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Title: [Analysis of good practices for inhabitant participation in the clinical management units of the Andalusian Health Service (Spain)].
Other Titles: Análisis de las buenas prácticas de participación ciudadana en las unidades de gestión clínica del Servicio Andaluz de Salud.
Authors: Gómez Martínez, M Eugenia
Pastor Moreno, Guadalupe
Pérez Corral, Olivia
Iriarte de Los Santos, M Teresa
Mena Jiménez, Ángel Luis
Escudero Espinosa, M Cecilia
García Romera, Inmaculada
Blanco García, Martín Germán
Martín Barato, Amelia
Keywords: Administrative management;Clinical governance;Community participation;Derechos de los pacientes;Gestión administrativa;Gobernanza clínica;Participación comunitaria;Participación de pacientes;Patient participation;Patient rights
metadata.dc.subject.mesh: Community Participation
Cross-Sectional Studies
Health Services Administration
Issue Date: 14-Sep-2016
Abstract: To discover good practices for inhabitant participation in the clinical management units (CMUs) of the Andalusian Health Service (AHS) (Spain) and to explore the reasons perceived by CMU and AHS professionals that may influence the presence and distribution of those good practices among the CMU. Study with mixed methodology carried out in Andalusia (Spain) in two phases (2013-2015). Firstly, an online survey was delivered to the Directors of the CMUs which had set up an inhabitant participation commission. In a second phase, a qualitative study was carried out through semi-structured interviews with professionals from the Andalusian Health Service with previous experience in inhabitant participation. A descriptive analysis of the quantitative information and a semantic content analysis of the qualitative information were carried out. 530 CMUs took part in the survey. The inhabitant participation practices more often implemented in the CMUs are those related to the informing and consultation levels. Twelve professionals were interviewed in the second phase. Other practices with higher inhabitant involvement and delegation are secondary. The barriers which were identified by professionals are related to the beliefs and attitudes of the inhabitants, the professionals, the health system and the environment. The main practices for inhabitant participation in the CMUs are related to the most basic levels of participation. The method and dynamics which facilitate inhabitant empowerment within the health system are not clearly recognised.
metadata.dc.identifier.doi: 10.1016/j.gaceta.2016.06.003
Appears in Collections:Producción 2020

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