Shared electronic medical records were only available in the ambulatory care centres of the contributory networks.
The contributory networks in Colombia included ambulatory care centres, which offer primary and outpatient secondary care in the same location.
Almost exclusively in ambulatory care centres of the contributory networks, certain mechanisms for the standardization of skills (expert system: joint case review, shared clinical sessions, etc).
The only informants to acknowledge the contributions of certain mechanisms to care coordination were from ambulatory care centres of the contributory networks, but they also point out pitfalls in their use.
However, some professionals from one of the contributory networks pointed to long waiting times for urgent referrals due to the location of the insurer's patient referral centre in another city and the limited awareness of the services available in Bogota.
In both regimes, the shortage in the supply of basic specialties and high technology medical services emerge, as well as limited geographic accessibility, both in the rural area and in the contributory urban network, which is aggravated by the low-income level of the population (Table 5).
After prolonged visual deprivation, these same connections may become enhanced through synaptic reinforcement or greater recruitment of contributory neural networks based on task demands.
In one of the contributory scheme networks of Colombia, all the administrative personnel and managers of the insurer contacted refused to participate (Table 2).
In the contributory scheme networks of Colombia, in addition to information transfer mechanisms, informants identify a series of coordination mechanisms for clinical management, mainly related to standardization, but only in ambulatory care centres and for certain external specialists contracted by the networks.
Models can suggest improved designs for user-contributory web sites.
