000170024 001__ 170024
000170024 005__ 20260316092629.0
000170024 0247_ $$2doi$$a10.1186/s12875-026-03198-5
000170024 0248_ $$2sideral$$a148560
000170024 037__ $$aART-2026-148560
000170024 041__ $$aeng
000170024 100__ $$0(orcid)0000-0001-8942-814X$$aDomínguez-García, Marta$$uUniversidad de Zaragoza
000170024 245__ $$aIncreasing community orientation of primary care health professionals: analysis of the training plan of a community health strategy
000170024 260__ $$c2026
000170024 5060_ $$aAccess copy available to the general public$$fUnrestricted
000170024 5203_ $$aBackground
Improving population health management requires moving beyond an individualistic and biologistic approach in primary care towards a more holistic perspective that considers the multiple elements interacting within a community. To this end, a Community Care Strategy in Aragón (Spain) was implemented, which has been acknowledged as a successful model by the WHO Regional Office for Europe. It guides primary care teams in the development of community care through three courses of action, built upon coordinated initiatives such as its multi-level training plan. This study aims to describe the characteristics of the professionals participating in the training plan, explore their perceived usefulness of the training, and examine its association with changes in daily primary care practice.
Methods
A descriptive observational quantitative study was conducted, which analyzed the characteristics of the participating professionals in the training activities from 2017 to 2022. In order to assess the effectiveness and to determine its correlation with the degree of community involvement among professionals in their daily work, an online questionnaire was distributed to all the professionals who had participated in any training activity. The questionnaire also included two open-ended questions to gather qualitative insights into participants’ opinions regarding the training.
Results
During this period, a total of 1,107 places were offered in 38 continuing training activities. Participation in training activities related to each of the three courses of action of the strategy was significantly associated with their subsequent implementation in practice (OR 2.17 CI95% 1.39–3.4, OR 3.55 CI95% 2.08–6.06, and OR 1.62 CI95% 1.02–2.57). These associations were stronger among professionals who reported an increased community orientation following the training (OR 2.16 CI95% 1.13–4.11, OR 3.00 CI95% 1.55–5.83, and OR 3.70 CI95% 1.80–7.62).
Conclusions
The findings suggest that the continuing training plan of the Community Care Strategy is a valuable component in supporting the implementation of the strategy and enhancing the community orientation of primary care professionals. This shift aligns with a more community-oriented and salutogenic approach to primary care, consistent with WHO recommendations.
000170024 536__ $$9info:eu-repo/grantAgreement/ES/DGA/B21-23R-GAIAP$$9info:eu-repo/grantAgreement/ES/ISCIII/RD24-0005/0004$$9info:eu-repo/grantAgreement/ES/ISCIII-RICAPPS/RD21-0016-0005
000170024 540__ $$9info:eu-repo/semantics/openAccess$$aby-nc-nd$$uhttps://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
000170024 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000170024 700__ $$aVilches-Urrutia, Begoña
000170024 700__ $$aEnríquez-Martín, Natalia
000170024 700__ $$aLou-Alcaine, María Luz
000170024 700__ $$0(orcid)0000-0001-6565-9699$$aOliván-Blázquez, Bárbara$$uUniversidad de Zaragoza
000170024 700__ $$0(orcid)0000-0002-5494-6550$$aMagallón-Botaya, Rosa$$uUniversidad de Zaragoza
000170024 700__ $$0(orcid)0000-0003-4558-8285$$aMelús-Palazón, Elena
000170024 700__ $$aBenedé-Azagra, Carmen Belén
000170024 7102_ $$14009$$2740$$aUniversidad de Zaragoza$$bDpto. Psicología y Sociología$$cÁrea Psicología Social
000170024 7102_ $$11007$$2610$$aUniversidad de Zaragoza$$bDpto. Medicina, Psiqu. y Derm.$$cArea Medicina
000170024 773__ $$g27, 81 (2026), [11 pp.]$$tBMC Primary Care$$x2731-4553
000170024 8564_ $$s1451584$$uhttps://zaguan.unizar.es/record/170024/files/texto_completo.pdf$$yVersión publicada
000170024 8564_ $$s2168077$$uhttps://zaguan.unizar.es/record/170024/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000170024 909CO $$ooai:zaguan.unizar.es:170024$$particulos$$pdriver
000170024 951__ $$a2026-03-16-08:17:02
000170024 980__ $$aARTICLE