ABSTRACT
INTRODUCTION AND OBJECTIVE: The Catalan Health Service carries out the operational planning of service delivery and organization. The goal is to describe the methodology and procedure followed to perform these functions. METHODS: The process of operational planning in healthcare services (OPHS) is continuous, dynamic, participatory, objective, and adaptable. OPHS can be divided into three stages prior to implementation and evaluation: Service delivery planning, Organization of healthcare resources, and Procurement planning. RESULTS: Three examples of projects are presented following the POSS framework. It is essential to adapt the process to the characteristics of each project. CONCLUSIONS: The proposed framework is useful to achieve high quality and equity in access to services.
ABSTRACT
Objetivo. Un buen plan de comunicación es vital para obtener resultados óptimos en cualquier cribado poblacional. El objetivo fue evaluar el conocimiento, la implicación y la opinión de los profesionales de salud respecto al Programa de Detección Precoz de Cáncer de Mama en Barcelona en el 2008. Material y métodos. Estudio transversal mediante una encuesta anónima y autoadministrada. La población de estudio (n = 960) fueron los profesionales de los equipos de atención primaria (EAP), de los Programas de Atención a la Salud Sexual y Reproductiva (PASSIR) y de las oficinas de farmacia comunitaria (OFC). Las variables dependientes: conocimiento del programa, implicación profesional y opinión del programa. Las independientes: sexo, edad, titulación, situación laboral y equipo de salud. Se realizó un análisis descriptivo y bivariado. Mediante modelos multivariados de regresión logística ajustados por edad se obtuvieron odds ratios (OR) con sus intervalos de confianza al 95% (IC 95%). Resultados. Los profesionales del PASSIR conocen la población objetivo del programa en un 80,2% frente al 26,1% de los EAP y el 14% de las OFC. La implicación profesional se relaciona con el equipo (OROFC/EAP: 0,32; IC 95%: 0,22-0,43), siendo los EAP los que indican mayor grado. La opinión sobre el programa en la reducción de la mortalidad por cáncer de mama fue similar en los 3 equipos (61,6%: EAP, 59,3%: PASSIR y 56,5%: OFC). Conclusiones. Los profesionales de salud desconocen algunos aspectos del programa como el rango de edad o la periodicidad. Existe una gran implicación profesional y opinan que el programa ha contribuido a divulgar información y conocimiento sobre la detección precoz del cáncer de mama(AU)
Objective. A good communication plan is vital for optimal results in any screening programme. The objective of this study was to assess the knowledge, involvement and opinion of health professionals regarding the Breast Cancer Screening Programme in Barcelona in 2008. Material and methods. A cross-sectional study using an anonymous and self-administered questionnaire. The study population (N = 960) were health professionals from Primary Health-care (PH), Programs for Sexual and Reproductive Health (PSRH), and Community Pharmacies (CP). The dependent variables were: knowledge of the Programme, professional involvement and opinion of the Programme. The independent variables were: sex, age, qualifications, employment status, and health team. A descriptive and bivariate analysis was performed. Using multivariate logistic regression models adjusted for age, an Odds Ratios (OR) were obtained along with the 95% confidence intervals (CI95%). Results. PSRH professionals know the target population better; 80.2% versus 26.1% PH, and 14.0% CP, respectively. Professional involvement was related to the health care team (ORCP/PH: 0.32, CI95%: 0.22-0.43) being observed more in PH. The opinion on the Programme in reducing breast cancer mortality was similar in the three teams (61.6% PH, 59.3% PSRH, and 56.5% CP). Conclusions. Healthcare professionals are unaware of some aspects of Programme, such as age range or periodicity. There is great professional involvement and belief that the Programme has helped disseminate information and knowledge on the early detection of breast cancer(AU)
Subject(s)
Humans , Female , Early Detection of Cancer/methods , Early Detection of Cancer/standards , Early Detection of Cancer , Breast Neoplasms/diagnosis , Quality of Health Care/legislation & jurisprudence , Quality of Health Care/statistics & numerical data , Breast Neoplasms/epidemiology , Breast Neoplasms/prevention & control , Mass Screening/legislation & jurisprudence , Mass Screening/prevention & control , Primary Health Care/methods , Primary Health Care/statistics & numerical data , Primary Health Care/trends , Secondary Prevention/methods , Secondary Prevention/trendsABSTRACT
OBJECTIVE: A good communication plan is vital for optimal results in any screening programme. The objective of this study was to assess the knowledge, involvement and opinion of health professionals regarding the Breast Cancer Screening Programme in Barcelona in 2008. MATERIAL AND METHODS: A cross-sectional study using an anonymous and self-administered questionnaire. The study population (N = 960) were health professionals from Primary Health-care (PH), Programs for Sexual and Reproductive Health (PSRH), and Community Pharmacies (CP). The dependent variables were: knowledge of the Programme, professional involvement and opinion of the Programme. The independent variables were: sex, age, qualifications, employment status, and health team. A descriptive and bivariate analysis was performed. Using multivariate logistic regression models adjusted for age, an Odds Ratios (OR) were obtained along with the 95% confidence intervals (CI 95%). RESULTS: PSRH professionals know the target population better; 80.2% versus 26.1% PH, and 14.0% CP, respectively. Professional involvement was related to the health care team (ORCP/PH: 0.32, CI 95%: 0.22-0.43) being observed more in PH. The opinion on the Programme in reducing breast cancer mortality was similar in the three teams (61.6% PH, 59.3% PSRH, and 56.5% CP). CONCLUSIONS: Healthcare professionals are unaware of some aspects of Programme, such as age range or periodicity. There is great professional involvement and belief that the Programme has helped disseminate information and knowledge on the early detection of breast cancer.
