Opiniones de los profesionales sanitarios sobre la influencia del Programa de Actividades Preventivas y de Promoción de la Salud (PAPPS) en atención primaria / Opinions of health professionals on the impact of the preventive activities and health promotion program (PAPPS)

Objetivo: conocer la opinión de los profesionales de Atención Primaria (APS) sobre el impacto y el papel del Programa de Actividades Preventivas y de Promoción de la Salud (PAPPS). Diseño: estudio descriptivo cuali-cuantitativo. En una primera fase se empleó la técnica DAFO. En una segunda fase se diseñó un cuestionario de 47 ítems con respuestas mediante una escala ordinal. Ámbito: nivel de Atención Primaria de Salud. Participantes: profesionales de centros de salud PAPPS, responsables del PAPPS y gestores de APS, usando como criterios de segmentación la Comunidad Autónoma, y el tiempo de adscripción o conocimiento del PAPPS. En el estudio cualitativo se hizo una selección por muestreo teorético de 62 participantes; en el estudio cuantitativo, 198 profesionales respondieron a la encuesta. Mediciones principales: la valoración de los resultados se hizo teniendo en cuenta las respuestas a las preguntas formuladas y realizando un análisis cruzado entre fortalezas/amenazas y debilidades/oportunidades. Análisis estadístico descriptivo de las preguntas del cuestionario. Resultados: existe acuerdo en que el PAPPS ha tenido una gran influencia en el desarrollo de la APS, contribuyendo a mejorar la calidad asistencial, pero también en que es fundamental tratar de dinamizar el programa, siendo la principal debilidad la escasa implicación de los profesionales con las recomendaciones preventivas postuladas por falta de motivación y por el desgaste profesional. Conclusiones: Según los participantes el PAPPS ha contribuido de manera significativa al desarrollo de la APS en nuestro país y ha influido sobre la práctica profesional inculcando una cultura de prevención que antes apenas existía (AU)

Objective: to find out the opinion of Primary Health Care (PHC) professionals on the impact of the Preventive Activities and Health Promotion Program (PAPPS). Design: descriptive qualitative-quantitative study. In a first phase the SWOT technique was used. In a second phase a 47 items questionnaire was designed using an ordinal scale. Participants: professionals of PAPPS health centre, PAPPS managers and PHC management, using the Autonomous Community, and the time of ascribing or knowledge of PAPPS as segmentation criteria. In the qualitative study 62 participants were selected by theoretical sampling. In the quantitative study, 198 professionals took part in the survey. Principal measurements: the assessment of the results has taken into account the responses to the questions formulated and by performing a crossed analysis between strengths/threats and weaknesses/opportunities. A descriptive statistical analysis of the questions in the questionnaire. Results: there is agreement in that PAPPS has greatly influenced the development of PHC, contributing to improving the quality of care, but it is also fundamental to try revitalise the programme, as the limited involvement by the professionals in the postulated preventive recommendations is its main weakness, due to lack of motivation and professional burn-out. Conclusions: according to the participants PAPPS has contributed significantly to the development of PHC in our country and has had an influence on professional practice by instilling a prevention culture that hardly existed before (AU)

[Opinions of health professionals on the impact of the Preventive Activities and Health Promotion Program (PAPPS)]. / Opiniones de los profesionales sanitarios sobre la influencia del Programa de Actividades Preventivas y de Promoción de la Salud (PAPPS) en atención primaria.

OBJECTIVE: To find out the opinion of Primary Health Care (PHC) professionals on the impact of the Preventive Activities and Health Promotion Program (PAPPS). DESIGN: Descriptive qualitative-quantitative study. In a first phase the SWOT technique was used. In a second phase a 47 item questionnaire was designed using an ordinal scale. PARTICIPANTS: Professionals of PAPPS health centre, PAPPS managers and PHC management, using the Autonomous Community, and the time of ascribing or knowledge of PAPPS as segmentation criteria. In the qualitative study 62 participants were selected by theoretical sampling. In the quantitative study, 198 professionals took part in the survey. PRINCIPAL MEASUREMENTS: The assessment of the results has taken into account the responses to the questions formulated and by performing a crossed analysis between strengths/threats and weaknesses/opportunities. A descriptive statistical analysis of the questions in the questionnaire. RESULTS: There is agreement in that PAPPS has greatly influenced the development of PHC, contributing to improving the quality of care, but it is also fundamental to try revitalise the programme, as the limited involvement by the professionals in the postulated preventive recommendations is its main weakness, due to lack of motivation and professional burn-out.. CONCLUSIONS: According to the participants PAPPS has contributed significantly to the development of PHC in our country and has had an influence on professional practice by instilling a prevention culture that hardly existed before.