title: [Healthcare promotion in primary care: if Hippocrates were alive today…].
abstract: This article argues for the need to implement community healthcare promotion initiatives in medical practice. Some of the community initiatives introduced in primary care, as well as scientific evidence and associated implementation factors are described. The need for effective coordination between primary care and public health services, working with the community, is underlined. Two specific coordination initiatives are explained by way of example. The first is a project to develop healthcare plans in health centres in the Balearic Islands, by means of a participatory process with the collaboration of citizens, local organisations and the town council (urban planning, mobility, social services, etc.). The second is the Interdepartmental Public Health Plan of Catalonia, which was established to coordinate cross-sectoral healthcare. A specific part of this plan is the COMSalud project, the purpose of which is to introduce a community perspective to health centres and which is currently being piloted in 16 health areas. We review the proposals of a 2008 research study to implement healthcare promotion in primary care, assessing its achievements and shortfalls. The Disease Prevention and Health Promotion Strategy of the Spanish Ministry of Health is recognised as an opportunity to coordinate primary and public health. It is concluded that this change of mentality will require both financial and human resources to come to fruition.
authors.affiliation: Servei de Promoció de la Salut, Direcció General de Salut Pública i Participació, Conselleria de Salut, Govern Balear, Palma de Mallorca, España; Institut d'Investigació Sanitària de Palma (IDISPA), Palma de Mallorca, España; Red de Investigación de Actividades Preventivas y Promoción de la Salud (RedIAPP), España. Electronic address: cabezaelena@gmail.com.
authors.forename: Elena
authors.initials: E
authors.lastname: Cabeza
authors.affiliation: Institut d'Investigació Sanitària de Palma (IDISPA), Palma de Mallorca, España; Red de Investigación de Actividades Preventivas y Promoción de la Salud (RedIAPP), España; Unitat d'investigació, Gerència d'Atenció Primària de Mallorca, Servei Balear de la Salut, Palma de Mallorca, España.
authors.forename: Sebastià
authors.initials: S
authors.lastname: March
authors.affiliation: Subdirecció General de Promoció de la Salut, Secretaria de Salut Pública, Departament de Salut, Generalitat de Catalunya, Barcelona, España.
authors.forename: Carmen
authors.initials: C
authors.lastname: Cabezas
authors.affiliation: Secretaria de Salut Pública, Departament de Salut, Generalitat de Catalunya, Barcelona, España.
authors.forename: Andreu
authors.initials: A
authors.lastname: Segura
mesh_terms: D003153:Community Health Services / Q000458:organization & administration*; D003695:Delivery of Health Care / Q000458:organization & administration*; D006293:Health Promotion; D006801:Humans; D011320:Primary Health Care / Q000458:organization & administration*; D013030:Spain
keywords: Atención primaria de salud; Community participation; Healthcare promotion; Participación comunitaria; Primary healthcare; Promoción de la salud; Public health; Salud pública