Abstract
OBJECTIVES: To evaluate the impact of a policy to define priorities for the reform of primary health care services among small areas according to health and social indicators. DESIGN: Qualitative study of the changes in the provision of primary health care services after a priority setting exercise based in social and a health indicators. SETTING: The city of Barcelona (Catalonia, Spain). PARTICIPANTS: The 66 basic health areas in which the city is divided for health care planning. INTERVENTION: Areas are ranked according to their health and social indicators, giving greater priority to those areas with unfavorable indicators for the development of the reform of primary health care services and a associated allocation of resources. RESULTS: Although at first new investments were determined by preexisting processes based in opportunity criteria, clear changes are observed. Three years after, there are improvements in the provision for services in all priority areas, or they are in the midst of change. CONCLUSIONS: In a context of tightening resources and of resistance to change, it is possible to introduce objective criteria to set priorities to improve primary health care services selectively in areas with most unfavorable indicators. This process has the capacity to overrun obstacles and resistances.
| Original language | Spanish |
|---|---|
| Pages (from-to) | 47-54 |
| Number of pages | 8 |
| Journal | Atencion Primaria |
| Volume | 21 |
| Issue number | 1 |
| State | Published - Jan 1998 |
| Externally published | Yes |
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ASJC Scopus subject areas
- Medicine(all)
Cite this
Corregir las desigualdades sociales en salud : la reforma de la atención primaria como estrategia. / Villalbí, J. R.; Guarga, A.; Pasarín, M. I.; Gil, M.; Borrell, C.
In: Atencion Primaria, Vol. 21, No. 1, 01.1998, p. 47-54.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Corregir las desigualdades sociales en salud
T2 - la reforma de la atención primaria como estrategia.
AU - Villalbí, J. R.
AU - Guarga, A.
AU - Pasarín, M. I.
AU - Gil, M.
AU - Borrell, C.
PY - 1998/1
Y1 - 1998/1
N2 - OBJECTIVES: To evaluate the impact of a policy to define priorities for the reform of primary health care services among small areas according to health and social indicators. DESIGN: Qualitative study of the changes in the provision of primary health care services after a priority setting exercise based in social and a health indicators. SETTING: The city of Barcelona (Catalonia, Spain). PARTICIPANTS: The 66 basic health areas in which the city is divided for health care planning. INTERVENTION: Areas are ranked according to their health and social indicators, giving greater priority to those areas with unfavorable indicators for the development of the reform of primary health care services and a associated allocation of resources. RESULTS: Although at first new investments were determined by preexisting processes based in opportunity criteria, clear changes are observed. Three years after, there are improvements in the provision for services in all priority areas, or they are in the midst of change. CONCLUSIONS: In a context of tightening resources and of resistance to change, it is possible to introduce objective criteria to set priorities to improve primary health care services selectively in areas with most unfavorable indicators. This process has the capacity to overrun obstacles and resistances.
AB - OBJECTIVES: To evaluate the impact of a policy to define priorities for the reform of primary health care services among small areas according to health and social indicators. DESIGN: Qualitative study of the changes in the provision of primary health care services after a priority setting exercise based in social and a health indicators. SETTING: The city of Barcelona (Catalonia, Spain). PARTICIPANTS: The 66 basic health areas in which the city is divided for health care planning. INTERVENTION: Areas are ranked according to their health and social indicators, giving greater priority to those areas with unfavorable indicators for the development of the reform of primary health care services and a associated allocation of resources. RESULTS: Although at first new investments were determined by preexisting processes based in opportunity criteria, clear changes are observed. Three years after, there are improvements in the provision for services in all priority areas, or they are in the midst of change. CONCLUSIONS: In a context of tightening resources and of resistance to change, it is possible to introduce objective criteria to set priorities to improve primary health care services selectively in areas with most unfavorable indicators. This process has the capacity to overrun obstacles and resistances.
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UR - http://www.scopus.com/inward/citedby.url?scp=0031616966&partnerID=8YFLogxK
M3 - Article
C2 - 9557357
AN - SCOPUS:0031616966
VL - 21
SP - 47
EP - 54
JO - Atencion Primaria
JF - Atencion Primaria
SN - 0212-6567
IS - 1
ER -