What are we doing in neighborhoods? Description of health-promoting community activities in primary care: The FrAC Project

被引:22
作者
March, Sebastia [1 ]
Jordan Martin, Matilde [2 ]
Montaner Gomis, Isabel [3 ]
Benede Azagra, Carmen Belen
Elizalde Soto, Lazaro [4 ,5 ]
Ramos, Maria [6 ]
机构
[1] IbSalut, Unidad Invest Gerencia Atenc Primaria Mallorca, Palma de Mallorca, Spain
[2] Ctr Salud Estrecho Correa, Madrid, Spain
[3] Ctr Salud El Carmel, Barcelona, Spain
[4] Ctr Salud Oliver, Zaragoza, Spain
[5] CIBER Epidemiol & Salud Publ CIBERESP, Madrid, Spain
[6] Conselleria Salut & Consum Illes Balears, Direcc Gen Salud Pabl, Palma de Mallorca, Spain
关键词
Health promotion; Community interventions; Community; Health service research; Primary health care; EXPERIENCES;
D O I
10.1016/j.gaceta.2014.01.009
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Objective: To describe the health-promoting community activities developed in primary health care and compare types of activities and how they are performed among autonomous regions. Methods: A descriptive multicenter study was carried out in primary care in 5 Spanish regions. We included community activities consisting of non-sporadic activities, carried out in the previous year, with the participation of the primary care team, and the active participation of the community or as a cross-sector activity. The persons responsible for each of the 194 teams were asked if the team participated in community activities and, if so, a questionnaire was completed by the person responsible for each activity. The variables consisted of the topic addressed, the target population, the professionals involved, the time and scope of implementation, evaluation, theoretical perspectives, network registration, the involvement of the community and other agents, and evaluation of this involvement. A descriptive analysis was performed, stratified by region. Results: We identified 183 community activities in 104 teams. Although there was wide variability among regions, most activities were related to general health, nutrition and emotional-sexual health and targeted the general population, children or parents and were carried out in educational or health centers, Participating professionals had a median of 4 years of experience and a median of 2.8 professionals were involved in each activity. A total of 72.5% of the activities were performed during working hours, 75% were evaluated, and 70% were supported by theoretical and methodological perspectives. Non-health sectors were involved in 65%, local government in 60%, and nongovernmental organizations in 58.5%. Nurses were involved in 85.8% of the activities, physicians in 38.5%, and social workers in 35%. Substantial variability was detected among regions. Discussion: Wide variability was found in the types of activities and their application among the community activities developed by primary care, as well as in institutional recognition and community involvement in the development and evaluation of these activities. (C) 2013 SESPAS. Published by Elsevier Espana, S.L. All rights reserved.
引用
收藏
页码:267 / 273
页数:7
相关论文
共 26 条
[1]  
Agenda de Salud Publica, SAL ALS BARR
[2]   PATIENT EMPOWERMENT - RESULTS OF A RANDOMIZED CONTROLLED TRIAL [J].
ANDERSON, RM ;
FUNNELL, MM ;
BUTLER, PM ;
ARNOLD, MS ;
FITZGERALD, JT ;
FESTE, CC .
DIABETES CARE, 1995, 18 (07) :943-949
[3]  
[Anonymous], COCHRANE DATABASE SY
[4]  
[Anonymous], COMUNIDAD
[5]  
[Anonymous], 2000, INVESTIGACION SOCIAL
[6]  
Arnstein S.R., 1971, CITIZEN PARTICIPATIO
[7]  
Casal J, 2004, COLECCION ESTUDIS, P124
[8]  
Cofino Fernandez R, 2005, Aten Primaria, V35, P478, DOI [10.1157/13075472, DOI 10.1157/13075472]
[9]  
Cordoba JA, 2011, TREINTA ANOS SISTEMA, P39
[10]  
Direccio General de Salut Publica i Participacio Conselleria de Salut i Consum, 2011, DIAGN SALUD ILLES BA, P324