title: [Evaluation and improvement in the quality of the program of preventive activities and health promotion].
abstract: 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.
authors.affiliation: Subdirección General de Asistencia Primaria, Urgencias y Emergencias (SGAPUE), Dirección General de Asistencia Sanitaria (DGAS), Servicio Murciano de Salud (SMS), Murcia, España.
authors.forename: M Concepción
authors.initials: MC
authors.lastname: Escribano Sabater
authors.forename: J Patricia
authors.initials: JP
authors.lastname: Moreno Pina
authors.forename: Gloria
authors.initials: G
authors.lastname: Bañón Arias
authors.forename: José J
authors.initials: JJ
authors.lastname: Herranz Valera
authors.forename: Rafael
authors.initials: R
authors.lastname: Gomis Cebrián
mesh_terms: 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