Title |
Análisis de las buenas prácticas de participación ciudadana en las unidades de gestión clínica del Servicio Andaluz de Salud
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Published in |
Gaceta Sanitaria, September 2016
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DOI | 10.1016/j.gaceta.2016.06.003 |
Pubmed ID | |
Authors |
M. Eugenia Gómez Martínez, Guadalupe Pastor Moreno, Olivia Pérez Corral, M. Teresa Iriarte de los Santos, Ángel Luis Mena Jiménez, M. Cecilia Escudero Espinosa, Inmaculada García Romera, Martín Germán Blanco García, Amelia Martín Barato |
Abstract |
To discover good practices for inhabitant participation in the clinical management units (CMUs) of the Andalusian Health Service (AHS) (Spain) and to explore the reasons perceived by CMU and AHS professionals that may influence the presence and distribution of those good practices among the CMU. Study with mixed methodology carried out in Andalusia (Spain) in two phases (2013-2015). Firstly, an online survey was delivered to the Directors of the CMUs which had set up an inhabitant participation commission. In a second phase, a qualitative study was carried out through semi-structured interviews with professionals from the Andalusian Health Service with previous experience in inhabitant participation. A descriptive analysis of the quantitative information and a semantic content analysis of the qualitative information were carried out. 530 CMUs took part in the survey. The inhabitant participation practices more often implemented in the CMUs are those related to the informing and consultation levels. Twelve professionals were interviewed in the second phase. Other practices with higher inhabitant involvement and delegation are secondary. The barriers which were identified by professionals are related to the beliefs and attitudes of the inhabitants, the professionals, the health system and the environment. The main practices for inhabitant participation in the CMUs are related to the most basic levels of participation. The method and dynamics which facilitate inhabitant empowerment within the health system are not clearly recognised. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
Spain | 5 | 71% |
Unknown | 2 | 29% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 6 | 86% |
Practitioners (doctors, other healthcare professionals) | 1 | 14% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Spain | 1 | 1% |
Unknown | 70 | 99% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Doctoral Student | 9 | 13% |
Student > Master | 7 | 10% |
Student > Bachelor | 7 | 10% |
Professor | 6 | 8% |
Other | 5 | 7% |
Other | 16 | 23% |
Unknown | 21 | 30% |
Readers by discipline | Count | As % |
---|---|---|
Social Sciences | 12 | 17% |
Medicine and Dentistry | 11 | 15% |
Nursing and Health Professions | 6 | 8% |
Engineering | 5 | 7% |
Psychology | 5 | 7% |
Other | 11 | 15% |
Unknown | 21 | 30% |