Caracterización de las interrupciones que se producen en las consultas de los médicos de familia. Observatorio de la Medicina de Familia del Maresme / Characterization of the interruptions ocurring in the consultations of the family doctors. Observatory of the Maresme Family Medicine

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Factores que facilitan y dificultan el desarrollo de los proyectos comunitarios. Estudio observacional de la red AUPA de centros de atención primaria de Cataluña / Factors involved in the development of the community projects. Observational study of the Catalonian primary care centers AUPA network

Objetivo: Describir las características de los equipos de atención primaria (EAP) de la red Actuant Units per a la Salut (AUPA, ‘Actuando Unidos por la Salud’), conocer los elementos facilitadores y obstáculos para realizar proyectos comunitarios (PC), el impacto de participar en la red AUPA y las expectativas respecto a ésta. Diseño: Estudio transversal, descriptivo y analítico con recogida de datos mediante técnicas cuantitativas y cualitativas. Emplazamiento: Centros de atención primaria. Participantes: Quince EAP adscritos a la red AUPA antes de enero de 2006.Medidas principales : Variables referentes a las características de los EAP, profesionales, PC, facilitadores y obstáculos del PC, utilidad, expectativas e impacto de pertenecer a la red AUPA. Resultados principales: La mayoría de los centros son docentes y reciben apoyo metodológico externo. Los PC están en fases iniciales de desarrollo y la metodología más utilizada es atención primaria orientada a la comunidad (APOC). Los proyectos cuentan con participación de la comunidad y colaboración intersectorial. Enfermería es el colectivo más implicado. Los factores influyentes en el desarrollo del PC son la motivación de los profesionales, la formación previa en atención comunitaria (AC), el apoyo de dirección y la participación de personas clave y de la comunidad. Se pide más tiempo laboral para trabajar en AC, apoyo metodológico por expertos, mayor reconocimiento profesional, apoyo directivo del EAP y de la empresa. Conclusiones: Hace falta motivar profesionales, fomentar el conocimiento en AC y dar reconocimiento y apoyo de las instituciones y de la comunidad. Se percibe un beneficio del trabajo en red: compartir experiencias, compromiso y adquisición de conocimientos (AU)

Objective: To describe the characteristics of the AUPA Health Centres network, identify the favourable elements and the obstacles when carrying out community projects (CP), the impact of belonging to the AUPA network, and the types of support members expect from the AUPA Network. Design: A cross-sectional, descriptive and analytical study with analysis of information using quantitative and qualitative techniques. Location Primary Care. Participants15 centres of Primary Care belonging to the AUPA network before January 2006.Principal Measurements Variables regarding the characteristics of the Health Centres, professionals, CP, facilitators and obstacles of the CP, usefulness, expectations and impact of belonging to the AUPA network. Principal Results: The majority of centres are teaching and receive methodological external support. The majority of CP are in initial phases of development and the most used methodology is Community Oriented Primary Care (COPC). The projects have the support of the community and intersectorial collaboration. Nursing is the group most involved. The factors that influence development of the CP are the motivation of the professionals, previous training in community care, management support and the participation of key personnel and the community. The community centres require more time to work on CP, methodological support from experts, better professional recognition, support by the Health Centre management and companies. Conclusions: It is necessary to motivate professionals, promote knowledge in community care, giving recognition and support by the institutions and by the community. Work benefits are perceived from the network: sharing experiences, commitment and gaining knowledge (AU)

[Factors involved in the development of the community projects. Observational study of the Catalonian primary care centers AUPA network]. / Factores que facilitan y dificultan el desarrollo de los proyectos comunitarios. Estudio observacional de la red AUPA de centros de atención primaria de Cataluña.

OBJECTIVE: To describe the characteristics of the AUPA Health Centres network, identify the favourable elements and the obstacles when carrying out community projects (CP), the impact of belonging to the AUPA network, and the types of support members expect from the AUPA Network. DESIGN: A cross-sectional, descriptive and analytical study with analysis of information using quantitative and qualitative techniques. LOCATION: Primary Care. PARTICIPANTS: 15 centres of Primary Care belonging to the AUPA network before January 2006. PRINCIPAL MEASUREMENTS: Variables regarding the characteristics of the Health Centres, professionals, CP, facilitators and obstacles of the CP, usefulness, expectations and impact of belonging to the AUPA network. PRINCIPAL RESULTS: The majority of centres are teaching and receive methodological external support. The majority of CP are in initial phases of development and the most used methodology is Community Oriented Primary Care (COPC). The projects have the support of the community and intersectorial collaboration. Nursing is the group most involved. The factors that influence development of the CP are the motivation of the professionals, previous training in community care, management support and the participation of key personnel and the community. The community centres require more time to work on CP, methodological support from experts, better professional recognition, support by the Health Centre management and companies. CONCLUSIONS: It is necessary to motivate professionals, promote knowledge in community care, giving recognition and support by the institutions and by the community. Work benefits are perceived from the network: sharing experiences, commitment and gaining knowledge.