Reorientación comunitaria de la atención primaria en un área de salud: proyecto ROCAP

Abstract

[ES] Aim: Evaluate the effectiveness of an intervention to incorporate group and community activities on a sustained basis in all the Basic Health Zones (ZBS) of a health area. Design: During January and February 2019, two members of the research team traveled to each ZBS to interview the medical and nursing coordinators who had previously received an ad hoc initial assessment questionnaire (QAI) by email. Place: The scope is the 11 ZBS of a health area. Participants: The study population is the ZBS and the respective teams represented by the medical and nursing coordinations. Interventions: Promote a community health commission, carry out training actions, record activities in clinical history and incorporate management objectives. Main measurements: Quantitative and qualitative analysis was carried out pre and post after the first year of intervention. Results: In the pre-evaluation: 6 primary care teams (EAP) reported having group activities, 4 were participating in local action projects, 4 had a professional referent for community activities, 3 participated in projects with populations in vulnerable situations and 4 stated have specific meetings on community health. After the intervention: 11 EAPs had group activities, 8 had a reference professional, 6 were participating in local action projects, 4 collaborated in projects with vulnerable populations and 5 held meetings on community health. Conclusions: The intervention proved effective after its first year of implementation, since all the EAPs carried out group activities and collaborated with the local councils in the area; the majority had leading professionals in community care and, to a lesser extent, participation in local action projects and in vulnerable populations increased. (c) 2024 Published by Elsevier Espa & ntilde;a, S.L.U. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).