Vol. 31 No. 91 (2024): Diversas temáticas desde las disciplinas antropológicas
Miscelánea

Continuity in medical care. The case of an IMSS patient

pdf (Spanish)
  • María Alejandra Sánchez Guzmán,
  • Liz Hamui Sutton,
  • Alfredo Paulo Maya,
  • Bruno David Reyes Velázque,
  • Carolina Consejo Chapela
María Alejandra Sánchez Guzmán
Facultad de Medicina. UNAM
Liz Hamui Sutton
Facultad de Medicina. UNAM
Alfredo Paulo Maya
Facultad de Medicina. UNAM
Bruno David Reyes Velázque
Facultad de Medicina. UNAM
Carolina Consejo Chapela
Coordinación de Educación en Salud, IMSS

Published 2025-03-05

Keywords

  • continuity,
  • health care,
  • electronic clinical record,
  • narrative,
  • communication

How to Cite

Continuity in medical care. The case of an IMSS patient. (2025). Cuicuilco Revista De Ciencias Antropológicas, 31(91), 39-62. https://revistas.inah.gob.mx/index.php/cuicuilco/article/view/22235

Abstract

Health care for people with comorbidities that require treatment from multiple specialists is a challenge in health systems. In this paper, we analyze the process of continuity and discontinuity of care, that a woman received for a neck tumor at the three levels of atention in the Instituto Mexicano del Seguro Social. We performed a documentary and interpretive analysis of the Electronic Medical Record (emr) and the patient’s narratives. The case revealed a fragmented care system, where doctor-patient communication is brief, a multiplicity of versions of the medical record; limited access to the emr depending on the position, staff´s lack of knowledge, overlap with the physical record and poor communication between levels and care services

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