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Title: 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.
Authors: Berenguera, Anna
Pons-Vigués, Mariona
Moreno-Peral, Patricia
March, Sebastià
Ripoll, Joana
Rubio-Valera, Maria
Pombo-Ramos, Haizea
Asensio-Martínez, Angela
Bolaños-Gallardo, Eva
Martínez-Carazo, Catalina
Maderuelo-Fernández, José Ángel
Martínez-Andrés, Maria
Pujol-Ribera, Enriqueta
Keywords: health promotion;lifestyle;primary health care;primary prevention;qualitative research
metadata.dc.subject.mesh: Aged
Community Health Services
Community-Institutional Relations
Health Personnel
Health Policy
Health Promotion
Middle Aged
Patient-Centered Care
Primary Health Care
Qualitative Research
Social Environment
Issue Date: 24-Jan-2017
Abstract: Primary health care (PHC) is the ideal setting to provide integrated services centred on the person and to implement health promotion (HP) activities. To identify proposals to approach HP in the context of primary care according to health-care users aged 45-75 years, key community informants and primary care centre (PCC) workers. Descriptive-interpretive qualitative research with 276 participants from 14 PCC 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 HP 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. HP, care in the community and demedicalization should be priorities for PHC. Participants propose organizational changes in the PCC to improve HP. PCC workers are aware that HP falls within the scope of their responsibilities and propose to increase their training, motivation, competences and knowledge of the social environment. Informants emphasize that HP should be person-centred approach and empathic communication. HP activities should be appealing, ludic and of proven effectiveness. According to a socio-ecological and intersectoral model, PHC services must get actively involved in HP together with community and through outreach interventions.
metadata.dc.identifier.doi: 10.1111/hex.12530
Appears in Collections:Producción 2020

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