Health-care users, key community informants and primary health care workers' views on health, health promotion, health assets and deficits

Although some articles have analysed the definitions of health and health promotion from the perspective of health-care users and health care professionals, no published studies include the simultaneous participation of health-care users, primary health care professionals and key community informant...

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Autores: Pons-Vigués, Mariona|||0000-0002-7929-3701, Berenguera, Anna|||0000-0002-0889-2002, Coma-Auli, Núria, Pombo Ramos, Haizea|||0000-0002-8117-3215, March, Sebastià|||0000-0001-7238-9519, Asensio-Martínez, Angela, Moreno-Peral, Patricia|||0000-0003-4130-9090, Mora-Simón, Sara, Martínez-Andrés, Maria|||0000-0001-5312-7361, Pujol Ribera, Enriqueta|||0000-0002-9475-0755
Tipo de recurso: artículo
Fecha de publicación:2017
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:186269
Acceso en línea:https://ddd.uab.cat/record/186269
https://dx.doi.org/urn:doi:10.1186/s12939-017-0590-2
Access Level:acceso abierto
Palabra clave:Health
Health assets
Health promotion
Patient participation
Primary Health Care
Qualitative research
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oai_identifier_str oai:ddd.uab.cat:186269
network_acronym_str ES
network_name_str España
repository_id_str
dc.title.none.fl_str_mv Health-care users, key community informants and primary health care workers' views on health, health promotion, health assets and deficits
qualitative study in seven Spanish regions
title Health-care users, key community informants and primary health care workers' views on health, health promotion, health assets and deficits
spellingShingle Health-care users, key community informants and primary health care workers' views on health, health promotion, health assets and deficits
Pons-Vigués, Mariona|||0000-0002-7929-3701
Health
Health assets
Health promotion
Patient participation
Primary Health Care
Qualitative research
title_short Health-care users, key community informants and primary health care workers' views on health, health promotion, health assets and deficits
title_full Health-care users, key community informants and primary health care workers' views on health, health promotion, health assets and deficits
title_fullStr Health-care users, key community informants and primary health care workers' views on health, health promotion, health assets and deficits
title_full_unstemmed Health-care users, key community informants and primary health care workers' views on health, health promotion, health assets and deficits
title_sort Health-care users, key community informants and primary health care workers' views on health, health promotion, health assets and deficits
dc.creator.none.fl_str_mv Pons-Vigués, Mariona|||0000-0002-7929-3701
Berenguera, Anna|||0000-0002-0889-2002
Coma-Auli, Núria
Pombo Ramos, Haizea|||0000-0002-8117-3215
March, Sebastià|||0000-0001-7238-9519
Asensio-Martínez, Angela
Moreno-Peral, Patricia|||0000-0003-4130-9090
Mora-Simón, Sara
Martínez-Andrés, Maria|||0000-0001-5312-7361
Pujol Ribera, Enriqueta|||0000-0002-9475-0755
author Pons-Vigués, Mariona|||0000-0002-7929-3701
author_facet Pons-Vigués, Mariona|||0000-0002-7929-3701
Berenguera, Anna|||0000-0002-0889-2002
Coma-Auli, Núria
Pombo Ramos, Haizea|||0000-0002-8117-3215
March, Sebastià|||0000-0001-7238-9519
Asensio-Martínez, Angela
Moreno-Peral, Patricia|||0000-0003-4130-9090
Mora-Simón, Sara
Martínez-Andrés, Maria|||0000-0001-5312-7361
Pujol Ribera, Enriqueta|||0000-0002-9475-0755
author_role author
author2 Berenguera, Anna|||0000-0002-0889-2002
Coma-Auli, Núria
Pombo Ramos, Haizea|||0000-0002-8117-3215
March, Sebastià|||0000-0001-7238-9519
Asensio-Martínez, Angela
Moreno-Peral, Patricia|||0000-0003-4130-9090
Mora-Simón, Sara
Martínez-Andrés, Maria|||0000-0001-5312-7361
Pujol Ribera, Enriqueta|||0000-0002-9475-0755
author2_role author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Health
Health assets
Health promotion
Patient participation
Primary Health Care
Qualitative research
topic Health
Health assets
Health promotion
Patient participation
Primary Health Care
Qualitative research
description Although some articles have analysed the definitions of health and health promotion from the perspective of health-care users and health care professionals, no published studies include the simultaneous participation of health-care users, primary health care professionals and key community informants. Understanding the perception of health and health promotion amongst these different stakeholders is crucial for the design and implementation of successful, equitable and sustainable measures that improve the health and wellbeing of populations. Furthermore, the identification of different health assets and deficits by the different informants will generate new evidence to promote healthy behaviours, improve community health and wellbeing and reduce preventable inequalities. The objective of this study is to explore the concept of health and health promotion and to compare health assets and deficits as identified by health-care users, key community informants and primary health care workers with the ultimate purpose to collect the necessary data for the design and implementation of a successful health promotion intervention. A descriptive-interpretive qualitative research was conducted with 276 participants from 14 primary care centres of 7 Spanish regions. Theoretical sampling was used for selection. We organized 11 discussion groups and 2 triangular groups with health-care users; 30 semi-structured interviews with key community informants; and 14 discussion groups with primary health care workers. A thematic content analysis was carried out. Health-care users and key community informants agree that health is a complex, broad, multifactorial concept that encompasses several interrelated dimensions (physical, psychological-emotional, social, occupational, intellectual, spiritual and environmental). The three participants' profiles consider health promotion indispensable despite defining it as complex and vague. In fact, most health-care users admit to having implemented some change to promote their health. The most powerful motivators to change lifestyles are having a disease, fear of becoming ill and taking care of oneself to maintain health. Health-care users believe that the main difficulties are associated with the physical, social, working and family environment, as well as lack of determination and motivation. They also highlight the need for more information. In relation to the assets and deficits of the neighbourhood, each group identifies those closer to their role. Generally, participants showed a holistic and positive concept of health and a more traditional, individual approach to health promotion. We consider therefore crucial to depart from the model of health services that focuses on the individual and the disease toward a socio-ecological health model that substantially increases the participation of health-care users and emphasizes health promotion, wellbeing and community participation.
publishDate 2017
dc.date.none.fl_str_mv 2
2017-01-01
2017
2017-01-01
dc.type.none.fl_str_mv Article
http://purl.org/coar/resource_type/c_6501
VoR
http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://ddd.uab.cat/record/186269
https://dx.doi.org/urn:doi:10.1186/s12939-017-0590-2
url https://ddd.uab.cat/record/186269
https://dx.doi.org/urn:doi:10.1186/s12939-017-0590-2
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.relation.none.fl_str_mv Ministerio de Economía y Competitividad https://doi.org/10.13039/501100003329 PI15-00114
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
https://creativecommons.org/licenses/by/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
https://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:Dipòsit Digital de Documents de la UAB
instname:Universitat Autònoma de Barcelona
instname_str Universitat Autònoma de Barcelona
reponame_str Dipòsit Digital de Documents de la UAB
collection Dipòsit Digital de Documents de la UAB
repository.name.fl_str_mv
repository.mail.fl_str_mv
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spelling Health-care users, key community informants and primary health care workers' views on health, health promotion, health assets and deficitsqualitative study in seven Spanish regionsPons-Vigués, Mariona|||0000-0002-7929-3701Berenguera, Anna|||0000-0002-0889-2002Coma-Auli, NúriaPombo Ramos, Haizea|||0000-0002-8117-3215March, Sebastià|||0000-0001-7238-9519Asensio-Martínez, AngelaMoreno-Peral, Patricia|||0000-0003-4130-9090Mora-Simón, SaraMartínez-Andrés, Maria|||0000-0001-5312-7361Pujol Ribera, Enriqueta|||0000-0002-9475-0755HealthHealth assetsHealth promotionPatient participationPrimary Health CareQualitative researchAlthough some articles have analysed the definitions of health and health promotion from the perspective of health-care users and health care professionals, no published studies include the simultaneous participation of health-care users, primary health care professionals and key community informants. Understanding the perception of health and health promotion amongst these different stakeholders is crucial for the design and implementation of successful, equitable and sustainable measures that improve the health and wellbeing of populations. Furthermore, the identification of different health assets and deficits by the different informants will generate new evidence to promote healthy behaviours, improve community health and wellbeing and reduce preventable inequalities. The objective of this study is to explore the concept of health and health promotion and to compare health assets and deficits as identified by health-care users, key community informants and primary health care workers with the ultimate purpose to collect the necessary data for the design and implementation of a successful health promotion intervention. A descriptive-interpretive qualitative research was conducted with 276 participants from 14 primary care centres of 7 Spanish regions. Theoretical sampling was used for selection. We organized 11 discussion groups and 2 triangular groups with health-care users; 30 semi-structured interviews with key community informants; and 14 discussion groups with primary health care workers. A thematic content analysis was carried out. Health-care users and key community informants agree that health is a complex, broad, multifactorial concept that encompasses several interrelated dimensions (physical, psychological-emotional, social, occupational, intellectual, spiritual and environmental). The three participants' profiles consider health promotion indispensable despite defining it as complex and vague. In fact, most health-care users admit to having implemented some change to promote their health. The most powerful motivators to change lifestyles are having a disease, fear of becoming ill and taking care of oneself to maintain health. Health-care users believe that the main difficulties are associated with the physical, social, working and family environment, as well as lack of determination and motivation. They also highlight the need for more information. In relation to the assets and deficits of the neighbourhood, each group identifies those closer to their role. Generally, participants showed a holistic and positive concept of health and a more traditional, individual approach to health promotion. We consider therefore crucial to depart from the model of health services that focuses on the individual and the disease toward a socio-ecological health model that substantially increases the participation of health-care users and emphasizes health promotion, wellbeing and community participation. 22017-01-0120172017-01-01Articlehttp://purl.org/coar/resource_type/c_6501VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttps://ddd.uab.cat/record/186269https://dx.doi.org/urn:doi:10.1186/s12939-017-0590-2reponame:Dipòsit Digital de Documents de la UABinstname:Universitat Autònoma de BarcelonaInglésengMinisterio de Economía y Competitividad https://doi.org/10.13039/501100003329 PI15-00114open accesshttp://purl.org/coar/access_right/c_abf2Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.https://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:ddd.uab.cat:1862692026-06-06T12:50:31Z
score 15,228081

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