title: [Analysis of good practices for inhabitant participation in the clinical management units of the Andalusian Health Service (Spain)].
abstract: OBJECTIVE
  To discover good practices for inhabitant participation in the clinical management units (CMUs) of the Andalusian Health Service (AHS) (Spain) and to explore the reasons perceived by CMU and AHS professionals that may influence the presence and distribution of those good practices among the CMU.
  
  
  METHODS
  Study with mixed methodology carried out in Andalusia (Spain) in two phases (2013-2015). Firstly, an online survey was delivered to the Directors of the CMUs which had set up an inhabitant participation commission. In a second phase, a qualitative study was carried out through semi-structured interviews with professionals from the Andalusian Health Service with previous experience in inhabitant participation. A descriptive analysis of the quantitative information and a semantic content analysis of the qualitative information were carried out.
  
  
  RESULTS
  530 CMUs took part in the survey. The inhabitant participation practices more often implemented in the CMUs are those related to the informing and consultation levels. Twelve professionals were interviewed in the second phase. Other practices with higher inhabitant involvement and delegation are secondary. The barriers which were identified by professionals are related to the beliefs and attitudes of the inhabitants, the professionals, the health system and the environment.
  
  
  CONCLUSIONS
  The main practices for inhabitant participation in the CMUs are related to the most basic levels of participation. The method and dynamics which facilitate inhabitant empowerment within the health system are not clearly recognised.
authors.affiliation: Escuela Andaluza de Salud Pública, Granada, España; Instituto de Investigación Biosanitaria ibs.Granada, Hospitales Universitarios de Granada/Universidad de Granada, Granada, España. Electronic address: meugenia.gomez.easp@juntadeandalucia.es.
authors.forename: M Eugenia
authors.initials: ME
authors.lastname: Gómez Martínez
authors.affiliation: Escuela Andaluza de Salud Pública, Granada, España.
authors.forename: Guadalupe
authors.initials: G
authors.lastname: Pastor Moreno
authors.affiliation: Escuela Andaluza de Salud Pública, Granada, España; Instituto de Investigación Biosanitaria ibs.Granada, Hospitales Universitarios de Granada/Universidad de Granada, Granada, España.
authors.forename: Olivia
authors.initials: O
authors.lastname: Pérez Corral
authors.affiliation: Dirección General de Asistencia Sanitaria y Resultados en Salud, Servicio Andaluz de Salud, Sevilla, España.
authors.forename: M Teresa
authors.initials: MT
authors.lastname: Iriarte de Los Santos
authors.affiliation: Escuela Andaluza de Salud Pública, Granada, España.
authors.forename: Ángel Luis
authors.initials: ÁL
authors.lastname: Mena Jiménez
authors.affiliation: Escuela Andaluza de Salud Pública, Granada, España; Instituto de Investigación Biosanitaria ibs.Granada, Hospitales Universitarios de Granada/Universidad de Granada, Granada, España.
authors.forename: M Cecilia
authors.initials: MC
authors.lastname: Escudero Espinosa
authors.affiliation: Escuela Andaluza de Salud Pública, Granada, España; Instituto de Investigación Biosanitaria ibs.Granada, Hospitales Universitarios de Granada/Universidad de Granada, Granada, España.
authors.forename: Inmaculada
authors.initials: I
authors.lastname: García Romera
authors.affiliation: Viceconsejería de Salud, Consejería de Salud, Sevilla, España.
authors.forename: Martín Germán
authors.initials: MG
authors.lastname: Blanco García
authors.affiliation: Escuela Andaluza de Salud Pública, Granada, España; Instituto de Investigación Biosanitaria ibs.Granada, Hospitales Universitarios de Granada/Universidad de Granada, Granada, España.
authors.forename: Amelia
authors.initials: A
authors.lastname: Martín Barato
mesh_terms: D003256:Community Participation; D003430:Cross-Sectional Studies; D005260:Female; D006298:Health Services Administration; D006801:Humans; D008297:Male; D013030:Spain
keywords: Administrative management; Clinical governance; Community participation; Derechos de los pacientes; Gestión administrativa; Gobernanza clínica; Participación comunitaria; Participación de pacientes; Patient participation; Patient rights