Publication:
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.

dc.contributor.authorBerenguera, Anna
dc.contributor.authorPons-Vigués, Mariona
dc.contributor.authorMoreno-Peral, Patricia
dc.contributor.authorMarch, Sebastià
dc.contributor.authorRipoll, Joana
dc.contributor.authorRubio-Valera, Maria
dc.contributor.authorPombo-Ramos, Haizea
dc.contributor.authorAsensio-Martínez, Angela
dc.contributor.authorBolaños-Gallardo, Eva
dc.contributor.authorMartínez-Carazo, Catalina
dc.contributor.authorMaderuelo-Fernández, José Ángel
dc.contributor.authorMartínez-Andrés, Maria
dc.contributor.authorPujol-Ribera, Enriqueta
dc.date.accessioned2023-01-25T09:43:07Z
dc.date.available2023-01-25T09:43:07Z
dc.date.issued2017-01-24
dc.description.abstractPrimary 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.
dc.identifier.doi10.1111/hex.12530
dc.identifier.essn1369-7625
dc.identifier.pmcPMC5600227
dc.identifier.pmid28116774
dc.identifier.pubmedURLhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5600227/pdf
dc.identifier.unpaywallURLhttps://doi.org/10.1111/hex.12530
dc.identifier.urihttp://hdl.handle.net/10668/10800
dc.issue.number5
dc.journal.titleHealth expectations : an international journal of public participation in health care and health policy
dc.journal.titleabbreviationHealth Expect
dc.language.isoen
dc.organizationValle del Guadalhorce
dc.organizationInstituto de Investigación Biomédica de Málaga-IBIMA
dc.page.number896-910
dc.pubmedtypeJournal Article
dc.pubmedtypeResearch Support, Non-U.S. Gov't
dc.rightsAttribution 4.0 International
dc.rights.accessRightsopen access
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjecthealth promotion
dc.subjectlifestyle
dc.subjectprimary health care
dc.subjectprimary prevention
dc.subjectqualitative research
dc.subject.meshAged
dc.subject.meshCommunity Health Services
dc.subject.meshCommunity-Institutional Relations
dc.subject.meshFemale
dc.subject.meshHealth Personnel
dc.subject.meshHealth Policy
dc.subject.meshHealth Promotion
dc.subject.meshHumans
dc.subject.meshMale
dc.subject.meshMiddle Aged
dc.subject.meshPatient-Centered Care
dc.subject.meshPrimary Health Care
dc.subject.meshQualitative Research
dc.subject.meshSocial Environment
dc.subject.meshSpain
dc.titleBeyond the consultation room: Proposals to approach health promotion in primary care according to health-care users, key community informants and primary care centre workers.
dc.typeresearch article
dc.type.hasVersionVoR
dc.volume.number20
dspace.entity.typePublication

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