Health workers' perspectives on asthma care coordination between primary and specialised healthcare in the COVID-19 pandemic: a protocol for a qualitative study in Ecuador and Brazil

Natalia Cristina Romero, Maria Jose Cisneros-Caceres, Emily Granadillo, Erika Aragao, Adriana Romero-Sandoval, Carolina Barbosa, Ana Luiza Barreto de Oliveira, Alejandro Rodriguez, Gabriela Pimentel Pinheiro, Alvaro Cruz, Philip Cooper, Maria Rejane Ferreira da Silva
2021 BMJ Open  
IntroductionAsthma is a common long-term disorder and strategies to improve asthma control are still a challenge. Integrated delivery of health systems is critical for effective asthma care: there is limited information on experiences of care coordination for asthma from Latin America, especially on perspectives of health personnel and in the context of the COVID-19 pandemic.Methods and analysisThis protocol details a qualitative approach to analyse health workers' perspectives of healthcare
more » ... rdination for asthma control during COVID-19 pandemic in Ecuador and Brazil, at primary and specialised levels, through in-depth semistructured interviews using a video communications platform. The analysis will identify knowledge and perspectives based on coordination of clinical information, clinical management and administrative coordination. Theoretical sampling will be used to obtain approximately equal numbers of women and men within each level of healthcare; data saturation will be used to determine sample size. Transcripts will be analysed using content-coding procedures to mark quotations related to major topics and subthemes included in the interview guide, and narrative analysis will be based on a theoretical framework for healthcare coordination to identify new themes and subthemes.Ethics and disseminationEthical approval was obtained from the ethics committees of Hospital General Docente Calderón, Quito, Ecuador; and Universidade Federal da Bahia, Salvador, Brazil. The findings of this study will be disseminated through peer-reviewed articles, conference presentations and condensed summaries for key stakeholders and partners.
doi:10.1136/bmjopen-2021-052971 pmid:34725080 fatcat:2h5nprzkfbby3gjmombqnmbpry