March Sebastià, Ripoll Joana, Ruiz-Giménez Juan Luís, Montaner Gomis Isabel, Benedé Azagra Carmen Belén, Elizalde Soto Lázaro, Vidal M Clara, Bauzà Amengual M de Lluc, Planas Juan Trinidad, Maria Pérez Mariano Damiana, Llull Sarralde Micaela, Bajo Viñas Rosa, Jordan Martin Matilde, Solano Villarubia Carmen, Rodriguez Bajo Maria, Cordoba Victoria Manuela, Badia Capdevila Marta, Serrano Ferrandez Elena, Bosom Diumenjo Maria, Zabaleta Del Olmo Nieves, Bolívar-Ribas Bonaventura, Antoñanzas Lombarte Angel, Bregel Cotaina Samantha, Calvo Tocado Ana, Olivan Blázquez Barbara, Magallón Botaya Rosa, Marín Palacios Pilar, Echauri Ozcoidi Margarita, Perez-Jarauta M Jose, Ramos Maria
Primary Care Research Unit of Mallorca, Baleares Health Services-IbSalut, Palma de Mallorca, Spain.
BMJ Open. 2012 May 14;2(3). doi: 10.1136/bmjopen-2012-001287. Print 2012.
According to Spanish health regulations, primary care professionals have the responsibility to carry out health-promoting community activities (CAs). However, in practice, their implementation is not as widespread as it should be. The aims of this study were to identify factors within the team, the community and the professionals that influence the development of these activities and to describe the community interventions in progress.
This study is an observational analytical retrospective study. The information will be collected from five Spanish regions: Catalonia, Madrid, the Balearic Islands, Navarra and Aragón. The authors will contact primary care teams (PCTs) and identify the CAs from the previous year. The research team will conduct a peer review whether the inclusion criteria are met. In the health centres where CAs are implemented, the authors will select professionals carrying them out and randomly select an identical number of professionals not doing these activities. In the centres where no CA is implemented, three professionals will be randomly selected. The selected professionals will complete the questionnaires for individual-level variables. Information about the registered population and the PCTs will be collected through questionnaires and secondary sources.
Variables will be collected from the community, the PCTs, the individual professionals and CAs.
A descriptive analysis of all the variables will be carried out, along with a bivariate and a logistic regression analysis, with CAs being the primary outcome.
This study has been approved by the Research Ethics Committee of the Jordi Gol y Gurina Foundation in Barcelona and area 11 in Madrid. The questionnaire distributed to the professionals will be anonymous.
根据西班牙卫生法规，初级保健专业人员有责任开展促进健康的社区活动（CAs）。然而，在实践中，这些活动的实施并不像应有的那样广泛。本研究的目的是确定团队、社区和专业人员中影响这些活动开展的因素，并描述正在进行的社区干预措施。
本研究是一项观察性分析回顾性研究。将从西班牙的五个地区收集信息：加泰罗尼亚、马德里、巴利阿里群岛、纳瓦拉和阿拉贡。作者将联系初级保健团队（PCTs），并确定上一年的社区活动。研究团队将进行同行评审，看是否符合纳入标准。在实施社区活动的健康中心，作者将选择开展这些活动的专业人员，并随机选择相同数量的未开展这些活动的专业人员。在未实施社区活动的中心，将随机选择三名专业人员。选定的专业人员将填写个人层面变量的问卷。关于登记人口和初级保健团队的信息将通过问卷和二手资料收集。
将从社区、初级保健团队、个体专业人员和社区活动中收集变量。
将对所有变量进行描述性分析，以及双变量和逻辑回归分析，以社区活动作为主要结果。
本研究已获得巴塞罗那的霍尔迪·戈尔·古里纳基金会研究伦理委员会和马德里第11区的批准。分发给专业人员的问卷将是匿名的。
