Promoción de la salud en atención primaria: si Hipócrates levantara la cabeza…

Abstract

This article argues for the need to implement community healthcare promotion initiatives in medical practice. Some of the community initiatives introduced in primary care, as well as scientific evidence and associated implementation factors are described. The need for effective coordination between primary care and public health services, working with the community, is underlined. Two specific coordination initiatives are explained by way of example. The first is a project to develop healthcare plans in health centres in the Balearic Islands, by means of a participatory process with the collaboration of citizens, local organisations and the town council (urban planning, mobility, social services, etc.). The second is the Interdepartmental Public Health Plan of Catalonia, which was established to coordinate cross-sectoral healthcare. A specific part of this plan is the COMSalud project, the purpose of which is to introduce a community perspective to health centres and which is currently being piloted in 16 health areas. We review the proposals of a 2008 research study to implement healthcare promotion in primary care, assessing its achievements and shortfalls. The Disease Prevention and Health Promotion Strategy of the Spanish Ministry of Health is recognised as an opportunity to coordinate primary and public health. It is concluded that this change of mentality will require both financial and human resources to come to fruition.

Modelos de promoción de la salud y determinantes sociales: una revisión narrativa

“…Por otra parte, pasando de los enfoques basados en el individuo a otros, de orden colectivo, se encuentra el modelo de PS recomendado en el Informe SESPAS 2016 (34), que aconseja la perspectiva comunitaria en la práctica sanitaria, al retomar algunas experiencias españolas como ejemplos: un proyecto de elaboración de rutas saludables en los centros de salud en Baleares, mediante un proceso participativo, basado en el Plan Interdepartamental de Salud Pública de Cataluña (mantiene la coordinación intersectorial en salud, como estrategia) y otros proyectos para impulsar la PS y la salud pública en la atención primaria.…”

“…APS: continuidad de la información, integralidad de servicios, continuidad de la gestión, accesibilidad (primer contacto), calidad técnica, atención clínica, comunicación interpersonal, respeto, relación continua, sensibilidad cultural, atención centrada en la familia, atención integral de la persona, abogacía, equidad y orientación a la población (34).…”

Development of a taxonomy of activities in health prevention and promotion for primary care

“…Nevertheless, the implementation of health prevention and promotion remains insufficient, variable and dependent on the involved professionals' willingness (Cabeza, March, Cabezas, & Segura, 2016). This is evident in the case of nursing professionals.…”

The Absurd Consciousness of Those Lying in a Health Care System About to Collapse

“…Some experts associate this to several types of barriers including "political (legislative reforms that reduce population rights, budget cuts, and change direction of policies, such as the labor reform), organizational (lack of management professionalization, cuts in schedule and services), professional (discouragement), and those related to the population (increased of vulnerable population, priority changes, medicalization)" Márquez, Villegas, Soler, and Martinez (2014). Yet, despite this, promotion of health and prevention of disease is still the strategy that represents great opportunities for the healthcare sector, but must be optimized in order to provide more efficient primary health care, with the ability, safety, and motivation to work with the community (E, Cabeza, March, C, Cabeza & Segura, 2016;Sørensen & Brand, 2011).…”