Beyond the consultation room : Proposals to approach health promotion in primary care according to health-care users, key community informants and primary care centre workers
Berenguera, Anna (Institut Universitari d'Investigació en Atenció Primària Jordi Gol)
Pons-Vigués, Mariona (Universitat de Girona)
Moreno-Peral, Patricia (Distrito Sanitario Málaga-Guadalhorce)
March, Sebastià (Instituto de Investigación Sanitaria de Palma)
Ripoll, Joana (Instituto de Investigación Sanitaria de Palma)
Rubio Valera, Maria (Universitat de Barcelona)
Pombo Ramos, Haizea (Basque Health Service-Osakidetza)
Asensio-Martínez, Angela (Universidad de Zaragoza)
Bolaños Gallardo, Eva
Martínez Carazo, Catalina (Basque Health Service-Osakidetza)
Maderuelo-Fernandez, Jose-Angel (Instituto de Investigación Biomédica de Salamanca)
Martínez-Andrés, Maria (University of Castilla-La Mancha)
Pujol Ribera, Enriqueta (Institut Universitari d'Investigació en Atenció Primària Jordi Gol)

Data:	2017
Resum:	Primary health care () is the ideal setting to provide integrated services centred on the person and to implement health promotion () activities. To identify proposals to approach in the context of primary care according to health-care users aged 45-75 years, key community informants and primary care centre () workers. Descriptive-interpretive qualitative research with 276 participants from 14 of seven Spanish regions. A theoretical sampling was used for selection. A total of 25 discussion groups, two triangular groups and 30 semi-structured interviews were carried out. A thematic interpretive contents analysis was carried out. Participants consider that is not solely a matter for the health sector and they emphasize intersectoral collaboration. They believe that it is important to strengthen community initiatives and to create a healthy social environment that encourages greater responsibility and participation of health-care users in decisions regarding their own health and better management of public services and resources. , care in the community and demedicalization should be priorities for . Participants propose organizational changes in the to improve . workers are aware that falls within the scope of their responsibilities and propose to increase their training, motivation, competences and knowledge of the social environment. Informants emphasize that should be person-centred approach and empathic communication. activities should be appealing, ludic and of proven effectiveness. According to a socio-ecological and intersectoral model, services must get actively involved in together with community and through outreach interventions.
Ajuts:	Instituto de Salud Carlos III PI12/01914 Instituto de Salud Carlos III PI12/00616 Instituto de Salud Carlos III PI12/02608 Instituto de Salud Carlos III PI12/01974 Instituto de Salud Carlos III PI12/02774 Instituto de Salud Carlos III PI12/02635 Instituto de Salud Carlos III PI12/02379
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Matèria:	Health promotion ; Lifestyle ; Primary health care ; Primary prevention ; Qualitative research
Publicat a:	Health Expectations, Vol. 20, Issue 5 (October 2017) , p. 896-910, ISSN 1369-7625

DOI: 10.1111/hex.12530
PMID: 28116774

15 p, 361.7 KB

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