[Evaluation and improvement in the quality of the program of preventive activities and health promotion].
OBJECTIVE
To confirm that the use of the programme of preventive activities and health promotion (PPAHP) for adults in a health district has improved over time.


METHODS
Retrospective and transversal descriptive study.


METHODS
Primary care, Molina la Ribera Health District, Murcia, Spain.


METHODS
The target population was the health district s patients between 18 and 79 years old seen during the 2 periods of study: 16,236 from 1-05-1995 to 30-04-1996 and 17,377 from 1-07-2003 to 30-06-2004. Randomised sampling stratified for age and sex of the clinical records of the target population gave these samples: 140 at the first evaluation and 250 at the second (95% CI).


METHODS
Two internal-audit, retrospective evaluations were made, by means of review of clinical records by health professionals at the centre (peer review). The variables reviewed were activities of PPAHP for adults.


RESULTS
The overall improvement attained was 64.45% (Pareto Diagram). All PPAHP activities (except Anamnesis for Metrorrhagia) showed significant improvement in compliance (P < .05). The PPAHP activity with the highest degree of improvement was Mammography, which went up from 3.70% (+/-7.12) of compliance (first evaluation) to 83.87% (+/-12.95) (second evaluation).


CONCLUSIONS
Degree of compliance with PPAHP improved with time, except for anamnesis on metrorrhagia. The activity with the greatest degree of improvement was mammography.
Escribano Sabater
M Concepción
MC
Subdirección General de Asistencia Primaria, Urgencias y Emergencias (SGAPUE), Dirección General de Asistencia Sanitaria (DGAS), Servicio Murciano de Salud (SMS), Murcia, España.
Moreno Pina
J Patricia
JP
Bañón Arias
Gloria
G
Herranz Valera
José J
JJ
Gomis Cebrián
Rafael
R
D000293:Adolescent; D000328:Adult; D000368:Aged; D003430:Cross-Sectional Studies; D005260:Female; D006293:Health Promotion / Q000379:methods* / Q000592:standards; D006801:Humans; D008297:Male; D008875:Middle Aged; D011314:Preventive Health Services / Q000379:methods* / Q000592:standards; D011320:Primary Health Care / Q000379:methods* / Q000592:standards; D015397:Program Evaluation; D011785:Quality Assurance, Health Care; D012189:Retrospective Studies; D013030:Spain