[Analysis and development of preventive activities in primary care. Review of the preferential offer and its support software (PAP)]

Gutierrez ML, Berraondo I, Bilbao JL, Gorronogoitia AI, Gutierrez M, Gutierrez B, Olascoaga A, Ozaita N, Rotaeche del Campo R, Urbano F
Record ID 32006001338
Original Title: Análisis y desarrollo del plan de actividades preventivas de atención primaria. Revisión de la oferta preferente y del programa informático de soporte (PAP)
Authors' objectives: 1. Assess the quality of the recommendations that form part of the 2005 Preferential Offer based on the supporting scientific evidence. 2. Define the preventive activities that are to form part of the next Preferential Offer 2009-2012. 3. Improve the features of the software tool in the registration process, the information provided and the clinical utilities. 4. Determine the opinion of medical and nursing professionals about the contents of the 2005 Preferential Offer and the usefulness of the PAP.
Authors' results and conclusions: Recommendations are presented to modify the 2005 Preferential Offer based on the review of cancer detection and treatment activities, cardiovascular risk factors, diabetes, mental health and drug abuse, as well as the children and adult care programmes. The questionnaire was completed by 820 people (66.6% response). In general, professionals believe that scientific evidence should be the main criterion when selecting the contents of the Preferential Offer. Most consider that the contents of 2005 PO are pertinent. Most agree that the main function of the PAP is to remind professionals about the programmed activities. It is widely believed that there is a danger of the register becoming an end in itself. It is considered that the feasibility of preventive activities is limited by the care load. PROPOSAL FOR A NEW PREFERENTIAL OFFER A new version of the Preferential Offer is proposed for the period 2009-2012 This consists of 74 indicators for the smoking habit, cervical cancer, cardiovascular risk, hypertension, obesity, alcohol consumption, depression, anxiety, dementia, safe sexual practices, COPD, bronchial asthma, home chronic patients and patients in the final stages of their life. With regard to infant care, there are indicators for the promotion of maternal breastfeeding, programmed preventive activities, infant asthma and accident prevention. The indicators drawn up are based on the proposals obtained from the systematic review and have been adapted in order to enable their measurements by means of a computer programme. This adaptation involves changes in the definitions in order to secure their feasibility. It should be pointed out that the Preferential Offer of primary care does not include the set of good practices of this care level but those that, due to their relevance or impact on health, are required of professionals within the activities Contract programme and compliance is evaluated systematically.
Authors' recommendations: The study contains proposals for new computer utilities to develop the PAP, included as a result of the suggestions from professionals, especially those of reviewers and collaborators, as well as recommendations for the prioritisation and assignment of relative value units relating to the activities of the new Preferential Offer.
Authors' methods: Through a review of the literature, the evidence supporting the recommendations contained in the 2005 PO is evaluated on a systematic basis. An assessment has been made of their effectiveness and feasibility in the clinical environment of our health system and proposals have been made for their maintenance, modification or removal. Indicators have been proposed taking into consideration the level of recommendation based on the SIGN classification and these have been reviewed by experts and consultants in each area. Before proposing the indicators of the new Preferential Offer, the feasibility of adapting these to Osabide PAP software was taken into consideration. A questionnaire designed to determine the opinions of professionals concerning the contents of the Preferential Offer and the utility of the PAP, was also drawn up. A random sample of 1231 individuals, including family doctors, paediatricians, adult and paediatric nurses of the primary care service of the Basque Health System was selected. The questionnaire was sent by post and e-mail.
Project Status: Completed
Year Published: 2011
English language abstract: An English language summary is available
Publication Type: Other
Country: Spain
MeSH Terms
  • Software
  • Primary Health Care
  • Preventive Health Services
  • Diagnosis, Computer-Assisted
  • Medical Informatics Applications
  • Health Information Systems
  • Public Health Informatics
  • Primary Health Care
  • Software
  • Atención Primaria
Organisation Name: Basque Office for Health Technology Assessment
Contact Address: C/ Donostia – San Sebastián, 1 (Edificio Lakua II, 4ª planta) 01010 Vitoria - Gasteiz
Contact Name: Lorea Galnares-Cordero
Contact Email: lgalnares@bioef.eus
Copyright: <p>Basque Office for Health Technology Assessment (OSTEBA)</p>
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.