalDolor lumbarspa
dc.subject.proposalGestión de enfermedadesspa
dc.subject.proposalSistemas de saludspa
dc.subject.proposalPolíticas en saludspa
dc.subject.proposalCoordinación en saludspa
dc.subject.proposalLow back paineng
dc.subject.proposalDisease managementeng
dc.subject.proposalHealth systemseng
dc.subject.proposalHealth policieseng
dc.subject.proposalHealth coordinationeng
dc.titleProblemas de coordinación en el manejo del dolor lumbar en una IPS de Bogotá: una aproximación bajo el concepto de gestión de enfermedadesspa
dc.title.translatedCoordination problems in low back pain management in Bogotá IPS: an approach from a disease management concepteng
dc.typeTrabajo de grado - Maestríaspa
dc.type.coarhttp://purl.org/coar/resource_type/c_bdccspa
dc.type.coarversionhttp://purl.org/coar/version/c_ab4af688f83e57aaspa
dc.type.contentTextspa
dc.type.driverinfo:eu-repo/semantics/masterThesisspa
dc.type.redcolhttp://purl.org/redcol/resource_type/TMspa
dc.type.versioninfo:eu-repo/semantics/acceptedVersionspa
dcterms.audience.professionaldevelopmentAdministradoresspa
dcterms.audience.professionaldevelopmentPúblico generalspa
dcterms.audience.professionaldevelopmentResponsables políticosspa
oaire.accessrightshttp://purl.org/coar/access_right/c_abf2spa

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