[Structural analysis of the new model of primary care in the community of Valencia].
OBJECTIVE
To analyse the structure of the new model of primary care (NMPC) in the Community of Valencia, and to identify the strategic importance of its characteristic variables and the possibilities of intervention to affect these variables.


METHODS
A qualitative study through a method of structural analysis (crossed impact method-multiplication applied to a classification) of the relationships between 37 variables characterising the NMPC which were identified by prior qualitative research, with interpretation of the results using the Téniere-Buchot Model.


METHODS
Community of Valencia.


RESULTS
The structural variables identified were those relating to the political-legal framework and to the allocation of primary care resources; and the resultant variables, those relating to efficiency and primary care quality. Between these two categories, the intervention variables covered management, NMPC professionals, health needs and the community's use of services.


CONCLUSIONS
The structural analysis gives the legal-political and economical framework a determining role in NMPC, which can hardly be influenced from within the system. Management and organisation are identified as key variables from which an intervention can be made in the short or medium term to achieve the aims of the system.
Compañ
L
L
Departamento de Salud Pública, Facultad de Medicina, Universidad de Alicante.
Portella
E
E
Peiró
S
S
D017146:Models, Organizational; D011320:Primary Health Care / Q000458:organization & administration*; D013030:Spain
Análisis estructural del nuevo modelo de atención primaria en la comunidad Valenciana.