Coordenação Do Cuidado Entre Atenção Primária À Saúde E Atenção Especializada Na Visão Do Profissional Médico: Um Estudo Transversal

Objective: To analyse dimensions of clinical care coordination between Primary Health Care (PHC) and Specialized Care (SC) physicians, considering labor, organizational, attitudinal, and interactional factors. Method: Cross-sectional study with PHC (51) and SC (73) physicians in a large municipality, using the COORDENA-BR® instrument. Results: Most physicians agreed that there was no exchange of information about shared patients (89.5%). The perception of care coherence was more positive in PHC (80.4%). Specialists did not provide guidance to PHC professionals (74%), who, in turn, did not consult them in case of doubts (84.3%). Most specialists were unaware whether patients were referred to PHC for continued care (69.9%). PHC physicians had higher work hours, precarious labor ties, and considered consultation time insufficient for coordination. The professionals did not know each other personally. Strategies promoting communication, interpersonal relationships, and informatization were considered facilitators of coordination. Conclusion: Coordination between physicians faces challenges related to the lack of communication and care coherence. Building trustful relationships, shared electronic health records, and improving work conditions are essential to ensure a more integrated approach.