Nebot M, Plaza A, Pérez J, Grifell E, Egea L
Servei de Promoció de la Salut, Institut Municipal de la Salut, Barcelona.
Aten Primaria. 1995 Jun 15;16(1):19-26.
To identify factors associated with carrying out preventive activities in primary care.
A crossover study through a self-administered questionnaire.
Reformed and non-reformed centres of the primary care sub-division of the Barcelona Health Region, Catalan Health Institute.
134 doctors from reformed centres (primary care teams) and 138 from non-reformed primary care centres (PCC).
Doctors from the reformed centres used records to a much greater extent (75.3% as against 26.3% for tobacco consumption; 76.2% as against 27.9% for alcohol consumption). Together with the type of centre, some professional characteristics were linked to the likelihood of carrying out preventive activities. These included, in particular, professionals' high valuation of their own effectiveness and professional practices such as the habitual use of a safety belt and anti-flu injections.
In the reformed centres preventive activities are much more integrated. To optimise their use other important aspects, such as training in skills and improving professionals' perception of their own effectiveness, will have to be considered.
确定与基层医疗中开展预防活动相关的因素。
通过自填式问卷进行的交叉研究。
加泰罗尼亚卫生研究所巴塞罗那卫生区基层医疗分部的改革中心和未改革中心。
来自改革中心（基层医疗团队）的134名医生和来自未改革基层医疗中心（PCC）的138名医生。
改革中心的医生在很大程度上使用记录（烟草消费方面为75.3%，而未改革中心为26.3%；酒精消费方面为76.2%，而未改革中心为27.9%）。除了中心类型外，一些专业特征与开展预防活动的可能性相关。这些尤其包括专业人员对自身效能的高度评价以及诸如习惯性使用安全带和注射流感疫苗等专业行为。
在改革中心，预防活动整合程度更高。为了优化其使用，必须考虑其他重要方面，如技能培训和提高专业人员对自身效能的认知。
