Martínez Millán J L, López Fernández L A, March Cerdá J C
Escuela Andaluza de Salud Pública Nacho Martínez Millán, Granada.
Aten Primaria. 1994 Sep 30;14(5):779-82.
To identify the defining characteristics of Primary (PC) and Specialist Care (SC), along with the level of concordance between managers in both sectors in the definition of these characteristics.
Intermediate course in Administration of the Andalucian School of Public Health, Granada.
By means of the Philips 66 technique, followed by consensus construction, the enumeration of the characteristics of care sectors was requested of the managers, who had been previously selected for an Administration course. The procedure was repeated on five different occasions between 1991 and 1993. For each technique four groups were created (two formed by PC and two by SC professionals), in order to obtain self-referred (PC professionals assess PC and the SC ones, SC) and crossed assessments (PC professionals assess SC and vice versa).
116 professionals in all took part, 55 from the PC sphere, 45 SC and 16 in provincial and/or central services.
There was dissonance in the expectations that managers placed in each sector of the health care system. PC managers' views of SC and SC managers' of PC did not coincide with the views of each group of managers on their own health care sector.
When designing activities to coordinate between sectors, a period of clarification, both on the characteristics of each sector and on the expectations placed on each one, should be included. The subsequent negotiation of these can assist the development and maintenance of joint activities to improve coordination.
确定初级保健（PC）和专科护理（SC）的定义特征，以及两个部门的管理人员在这些特征定义上的一致程度。
格拉纳达安达卢西亚公共卫生学院行政管理中级课程。
采用菲利普斯66技术，随后进行共识构建，要求先前被选入行政管理课程的管理人员列举护理部门的特征。该程序在1991年至1993年期间重复进行了五次。对于每种技术，创建了四组（两组由初级保健专业人员组成，两组由专科护理专业人员组成），以获得自我评估（初级保健专业人员评估初级保健和专科护理，专科护理专业人员评估专科护理）和交叉评估（初级保健专业人员评估专科护理，反之亦然）。
共有116名专业人员参与，其中55名来自初级保健领域，45名来自专科护理领域，16名来自省级和/或中央服务部门。
管理人员对医疗保健系统各部门的期望存在不一致。初级保健管理人员对专科护理的看法以及专科护理管理人员对初级保健的看法，与每组管理人员对其自身医疗保健部门的看法不一致。
在设计部门间协调活动时，应包括一段对每个部门的特征以及对每个部门的期望进行澄清的时期。随后对这些内容进行协商有助于开展和维持联合活动以改善协调。
