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[Community diagnosis using qualitative techniques of expectations and experiences in a health area in need of social transformation].

Abstract：

OBJECTIVE:To know the views, experiences and expectations of care provided by the Andalusian Public Health System (SSPA) of users of an urban area in need of social transformation (ZNTS). DESIGN:Qualitative methodology (exploratory study). LOCATION:Urban basic health zone (16,000 inhabitants, 40% ZNTS). PARTICIPANTS:Purposive sampling of users of SSPA and community leaders. Homogeneity criteria: age. Heterogeneity criteria: sex, frequency, active/pensioner, level cultural/economic. MAIN INTERVENTIONS:Conversational techniques recorded by videotape and moderated by a sociologist (user dicussion groups and in-depth interviews for community leaders). ANALYSIS:transcription of speeches, coding, categories triangulation and final outcome. RESULTS:Seven groups (43 participants, 58% ZNTS) and 6 leaders. They want continuity of care and choice of professionals, but not the medical change without information and attention's discontinuity primary care/hospital. There's bad physical accesibility by the urban environment in the ZNTS and is criticized admission services and paperwork; the programmed appointment and the electronic prescriptions are improvements but asking more hospital referrals and reviews. There's good appreciation of the professionals (primary care-closer, hospital-greater technical capacity). It needs to improve nursing education and speed of emergency assistance. There's a lack of leadership in the system organization, very fragmented. They know a range of services focusing on the demand for care; other health activities not spread to the users. CONCLUSION:The SSPA should incorporate the views and expectations of communities in social risk to a real improvement in the quality of care.

journal_name

Aten Primaria

journal_title

Atencion primaria

authors

Ramos Ruiz JA,Pérez Milena A,Enguix Martínez N,Alvarez Nieto C,Martínez Fernández ML

doi

10.1016/j.aprim.2013.01.016

subject

Has Abstract

pub_date

2013-08-01 00:00:00

pages

358-67

issue

eissn

0212-6567

issn

1578-1275

pii

S0212-6567(13)00073-5

journal_volume

pub_type

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[Community diagnosis using qualitative techniques of expectations and experiences in a health area in need of social transformation].