ABSTRACT
OBJECTIVES: To find out the opinions of primary care professionals on prevention activities in clinical practice, as well as the perceived obstacles to carrying them out and ways of overcoming them. PARTICIPANTS: A total of 129 professionals participated, including primary care doctors, nurses, technicians, primary care service managers, and public health professionals. DESIGN: Delphi questionnaire sent by e-mail. SETTING: Primary care in Catalonia, Spain. MAIN MEASUREMENTS AND RESULTS: Two rounds were made with response rates of 48.9% and 67.4%, respectively. Convergence of over 40% was obtained in all the questions after the second round. The main problems for prevention in clinical practice were lack of time, lack of training and the attitudes of the professionals themselves towards prevention. To improve implementing prevention in the practice, the professionals pointed out, training in communication skills, advice methodology and the use of clinical practice guidelines. CONCLUSIONS: Health professionals pointed out some specific needs in training which could help to improve the inclusion of prevention activities. On the other hand, it was noted that the attitudes of the professionals themselves towards prevention need to be improved.
Subject(s)
Attitude of Health Personnel , Health Promotion , Primary Health Care , Primary Prevention , Delphi Technique , Electronic Mail , Humans , Practice Guidelines as Topic , Spain , Surveys and Questionnaires , WorkforceABSTRACT
Objetivos. Conocer las opiniones de los profesionales de atención primaria sobre las actividades preventivas en la práctica clínica, así como los obstáculos percibidos por los profesionales para realizarlas y las posibles formas de superarlos. Participantes. En total participaron 129 profesionales, entre los que se incluían médicos de atención primaria, profesionales de enfermería, técnicos y responsables de gestión de servicios de atención primaria, y profesionales de salud pública. Diseño. Cuestionario Delphi enviado por correo electrónico. Emplazamiento. Atención primaria en Cataluña. Mediciones y resultados principales. Se realizaron dos rondas en las que se obtuvieron tasas de respuesta del 48,9 y el 67,4%, respectivamente. Tras la segunda ronda se obtuvo una convergencia superior al 40% en todas las preguntas. Los principales problemas para la prevención en la práctica fueron la falta de tiempo, la falta de formación y las propias actitudes de los profesionales hacia la prevención. Para mejorar la implementación de la prevención en la práctica, los profesionales señalaron la formación en habilidades de comunicación, metodología del consejo y la utilización de guías de práctica clínica. Conclusiones. Los profesionales apuntan algunas necesidades específicas en la formación que pueden contribuir a mejorar la integración de las actividades preventivas. Por otro lado, se detecta la necesidad de mejorar las actitudes de los propios profesionales hacia la prevención
Objectives. To find out the opinions of primary care professionals on prevention activities in clinical practice, as well as the perceived obstacles to carrying them out and ways of overcoming them. Participants. A total of 129 professionals participated, including primary care doctors, nurses, technicians, primary care service managers, and public health professionals. Design. Delphi questionnaire sent by e-mail. Setting. Primary care in Catalonia, Spain. Main measurements and results. Two rounds were made with response rates of 48.9% and 67.4%, respectively. Convergence of over 40% was obtained in all the questions after the second round. The main problems for prevention in clinical practice were lack of time, lack of training and the attitudes of the professionals themselves towards prevention. To improve implementing prevention in the practice, the professionals pointed out, training in communication skills, advice methodology and the use of clinical practice guidelines. Conclusions. Health professionals pointed out some specific needs in training which could help to improve the inclusion of prevention activities. On the other hand, it was noted that the attitudes of the professionals themselves towards prevention need to be improved
