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[2018年至2022年加利西亚初级保健中开展的社区活动:一项描述性研究]

[Community activities carried out in Primary Care in Galicia between 2018 and 2022: A descriptive study].

作者信息

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

机构信息

Departamento de Psiquiatría, Radiología, Salud Pública, Enfermería y Medicina, Universidad de Santiago de Compostela, Santiago de Compostela, A Coruña, España; Centro de salud Concepción Arenal, Santiago de Compostela, A Coruña, España.

Departamento de Psiquiatría, Radiología, Salud Pública, Enfermería y Medicina, Universidad de Santiago de Compostela, Santiago de Compostela, A Coruña, España; Consorcio de Investigación Biomédica en Epidemiología y Salud Pública (CIBER de Epidemiología y Salud Pública, CIBERESP), Instituto de Salud Carlos III, Madrid, España; Instituto de Investigación Sanitaria de Santiago de Compostela (IDIS), Santiago de Compostela, A Coruña, España.

出版信息

Aten Primaria. 2025 May;57(5):103134. doi: 10.1016/j.aprim.2024.103134. Epub 2024 Nov 12.

Abstract

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.

摘要

目的

分析2018 - 2022年期间在圣地亚哥-德孔波斯特拉和巴尔班萨卫生区初级卫生保健(PHC)中开展的社区活动(CA)的实施情况,并识别和描述这些活动。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。

背景

该研究在西班牙西北部的一个自治区加利西亚进行,涵盖该卫生区的74个卫生中心,这些卫生中心是西班牙卫生系统公共网络的一部分。

参与者

邀请了所有护理协调员以及服务负责人和那些对所开展的社区活动有更多了解的初级卫生保健专业人员参与。

主要测量指标

通过电话访谈完成一份关于社区活动的特征、障碍和促进因素的异质管理问卷。

结果

共识别出95项社区活动。大多数是一次性活动(72.6%)、单场活动(67.4%),参与者为被动参与(100%)且跨部门合作较少(9.5%)。76.8%的社区活动未进行评估,且是由初级卫生保健专业人员主动发起的。初级卫生保健专业人员日程安排的灵活性被确定为在初级卫生保健中实现社区活动实施的关键因素。

结论

为了有效实施社区活动,加强机构参与对于促进初级卫生保健日程安排的灵活性、社区活动的评估、纳入接受过社区护理专门培训的专业人员以及加强与社区机构的合作至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0431/11605467/36bb55a26fcc/gr1.jpg

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