2026-07-21T14:20:10Zhttps://repisalud.isciii.es/rest/oai/request
oai:repisalud.isciii.es:20.500.12105/172842024-09-21T22:37:29Zcom_20.500.12105_15322com_20.500.12105_2051col_20.500.12105_16927col_20.500.12105_16960col_20.500.12105_16967col_20.500.12105_16973
Repisalud author Berenguera, Anna author Pons-Vigués, Mariona author Moreno-Peral, Patricia author March, Sebastià author Ripoll, Joana author Rubio-Valera, Maria author Pombo-Ramos, Haizea author Asensio-Martínez, Angela author Bolaños-Gallardo, Eva author Martínez-Carazo, Catalina author Maderuelo-Fernández, José Ángel author Martínez-Andrés, Maria author Pujol-Ribera, Enriqueta 2024-01-23T20:12:22Z 2024-01-23T20:12:22Z 2017-01-24 10.1111/hex.12530 1369-7625 Health expectations : an international journal of public participation in health care and health policy http://hdl.handle.net/10668/10800http://hdl.handle.net/20.500.13003/9639 28116774 L622449229 2-s2.0-85010634298 http://hdl.handle.net/20.500.12105/17284 410820400012 Primary health care (PHC) is the ideal setting to provide integrated services centred on the person and to implement health promotion (HP) activities. To identify proposals to approach HP in the context of primary care according to health-care users aged 45-75 years, key community informants and primary care centre (PCC) workers. Descriptive-interpretive qualitative research with 276 participants from 14 PCC of seven Spanish regions. A theoretical sampling was used for selection. A total of 25 discussion groups, two triangular groups and 30 semi-structured interviews were carried out. A thematic interpretive contents analysis was carried out. Participants consider that HP is not solely a matter for the health sector and they emphasize intersectoral collaboration. They believe that it is important to strengthen community initiatives and to create a healthy social environment that encourages greater responsibility and participation of health-care users in decisions regarding their own health and better management of public services and resources. HP, care in the community and demedicalization should be priorities for PHC. Participants propose organizational changes in the PCC to improve HP. PCC workers are aware that HP falls within the scope of their responsibilities and propose to increase their training, motivation, competences and knowledge of the social environment. Informants emphasize that HP should be person-centred approach and empathic communication. HP activities should be appealing, ludic and of proven effectiveness. According to a socio-ecological and intersectoral model, PHC services must get actively involved in HP together with community and through outreach interventions. eng health promotion lifestyle primary health care primary prevention qualitative research Beyond the consultation room: Proposals to approach health promotion in primary care according to health-care users, key community informants and primary care centre workers. research article