Por favor, use este identificador para citar o enlazar este Item:http://hdl.handle.net/20.500.12105/20457
Título
Factors related to the development of health-promoting community activities in Spanish primary healthcare: two case-control studies
Autor(es)
March, Sebastia | Ripoll Amengual, Joana | Jordan Martin, Matilde | Zabaleta-del-Olmo, Edurne | Benede Azagra, Carmen Belen | Elizalde Soto, Lazaro | Vidal-Thomàs, Clara | Bauzà-Amengual, Maria de LLuc | Planas Juan, Trinidad | Perez Mariano, Damiana Maria | Llull Sarralde, Micaela | Luis Ruiz-Gimenez, Juan | Bajo Vinas, Rosa | Solano Villarubia, Carmen | Rodriguez Bajo, Maria | Cordoba Victoria, Manuela | Badia Capdevila, Marta | Serrano Ferrandez, Elena | Bosom Diumenjo, Maria | Montaner-Gomis, Isabel | Bolibar-Ribas, Buenaventura | Antonanzas Lombarte, Angel | Bregel Cotaina, Samantha | Calvo Tocado, Ana | Olivan Blazquez, Barbara | Magallon Botaya, Rosa | Marin Palacios, Pilar | Echauri Ozcoidi, Margarita | Jose Perez-arauta, Maria | Llobera Cànaves, Joan | Ramos Monserrat, Maria
Fecha de publicación
2017-10
Cita
March S, Ripoll J, Jordan Martin M, Zabaleta-Del-Olmo E, Benede Azagra CB, Elizalde Soto L, et al. Factors related to the development of health-promoting community activities in Spanish primary healthcare: two case-control studies. BMJ Open. 2017 Oct;7(10):e015934.
Idioma
Inglés
Tipo de documento
research article
Resumen
Objective Spanish primary healthcare teams have the responsibility of performing health-promoting community activities (CAs), although such activities are not widespread. Our aim was to identify the factors related to participation in those activities. Design Two case-control studies. Setting Performed in primary care of five Spanish regions. Subjects In the first study, cases were teams that performed health-promoting CAs and controls were those that did not. In the second study (on case teams from the first study), cases were professionals who developed these activities and controls were those who did not. Main outcome measures Team, professional and community characteristics collected through questionnaires (team managers/professionals) and from secondary sources. Results The first study examined 203 teams (103 cases, 100 controls). Adjusted factors associated with performing CAs were percentage of nurses (OR 1.07, 95% CI 1.01 to 1.14), community socioeconomic status (higher vs lower OR 2.16, 95% CI 1.18 to 3.95) and performing undergraduate training (OR 0.44, 95% CI 0.21 to 0.93). In the second study, 597 professionals responded (254 cases, 343 controls). Adjusted factors were professional classification (physicians do fewer activities than nurses and social workers do more), training in CAs (OR 1.9, 95% CI 1.2 to 3.1), team support (OR 2.9, 95% CI 1.5 to 5.7), seniority (OR 1.06, 95% CI 1.03 to 1.09), nursing tutor (OR 2.0, 95% CI 1.1 to 3.5), motivation (OR 3.7, 95% CI 1.8 to 7.5), collaboration with non-governmental organisations (OR 1.9, 95% CI 1.2 to 3.1) and participation in neighbourhood activities (OR 3.1, 95% CI 1.9 to 5.1). Conclusions Professional personal characteristics, such as social sensitivity, profession, to feel team support or motivation, have influence in performing health-promoting CAs. In contrast to the opinion expressed by many professionals, workload is not related to performance of health-promoting CAs.
MESH
Case-Control Studies | Spain | Humans | Community Health Services | Cooperative Behavior | National Health Programs | Male | Health Personnel | Health Promotion | Patient Care Team | Female | Professional Role | Social Class | Primary Health Care | Surveys and Questionnaires
DECS
Femenino | Personal de Salud | Promoción de la Salud | Programas Nacionales de Salud | Clase Social | Servicios de Salud Comunitaria | Masculino | Conducta Cooperativa | Rol Profesional | Grupo de Atención al Paciente | Humanos | Encuestas y Cuestionarios | Atención Primaria de Salud | España | Estudios de Casos y Controles
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