title: [Prevention in primary care. The example of the Program for Prevention and Health Promotion. SESPAS Report 2012].
abstract: OBJECTIVE
  The Program for Prevention and Health Promotion (PPHP) of the Spanish Society of Family and Community Medicine was launched at the end of the 1980s and its main objective is to integrate preventive and health promotion activities in daily clinical practice in primary care. The aim of the present study was to determine the level of compliance with the preventive activities of the PPHP.
  
  
  METHODS
  We performed a comprehensive literature search of PPHP publications to assess the implementation and impact of the program.
  
  
  RESULTS
  The distinct evaluations carried out since the beginning of the program show that both compliance and registration of preventive activities have improved over time. The PPHP has been positively evaluated by both health professionals and patients. Family physicians in Spain carry out preventive activities more often than other European family physicians.
  
  
  CONCLUSIONS
  The PHPPS continues to operate 24 years after its initiation. However, some adaptations are needed since the Spanish health system is changing. Proposed modifications are related to accessibility and to providing a more effective response to users. In elderly patients, life expectancy should be assessed and priorities for preventive interventions should be set accordingly.
authors.affiliation: Unidad de Investigación, EAP Sardenya. Instituto de Investigaciones Biomédicas Sant Pau (IIB Sant Pau), Barcelona, España. cbrotons@eapsardenya.cat
authors.forename: Carlos
authors.initials: C
authors.lastname: Brotons
authors.forename: Núria
authors.initials: N
authors.lastname: Soriano
authors.forename: Irene
authors.initials: I
authors.lastname: Moral
authors.forename: Fernando
authors.initials: F
authors.lastname: Rodríguez-Artalejo
authors.forename: José Ramón
authors.initials: JR
authors.lastname: Banegas
authors.forename: José María
authors.initials: JM
authors.lastname: Martín-Moreno
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D003154:Community Medicine / Q000458:organization & administration*; D017598:Efficiency, Organizational; D005060:Europe; D005194:Family Practice / Q000458:organization & administration* / Q000706:statistics & numerical data; D005544:Forecasting; D006040:Goals; D015438:Health Behavior; D006284:Health Plan Implementation; D006293:Health Promotion / Q000458:organization & administration*; D006302:Health Services Research / Q000458:organization & administration; D006801:Humans; D008017:Life Expectancy; D009313:National Health Programs / Q000458:organization & administration; D010349:Patient Compliance; D011314:Preventive Health Services / Q000458:organization & administration*; D011320:Primary Health Care / Q000458:organization & administration*; D011322:Primary Prevention / Q000458:organization & administration*; D011364:Professional Practice; D015397:Program Evaluation; D012955:Societies, Medical / Q000458:organization & administration*; D013030:Spain