[2018年至2022年加利西亚初级保健开展的社区活动：描述性研究]。

IF 1.8 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Atencion Primaria Pub Date : 2024-11-12 DOI:10.1016/j.aprim.2024.103134

Diego Gabriel Mosteiro-Miguéns , Maruxa Zapata-Cachafeiro , Silvia Novío-Mallón , Tania Alfonso-González , Daniel De Bernardo-Roca , Almudena Rodríguez-Fernández

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引用次数: 0

摘要

目标：分析圣地亚哥-德孔波斯特拉和巴尔班萨卫生区初级卫生保健（PHC）在 2018-2022 年期间开展的社区活动（CA）的实施情况，并对其进行识别和描述。此外，还将确定其发展的障碍和促进因素：设计：观察性横断面研究：研究地点：加利西亚，位于西班牙西北部的一个自治区，覆盖该卫生区的 74 家医疗中心，这些医疗中心是西班牙医疗系统公共网络的一部分：邀请所有护理协调员、服务负责人以及对 CA 有较多了解的初级保健专业人员参加：主要测量指标：通过电话访谈的方式，完成一份关于护理协调人的特点、障碍和促进因素的问卷调查：结果：共确定了 95 项社区保健活动。大多数都是一次性活动（72.6%），单次会议（67.4%），与会者被动参与（100%），很少有跨部门合作（9.5%）。76.8%的社区保健活动没有经过评估，是由初级保健专业人员主动发起的。初级保健专业人员议程的灵活性被认为是在初级保健中实施 CA 的关键因素：为了有效实施社区保健，机构的更多参与对于促进初级保健议程的灵活性、评估社区保健、吸收受过社区保健专门培训的专业人员以及加强与社区代理的合作至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Actividades comunitarias realizadas en Atención Primaria entre 2018 y 2022: un estudio descriptivo

Objective

To analyse the implementation and identify and describe the community activities (CA) developed during 2018–2022, in the Primary Health Care (PHC) of the health area of Santiago de Compostela y Barbanza. In addition, the barriers and facilitators for its development will be determined.

Design

Observational, cross-sectional study.

Setting

The study was conducted in Galicia, an autonomous community located in northwestern Spain, covering the 74 health centres in the health area, which are part of the public network of the Spanish health system.

Participants

All nursing coordinators were invited to participate, as well as heads of service and those PHC professionals with greater knowledge of the CA developed.

Main measurements

A hetero-administered questionnaire on the characteristics, barriers and facilitators of CA was completed by means of a telephone interview.

Results

A total of 95 CA were identified. Most were one-time activities (72.6%), single-session (67.4%), with passive participation of the attendees (100%) and little cross-sectoral collaboration (9.5%). 76.8% of the CA were not evaluated and arose on the initiative of PHC professionals. The flexibility of PHC professionals’ agendas was identified as a key factor in achieving the implementation of CA in PHC.

Conclusions

In order to achieve an effective implementation of CA, greater institutional involvement is crucial to facilitate the flexibility of PHC agendas, the evaluation of CA, the incorporation of professionals with specific training in community care, as well as greater collaboration with community agents.

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来源期刊

Atencion Primaria 医学-医学：内科

CiteScore

2.90

自引率

8.00%

发文量

156

审稿时长

33 days

期刊介绍： Atención Primaria es una revista que publica trabajos de investigación relativos al ámbito de la atención primaria de salud. Desde el punto de vista conceptual, Atención Primaria asume el nuevo modelo de atención primaria de salud, orientado no sólo a la curación de la enfermedad, sino también a su prevención y a la promoción de la salud, tanto en el plano individual como en el de la familia y la comunidad. En estos nuevos aspectos que definen el modelo de atención primaria de salud es en los que se centran los trabajos de investigación que publica Atención Primaria, la primera revista de originales española creada para recoger y difundir la producción científica realizada desde los centros de atención primaria de salud sobre cuestiones como protocolización de la asistencia, programas de prevención, seguimiento y control de pacientes crónicos, organización y gestión de la asistencia primaria, entre otros.