2026-04-17T07:56:47Zhttps://recercat.cat/oai/request

oai:recercat.cat:11351/35232025-10-24T10:58:43Zcom_2072_378068com_2072_378040col_2072_378090

00925njm 22002777a 4500 dc Bereguera, Anna author Coma-Auli, Núria author Pombo-Ramos, Haizea author March, Sebastià author Asensio-Martínez, Angela author Mora-Simón, Sara author Martínez-Andrés, Maria author Pujol-Ribera, Enriqueta author Moreno-Peral, Patricia author Pons-Vigués, Mariona author 2018-06-18T09:39:53Z 2018-06-18T09:39:53Z 2017-06-13 Patient Participation; Health promotion; Qualitative research Participació del pacient; Promoció de la salut; Investigació qualitativa Participación del paciente; Promoción de la salud; Investigación cualitativa BACKGROUND 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. METHODS 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. RESULTS 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. CONCLUSIONS 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. http://hdl.handle.net/11351/3523 Promoció de la salut Pacients - Satisfacció - Espanya Serveis sanitaris - Espanya - Avaluació HEALTH CARE::Health Care Quality, Access, and Evaluation::Delivery of Health Care::Attitude to Health::Patient Acceptance of Health Care::Patient Participation HEALTH CARE::Health Care Facilities, Manpower, and Services::Health Care Facilities, Manpower, and Services::Health Services::Preventive Health Services::Health Promotion HEALTH CARE::Health Services Administration::Patient Care Management::Comprehensive Health Care::Primary Health Care ATENCIÓN DE SALUD::calidad, acceso y evaluación de la atención sanitaria::prestación sanitaria::actitud ante la salud::cumplimiento y adherencia al tratamiento::aceptación de la asistencia sanitaria por parte del paciente::participación del paciente ATENCIÓN DE SALUD::Instalaciones para Atención de Salud, Recursos Humanos y Servicios::Servicios de Salud::Servicios Preventivos de Salud::Educación en Salud::Promoción de la Salud ATENCIÓN DE SALUD::administración de los servicios de salud::gestión de la atención al paciente::atención integral de salud::atención primaria de la salud 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