Factores que dificultan la coordinación entre niveles asistenciales: Un estudio de caso en Colombia

care coordination is the agreement of diverse activities requested to attend a patient along care continuum. a narrative analysis of contentment was developed to 32 semi-structured interviews, applied to key informants intentional selected from a subsidized hcn. internally arises as barriers, failures in communication and lack of collaboration among professionals, inadequate work conditions and deficiencies in programming mechanisms implementation. external barriers were related with deficient national politics to regulate care provider-insurer contracting, coordination mechanisms and poor view of integrated health. these barriers break the continuity in health care provision. effective implementation of care coordination is requested among different levels of care. salud uis 2011; 43(1): 77-79.