ABSTRACT
FUNDAMENTOS: El Observatorio de Salud Comunitaria de Navarra se creó en 2016 para estudiar los determinantes, resultados y desigualdades en salud. El objetivo de este artículo fue describir la metodología y el proceso seguidos para su puesta en marcha, así como analizar la variabilidad de los indicadores seleccionados entre Zonas Básicas de Salud.MÉTODOS: Se especificó la configuración del observatorio y se describieron estadísticamente los indicadores seleccionados y su variabilidad entre zonas. RESULTADOS: Durante el periodo considerado, el observatorio interactuó con diferentes instituciones, unas como proveedoras de información y otras como usuarias de la misma. Uno de sus principales productos fueron los Informes de Perfil de Zona Básica de Salud, que incluyeron para cada zona una selección de 21 indicadores agrupados en: factores sociodemográficos, estilos de vida, morbilidad, sistema de salud y mortalidad. Los coeficientes de variación entre zonas de los indicadores se encontraron entre 0,01 y 0,7, siendo los que aluden a factores sociodemográficos los de mayor variabilidad.CONCLUSIONES: Esta experiencia comparte con otras similares el establecimiento de un sistema de comparación de determinantes y resultados de salud en áreas pequeñas. Los indicadores seleccionados captan la variabilidad entre zonas, devolviendo una imagen específica de las mismas. A partir de sus productos se abren posibilidades de intervención en coordinación con Atención Primaria, los agentes sociales y los activos de salud
BACKGROUND: The Community Health Observatory of Navarre (Observatorio de Salud Comunitaria de Navarra) was created in 2016 to study health determinants, results and inequalities. The objective of this article was to describe the methodology and the process followed to launch it, and to analyse the variation of the selected indicators among Basic Health Zones.METHODS: The observatory configuration was specified and the selected indicators and their variation among zones were described. RESULTS: During the period under consideration, the observatory interacted with many institutions, some of them provide information and others receive it. One of the main outcomes was the Profile Reports by Basic Health Zone, which included a selection of 21 indicators by zone related to socio-demographic factors, lifestyles, morbidity, Health System and mortality. The coefficients of variation among zones ranged between 0.01 and 0.7, showing the socio-demographic factors the greatest variation.CONCLUSIONS: This project, in line with other observatories, sets a system of comparison with health determinants and results in small areas. The selected indicators capture variation among zones, generating specific pictures. This is the starting point for future interventions in coordination with Primary Health Care, social agents and health assets
Subject(s)
Humans , Male , Female , Pregnancy , Infant, Newborn , Infant , Child, Preschool , Adolescent , Young Adult , Aged, 80 and over , Health Observatory , Public Health , Health Status Indicators , Health Status Disparities , Socioeconomic Factors , SpainABSTRACT
BACKGROUND: To describe utilisation of health care services and motives for consultation in Primary Care in the native and the immigrant population, and compare this with the perception of primary care professionals. METHODS: Data was collected on health care activity during the year 2006 for all people registered (N=86,966) in the 6 basic health care zones with the highest proportion of immigrants (14.4%) and on the following variables: country of origin, age, sex, year of inscription in the public health service. The health card and OMI-AP programme databases were used. A qualitative methodology of focus groups and in-depth interviews was employed. RESULTS: Seventy-two point four percent of immigrants requested care from the primary care professionals in 2006, of whom 50% proceeded from Ecuador and 70% were between 25 and 44 years old. Eighty-two percent of the natives made consultations and required more referrals to specialised care than the immigrants of the same age group. The most frequent consultation with natives and with immigrants was "acute respiratory infections" (7 to 23% according to age group). The second most frequent with immigrants was "administrative problems". The consultations with immigrants were not related to preventive aspects such as smoking and there were more consultations (p>0.001) for gynaeco-obstetric episodes (10.7%) and those related to work (19%) or psychosomatic problems (8.5%). The perception of the primary care professionals was that the immigrants carry out more consultations than the natives and generate a certain "disorder" in the clinic. CONCLUSION: Immigrants use healthcare services less than the native population. Nonetheless, this fact is not perceived in this way by the primary care professionals. Fewer preventive activities are carried out with immigrants, who suffer from more labour and psychosomatic problems.
