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Epidemiology and Primary Health Care: To an strategic alliance
Andreu Segura
Health Institute Studies
Barcelona (Spain)
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Community activities Probably yes Yes, absolutely
Activities outsider the centre 28% 59%
Awareness to deal with health Community problems
42% 41%
Acceptation opinions and ideasfrom population
52% 41%
Ability to adapt programmes andservices
48% 42%
Community dimensions of Primary Health Care in Barcelona. Preliminary results. Spanish version of Primary Care Assessment Tools-Facility
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Use of health data Probably yes Yes, absolutely
Mortality rates 20% 20%
Communicable diseases reports 32% 24%
Vaccination coverage 28% 69%
Job-related risks 38% 26%
Clinical histories 29% 62%
Community dimensions of Primary Health Care in Barcelona. Preliminary results.Spanish version of Primary Care Assessment Tools-Facility
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Means to monitor effectiveness Probably yes Yes, absolutely
Patient surveys 28% 38%
Community surveys 33% 19%
Opinions from community organisations 38% 27%
Opinions from staff 41% 54%
Analysis of key data 32% 31%
Systematic evaluations 35% 47%
Information from other community health workers
37% 31%
Monitoring committee with users 16% 11%
Community dimensions of Primary Health Care in Barcelona. Preliminary results.Spanish version of Primary Care Assessment Tools-Facility
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Community dimensions of Primary Health Care in Barcelona. Preliminary results.Spanish version of Primary Care Assessment Tools-Facility
Relationships Probably yes Yes, absolutely
Culturally diverse groups 27% 27%
Religious organisations 21% 5%
Neighbourhood groups 34% 33%
Community social services 38% 56%
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(Plan “Innovation of Primary Care and Community Health”)
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The Public Health Reform (PHR)The Public Health Reform (PHR)
A priority (Politic
Agreement)
Public health (including occupational health,
environmental health, and food safety)
Public health (including occupational health,
environmental health, and food safety)
Individual and collective
policies and contributions
Promotion, prevention and protection, through
surveillance, monitoring and research
Promotion, prevention and protection, through
surveillance, monitoring and research
A new executive organization focused on territory
Public Health Agency of Catalonia
“the only window”
Public Health Agency of Catalonia
“the only window”
With town councils and other local entities With citizens
With professionals
Related to HLG Community health
Change management
Related to HLG Community health
Change management
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The Public Health ReformThe Public Health Reform
A priority (Tinell
Agreement)
Public health (including occupational health,
environmental health, and food safety)
Public health (including occupational health,
environmental health, and food safety)
Individual and collective
policies and contributions
Promotion, prevention and protection, through surveillance, monitoring
and research
Promotion, prevention and protection, through surveillance, monitoring
and research
A new executive organization directed at the territory
Public Health Agency of Catalonia
"the only window"
Public Health Agency of Catalonia
"the only window"
With town councils and other local entities With citizens
With professionals
Related to HLGCommunity health
Change management
Related to HLGCommunity health
Change management
New Law on Public Health
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Activities to depelop jointly by Primary Health Care and Public Health Services
• Analysis of local health needs• Control of communicable diseases and outbreaks • Health promotion and health protection • Programs• Interventions to reduce inequities • Improvement of health services• Prevention of iatrogenics
Adapted from Griffiths , et al.
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Professor Mervyn Susser was born in September 26th 1921