TY - JOUR
T1 - 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
AU - Berenguera, Anna
AU - Pons-Vigués, Mariona
AU - Moreno-Peral, Patricia
AU - March, Sebastià
AU - Ripoll, Joana
AU - Rubio-Valera, Maria
AU - Pombo-Ramos, Haizea
AU - Asensio-Martínez, Angela
AU - Bolaños-Gallardo, Eva
AU - Martínez-Carazo, Catalina
AU - Maderuelo-Fernández, José Ángel
AU - Martínez-Andrés, Maria
AU - Pujol-Ribera, Enriqueta
PY - 2017/10/1
Y1 - 2017/10/1
N2 - © 2017 The Authors Health Expectations Published by John Wiley & Sons Ltd Background: Primary health care (PHC) is the ideal setting to provide integrated services centred on the person and to implement health promotion (HP) activities. Objective: 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. Methods: 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. Results: 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. Conclusions: According to a socio-ecological and intersectoral model, PHC services must get actively involved in HP together with community and through outreach interventions.
AB - © 2017 The Authors Health Expectations Published by John Wiley & Sons Ltd Background: Primary health care (PHC) is the ideal setting to provide integrated services centred on the person and to implement health promotion (HP) activities. Objective: 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. Methods: 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. Results: 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. Conclusions: According to a socio-ecological and intersectoral model, PHC services must get actively involved in HP together with community and through outreach interventions.
KW - health promotion
KW - lifestyle
KW - primary health care
KW - primary prevention
KW - qualitative research
UR - https://ddd.uab.cat/record/186134
U2 - https://doi.org/10.1111/hex.12530
DO - https://doi.org/10.1111/hex.12530
M3 - Article
VL - 20
SP - 896
EP - 910
JO - Health Expectations
JF - Health Expectations
SN - 1369-6513
IS - 5
ER -