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[阿拉贡初级保健团队中社会处方协议的实施]

[Implementation of a social prescribing protocol in Aragon's primary care teams].

作者信息

Pola-Garcia Marina, Domínguez García Marta, Gasch-Gallén Ángel, Lou Alcaine María Luz, Enríquez Martín Natalia, Benedé Azagra Carmen Belén

机构信息

Centro de Salud Almozara, Sector Zaragoza II, Servicio Aragonés de Salud, Zaragoza, España; Grupo GIIS011, Instituto de Investigación Sanitaria de Aragón, Zaragoza, España.

Grupo GIIS011, Instituto de Investigación Sanitaria de Aragón, Zaragoza, España; Centro de Salud Calatayud Sur, Sector Calatayud, Servicio Aragonés de Salud, Calatayud, Zaragoza, España; Grupo de Investigación en Atención Primaria B21_20R, Gobierno de Aragón, Zaragoza, España; Programa Actividades Comunitarias en Atención Primaria de Aragón (PACAP Aragón), Sociedad Aragonesa Medicina Familiar y Comunitaria (SAMFYC), Zaragoza, España.

出版信息

Aten Primaria. 2022 Dec;54(12):102496. doi: 10.1016/j.aprim.2022.102496. Epub 2022 Oct 26.

Abstract

OBJECTIVE

To analyze the implementation of social prescribing guideline in primary care Aragón.

DESIGN

Observational, descriptive, cross-sectional study.

LOCATION

One hundred twenty-three primary care teams of Aragón.

PARTICIPANTS

Social prescribing made with the protocol «Recomendación Activos - AP» of electronic health record of primary care Aragón from September 2018 to March 2021.

MAIN MEASUREMENTS

The most relevant variables of the protocol were described: age, sex, province, health sector, basic health area, health problem, aspect to be enhanced, asset for health recommended, type of professional, degree of assistance, satisfaction and improvement.

RESULTS

The protocol was used 2109 times, 1482 recommendations were made and 428 follow-ups were performed. The use of the protocol increased progressively until March 2020. A total of 1431 people received one recommendation and 51 received more than one recommendation. The average age of the beneficiaries was 67.9years. 74.8% of recommendations were addressed to women. Diagnoses related to social and psychological problems were the most frequently recommended, and the physical sphere was the aspect most promoted. Most social prescribing was linked to physical activity and resources for the promotion of personal autonomy. More than 90% of the people regularly attended the activity, the average satisfaction was 4.8 (0/5) and the degree of improvement 4.3 (0/5).

CONCLUSIONS

The implementation of asset for health recommended within the Aragon community care strategy is working, however, some aspects need to be reviewed. It is necessary to continue generating evidence to be able to adapt and make this process more efficient.

摘要

目的

分析阿拉贡初级保健中社会处方指南的实施情况。

设计

观察性、描述性横断面研究。

地点

阿拉贡的123个初级保健团队。

参与者

2018年9月至2021年3月期间使用阿拉贡初级保健电子健康记录中的“推荐活动 - AP”协议进行的社会处方。

主要测量指标

描述了该协议中最相关的变量:年龄、性别、省份、卫生部门、基本健康领域、健康问题、需加强的方面、推荐的健康资产、专业类型、援助程度、满意度和改善情况。

结果

该协议使用了2109次,提出了1482项建议,进行了428次随访。该协议的使用在2020年3月之前逐渐增加。共有1431人收到一项建议,51人收到多项建议。受益人的平均年龄为67.9岁。74.8%的建议针对女性。与社会和心理问题相关的诊断是最常被推荐的,身体领域是最受促进的方面。大多数社会处方与体育活动和促进个人自主的资源有关。超过90%的人定期参加活动,平均满意度为4.8(满分5分),改善程度为4.3(满分5分)。

结论

阿拉贡社区护理战略中推荐的健康资产的实施正在发挥作用,然而,一些方面需要审查。有必要继续生成证据,以便能够进行调整并使这一过程更有效率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c455/9614823/a3d9e6bd3c2a/gr1.jpg

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