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[初级保健中的预防。预防与健康促进计划示例。西班牙公共卫生与社会福利部2012年报告]

[Prevention in primary care. The example of the Program for Prevention and Health Promotion. SESPAS Report 2012].

作者信息

Brotons Carlos, Soriano Núria, Moral Irene, Rodríguez-Artalejo Fernando, Banegas José Ramón, Martín-Moreno José María

机构信息

Unidad de Investigación, EAP Sardenya. Instituto de Investigaciones Biomédicas Sant Pau (IIB Sant Pau), Barcelona, España.

出版信息

Gac Sanit. 2012 Mar;26 Suppl 1:151-7. doi: 10.1016/j.gaceta.2011.10.006. Epub 2012 Jan 23.

DOI:10.1016/j.gaceta.2011.10.006
PMID:22265649
Abstract

OBJECTIVES

The Program for Prevention and Health Promotion (PPHP) of the Spanish Society of Family and Community Medicine was launched at the end of the 1980s and its main objective is to integrate preventive and health promotion activities in daily clinical practice in primary care. The aim of the present study was to determine the level of compliance with the preventive activities of the PPHP.

METHODS

We performed a comprehensive literature search of PPHP publications to assess the implementation and impact of the program.

RESULTS

The distinct evaluations carried out since the beginning of the program show that both compliance and registration of preventive activities have improved over time. The PPHP has been positively evaluated by both health professionals and patients. Family physicians in Spain carry out preventive activities more often than other European family physicians.

CONCLUSIONS

The PHPPS continues to operate 24 years after its initiation. However, some adaptations are needed since the Spanish health system is changing. Proposed modifications are related to accessibility and to providing a more effective response to users. In elderly patients, life expectancy should be assessed and priorities for preventive interventions should be set accordingly.

摘要

目标

西班牙家庭与社区医学协会的预防与健康促进项目(PPHP)于20世纪80年代末启动,其主要目标是将预防和健康促进活动纳入初级保健的日常临床实践。本研究的目的是确定PPHP预防活动的依从水平。

方法

我们对PPHP的出版物进行了全面的文献检索,以评估该项目的实施情况和影响。

结果

自项目启动以来进行的不同评估表明,随着时间的推移,预防活动的依从性和登记情况都有所改善。PPHP得到了卫生专业人员和患者的积极评价。西班牙的家庭医生比其他欧洲家庭医生更频繁地开展预防活动。

结论

PHPPS在启动24年后仍在运行。然而,由于西班牙卫生系统正在发生变化,需要进行一些调整。提议的修改与可及性以及为用户提供更有效的回应有关。在老年患者中,应评估预期寿命,并相应地确定预防干预的优先事项。

相似文献

1
[Prevention in primary care. The example of the Program for Prevention and Health Promotion. SESPAS Report 2012].[初级保健中的预防。预防与健康促进计划示例。西班牙公共卫生与社会福利部2012年报告]
Gac Sanit. 2012 Mar;26 Suppl 1:151-7. doi: 10.1016/j.gaceta.2011.10.006. Epub 2012 Jan 23.
2
Evaluation of preventive and health promotion activities in 166 primary care practices in Spain. The Coordinating Group For Prevention and Health Promotion in Primary Care in Spain.西班牙166家初级保健机构预防与健康促进活动评估。西班牙初级保健预防与健康促进协调小组。
Fam Pract. 1996 Apr;13(2):144-51. doi: 10.1093/fampra/13.2.144.
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Rethinking prevention in primary care: applying the chronic care model to address health risk behaviors.重新思考初级保健中的预防工作:应用慢性病护理模式来应对健康风险行为。
Milbank Q. 2007;85(1):69-91. doi: 10.1111/j.1468-0009.2007.00477.x.
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The importance of primary care physicians as the usual source of healthcare in the achievement of prevention goals.基层医疗医生作为实现预防目标的常规医疗服务提供者的重要性。
Am Fam Physician. 2000 Nov 1;62(9):1968.
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Report on financing the new model of family medicine.关于新型家庭医学模式融资的报告。
Ann Fam Med. 2004 Dec 2;2 Suppl 3(Suppl 3):S1-21. doi: 10.1370/afm.237.
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[The role of preventive activities in the process of disease prevention as an integral part of primary medical sanitary care].[预防性活动在疾病预防过程中的作用,作为初级医疗卫生保健的一个组成部分]
Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med. 2011 May-Jun(3):44-6.
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Put prevention into practice (PPIP): evaluating PPIP in two family practice residency sites.将预防措施付诸实践(PPIP):在两个家庭医学住院医师培训基地对PPIP进行评估。
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An alternative strategy in community health care: community-oriented primary health care.社区医疗保健的另一种策略:以社区为导向的初级卫生保健。
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Japan as the front-runner of super-aged societies: Perspectives from medicine and medical care in Japan.日本作为超老龄化社会的领跑者:来自日本医学与医疗护理的视角
Geriatr Gerontol Int. 2015 Jun;15(6):673-87. doi: 10.1111/ggi.12450. Epub 2015 Feb 5.

引用本文的文献

1
Variability in screening prevention activities in primary care in Spain: a multilevel analysis.西班牙初级保健中筛查预防活动的变异性:一项多层次分析。
BMC Public Health. 2015 May 7;15:473. doi: 10.1186/s12889-015-1767-5.
2
Barriers and facilitators for the implementation of primary prevention and health promotion activities in primary care: a synthesis through meta-ethnography.基层医疗中实施一级预防和健康促进活动的障碍与促进因素:通过元民族志的综合分析
PLoS One. 2014 Feb 28;9(2):e89554. doi: 10.1371/journal.pone.0089554. eCollection 2014.