RT Journal Article
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.
A1 Berenguera, Anna
A1 Pons-Vigués, Mariona
A1 Moreno-Peral, Patricia
A1 March, Sebastià
A1 Ripoll, Joana
A1 Rubio-Valera, Maria
A1 Pombo-Ramos, Haizea
A1 Asensio-Martínez, Angela
A1 Bolaños-Gallardo, Eva
A1 Martínez-Carazo, Catalina
A1 Maderuelo-Fernández, José Ángel
A1 Martínez-Andrés, Maria
A1 Pujol-Ribera, Enriqueta
K1 health promotion
K1 lifestyle
K1 primary health care
K1 primary prevention
K1 qualitative research
AB 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.
YR 2017
FD 2017-01-24
LK http://hdl.handle.net/10668/10800
UL http://hdl.handle.net/10668/10800
LA en
DS RISalud
RD Mar 18, 2025