Abstract
BackgroundIn Europe, Latin-America, and Asia, poly-consultation has become a complex problem for managing different healthcare systems. However, in the current literature, little attention has been paid to exploring territorial and critical analysis perspectives to manage unexplained symptoms. The purpose of this study is to analyze the socio-structural elements that underlie the users’ phenomenon of poly-consultation or hyperfrequency in the Chilean primary healthcare system (PHCS).MethodsThis paper represents qualitative data collected as part of an exploratory study that used mixed methods across three metropolitan areas of Santiago, Valparaíso, and Concepción, Chile. The study involved a sample of 24 subjects from administrative and management positions in PHC who were recruited from Family Health Care Centers, considering urban municipalities from the low, medium, and high stratum. The study collected data using one set of semi-standardized interviews during a year—data analysis using qualitative content analysis.ResultsThis article shows that poly-consultant patients provide a critical clinic category to management that cannot be cover by current biomedical models. Data showed the strain of a somatoform category, especially in the clinic and epistemological exercise. Precisely, the relevance of Chile’s case, a mixed health system, and their effects: the naturalization of collective problems managed as individual problems.ConclusionsThe study results can inform healthcare professionals and managers of developing practical and territorially based. We conclude that hyperfrequency and poly-consultation in Chile reveal relevant stratification in the territory. Those particularities open an opportunity to study quantitative methods, including current analysis categories, to develop new research.
Highlights
The present article shows the qualitative phase results made in a research project that addresses hyperfrequency in the Chilean primary healthcare system (PHCS)
The findings presented reports on semi-structured interview data collected as part of a more extensive exploratory study that contemplates mixed methods to analyze the socio-structural elements that underlie the users ‘phenomenon of poly-consultation or hyperfrequency in the Chilean primary health system (PHCS)
This article synthesizes the field’s management and the administrative path that made it possible to produce information for developing a quantitative instrument towards a Chilean poly-consultant profile, which carry out collecting data objective from administrative and management positions in Primary Health Care (PHC)
Summary
The present article shows the qualitative phase results made in a research project that addresses hyperfrequency in the Chilean primary healthcare system (PHCS). We postulate that poly-consultant constitutes a critical management category. We affirm the existence of socio-structural problems that underlie hyperfrequency problems, which will abord critically. The present article promotes a view that considers administrative and management positions in Public Health to analyze those variables. The discussion considers specialized literature on somatoform disorders, the strains of hyperfrequency clinic category, a critical problematization of health social determinants, indicators for maintenance of healthcare insurance, and a socio-structural perspective about social relations neoliberal context. The purpose of this study is to analyze the socio-structural elements that underlie the users’ phenomenon of poly-consultation or hyperfrequency in the Chilean primary healthcare system (PHCS)
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