[Priorities in health promotion according to primary care health professionals: a Delphi study].
OBJECTIVE
To find out the opinions of primary care professionals on prevention activities in clinical practice, as well as the perceived obstacles to carrying them out and ways of overcoming them.


METHODS
A total of 129 professionals participated, including primary care doctors, nurses, technicians, primary care service managers, and public health professionals.


METHODS
Delphi questionnaire sent by e-mail.


METHODS
Primary care in Catalonia, Spain.


RESULTS
Two rounds were made with response rates of 48.9% and 67.4%, respectively. Convergence of over 40% was obtained in all the questions after the second round. The main problems for prevention in clinical practice were lack of time, lack of training and the attitudes of the professionals themselves towards prevention. To improve implementing prevention in the practice, the professionals pointed out, training in communication skills, advice methodology and the use of clinical practice guidelines.


CONCLUSIONS
Health professionals pointed out some specific needs in training which could help to improve the inclusion of prevention activities. On the other hand, it was noted that the attitudes of the professionals themselves towards prevention need to be improved.
Nebot
Manel
M
Servei d'Avaluació i Métodes, Agència de Salut Pública, Barcelona, Spain.
Cabezas
Carmen
C
Marqués
Fernando
F
Bimbela
José L
JL
Robledo
Teresa
T
Megido
Xus
X
Prados
José A
JA
Muñoz
Elena
E
D001291:Attitude of Health Personnel; D003697:Delphi Technique; D034742:Electronic Mail; D006293:Health Promotion; D006801:Humans; D017410:Practice Guidelines as Topic; D011320:Primary Health Care; D011322:Primary Prevention; D013030:Spain; D011795:Surveys and Questionnaires; D000078329:Workforce