Elorriaga Natalia, Garay Osvaldo Ulises, Belizán María, González Verónica Beatriz, Rossi María Laura, Chaparro Martin, Caporale Joaquín E, Ruggiero Marina De, Antún María Cecilia, Pichon-Riviere Andrés, Rubinstein Adolfo, Irazola Vilma, Augustovski Federico
Departamento de Investigación en Enfermedades Crónicas, Instituto de Efectividad Clínica y Sanitaria, Buenos Aires, Argentina.
Departamento de Evaluación de Tecnologías Sa nitarias y Economía de la Salud, Instituto de Efectividad Clínica y Sanitaria, Buenos Aires, Argentina.
Rev Panam Salud Publica. 2018 Sep 24;42:e150. doi: 10.26633/RPSP.2018.150. eCollection 2018.
To explore the motivations and expectations of the users of the Program for Healthy Centers in the Autonomous City of Buenos Aires and to evaluate its potential health impact.
In-depth interviews were conducted (n = 34) and a self-administered survey was sent to users of the program (n = 605). An epidemiological model was developed to estimate the impact of the program on cardiovascular events (CVE) and disability-adjusted life years (DALYs).
The main motivating factors for using the healthy centers were geographic and economic accessibility (free services) and satisfaction with the care received. 14.4% (95% CI, 10.3-18.5%) of hypertensive users and 24.8% (95% CI, 17.6-32.0%) of diabetic users reported having learned of their altered values in the healthy center. More than half of the respondents reported some improvement in their knowledge about the benefits of physical activity and healthy eating; this was more frequent among those who were younger, of lower educational level, users of the public health system, users of a healthy center in the South zone and those who had a cardiometabolic risk factor (p<0.05). It was estimated that the healthy centers would prevent 12.5 cardiovascular and cerebrovascular events per year in the assisted population (4.75 events/100 000) and 47.75 DALYs due to these causes.
The healthy centers are a favorable space for the implementation of health promotion and prevention actions, contributing to the detection of and facilitating the monitoring of risk factors, with a potential to prevent cardiovascular events and its consequences.
探讨布宜诺斯艾利斯自治市健康中心项目使用者的动机和期望，并评估其潜在的健康影响。
进行了深入访谈（n = 34），并向该项目的使用者发放了自填式调查问卷（n = 605）。建立了一个流行病学模型来估计该项目对心血管事件（CVE）和伤残调整生命年（DALYs）的影响。
使用健康中心的主要推动因素是地理位置和经济可及性（免费服务）以及对所接受护理的满意度。14.4%（95%置信区间，10.3 - 18.5%）的高血压使用者和24.8%（95%置信区间，17.6 - 32.0%）的糖尿病使用者报告在健康中心得知了自己的异常值。超过一半的受访者表示他们对体育活动和健康饮食益处的了解有所改善；在年龄较小、教育水平较低、公共卫生系统使用者、南区健康中心使用者以及有心血管代谢危险因素的人群中更为常见（p<0.05）。据估计，健康中心每年将在受助人群中预防12.5例心血管和脑血管事件（4.75例/10万）以及因这些原因导致的47.75个伤残调整生命年。
健康中心是实施健康促进和预防行动的有利场所，有助于发现并促进对危险因素的监测，具有预防心血管事件及其后果的潜力。
