Diego G Mosteiro-Miguéns, Maruxa Zapata-Cachafeiro, Silvia Novío, Natalia Vieito-Pérez, Tania Alfonso-González, Almudena Rodríguez-Fernández
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引用次数: 0
Abstract
Background: Promoting health via a community approach is one of the most effective strategies for reducing the current incidence of chronic diseases. Primary care (PC), through the implementation of community activities (CA), has the potential to achieve this goal. Yet the implementation of CA at health centers is not standardized and is often thanks only to the voluntariness of health professionals.
Objective: To ascertain the knowledge, attitudes, and practices of PC professionals regarding the implementation of CA.
Methods: We carried out a cross-sectional study by circulating a self-administered online questionnaire on CA, across the period December 2022 through June 2023 in Galicia (Spain). All health professionals working in the Galician Health Service PC setting were invited to participate.
Results: A total of 521 health professionals participated in the study. They included all types of PC health professionals (physicians, general and specialist nurses -midwives, pediatrics, family and community, mental health- and social workers), including residents in training. Only 14.8% and 12.5% of professionals correctly identified CAs and social prescription (SPr) interventions, respectively. Furthermore, 93.9% recognized that the development of CA in health centers was deficient. Despite this, 76.5% showed a good attitude toward participation in CA.
Conclusions: PC professionals find it difficult to identify CA and SPr interventions. Therefore, it is necessary to improve the training of these professionals in the implementation of CA with a view to enhancing population health, reducing the incidence of chronic diseases, and helping lessen the healthcare burden of the health system.
背景：通过社区方法促进健康是降低当前慢性病发病率的最有效策略之一。初级保健（PC）通过开展社区活动（CA）有可能实现这一目标。然而，在医疗中心开展社区活动并不规范，而且往往只能依靠医疗专业人员的自愿性：目的：了解医务人员对实施社区保健的认识、态度和做法：我们在 2022 年 12 月至 2023 年 6 月期间，在加利西亚（西班牙）分发了一份关于 CA 的自填式在线问卷，从而开展了一项横断面研究。所有在加利西亚医疗服务 PC 环境中工作的医疗专业人员均受邀参加：共有 521 名医疗专业人员参与了研究。他们包括各类 PC 医护人员（医生、全科和专科护士、助产士、儿科、家庭和社区、心理健康和社会工作者），其中也包括正在接受培训的住院医师。只有 14.8% 和 12.5% 的专业人员分别正确识别了 CA 和社会处方（SPr）干预措施。此外，93.9%的专业人员认为医疗中心的社区保健发展不足。尽管如此，76.5% 的专业人员对参与 CA 表现出了良好的态度：PC专业人员发现很难识别CA和SPr干预措施。因此，有必要加强对这些专业人员在实施 CA 方面的培训，以提高人口健康水平，降低慢性病发病率，帮助减轻卫生系统的医疗负担。
期刊介绍：
Family Practice is an international journal aimed at practitioners, teachers, and researchers in the fields of family medicine, general practice, and primary care in both developed and developing countries.
Family Practice offers its readership an international view of the problems and preoccupations in the field, while providing a medium of instruction and exploration.
The journal''s range and content covers such areas as health care delivery, epidemiology, public health, and clinical case studies. The journal aims to be interdisciplinary and contributions from other disciplines of medicine and social science are always welcomed.
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