Abstract:
AIMS:The purpose of this paper is to contribute to understanding which factors influence health promotion action in primary health care (PHC) on the municipal, i.e. local, level. METHODS:A cross-sectional mail survey of all PHC personnel in four municipalities in Finland in 2002. The data were analysed by descriptive statistics, and univariate and multivariate logistic regression analyses. RESULTS:A total of 417 (response rate 57%) healthcare professionals participated in the study; 65% of the personnel working in ambulatory care, 52% working in home care and 44% working in inpatient care were engaged in health promotion action (=higher than median engagement). Factors independently associated with engagement in health promotion were organizational values, reflected in perceived skill discretion and social support from coworkers, and the personnel's competence, reflected in knowledge about the health and living conditions of the population served. Further, the opportunities, reflected in cooperation with partners outside the organization were strongly associated with engagement in health promotion action. CONCLUSIONS:The results suggest that working conditions such as possibilities for skill usage, reflection and development as well as collegial support enable higher engagement in health promotion action in PHC. However, access to data on the local population's health and living conditions, in addition to opportunities to cooperate with decision makers and partners in the community turned out to be as important. This should be taken into consideration when striving to reorient health services to health promotion.
journal_name
Scand J Public Healthjournal_title
Scandinavian journal of public healthauthors
Simonsen-Rehn N,Laamanen R,Sundell J,Brommels M,Suominen Sdoi
10.1177/1403494808096171subject
Has Abstractpub_date
2009-01-01 00:00:00pages
4-12issue
1eissn
1403-4948issn
1651-1905pii
1403494808096171journal_volume
37pub_type
杂志文章abstract:AIMS:To analyse the current status of directly observed therapy (DOT) and completion of treatment of tuberculosis (TB) in two rural areas of China. METHODS:Two rural counties with low DOT rates were deliberately selected as study sites. Face-to-face interviews were conducted by trained investigators with a structured ...
journal_title:Scandinavian journal of public health
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更新日期:2009-05-01 00:00:00
abstract:AIMS:The gradient in health inequalities reflects a relationship between health and social circumstance, demonstrating that health worsens as you move down the socio-economic scale. For more than a decade, the Norwegian National government has developed policies to reduce social inequalities in health by levelling the ...
journal_title:Scandinavian journal of public health
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更新日期:2020-08-01 00:00:00