RT Journal Article
T1 Analysis of good practices for inhabitant participation in the clinical management units of the Andalusian Health Service (Spain)
A1 Gomez Martinez, M. Eugenia
A1 Pastor Moreno, Guadalupe
A1 Perez Corral, Olivia
A1 Iriarte de los Santos, M. Teresa
A1 Mena Jimenez, Angel Luis
A1 Escudero Espinosa, M. Cecilia
A1 Garcia Romera, Inmaculada
A1 Blanco Garcia, Martin German
A1 Martin Barato, Amelia
K1 Community participation
K1 Patient participation
K1 Administrative management
K1 Clinical governance
K1 Patient rights
AB Objective: 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.Methods: 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.Results: 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.Conclusion: 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. (C) 2016 SESPAS. Published by Elsevier Espana, S.L.U. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
PB Elsevier
SN 0213-9111
YR 2017
FD 2017-03-01
LK http://hdl.handle.net/10668/18788
UL http://hdl.handle.net/10668/18788
LA es
DS RISalud
RD Apr 5, 2025