BMC Med Inform Decis Mak - Health communication in primary health care -a case study of ICT development for health promotion.

Tópicos

{ health(3367) inform(1360) care(1135) }
{ care(1570) inform(1187) nurs(1089) }
{ implement(1333) system(1263) develop(1122) }
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{ framework(1458) process(801) describ(734) }
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{ group(2977) signific(1463) compar(1072) }
{ cancer(2502) breast(956) screen(824) }
{ activ(1452) weight(1219) physic(1104) }
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{ record(1888) medic(1808) patient(1693) }
{ monitor(1329) mobil(1314) devic(1160) }
{ research(1218) medic(880) student(794) }
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{ patient(2837) hospit(1953) medic(668) }
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{ age(1611) year(1155) adult(843) }
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Resumo

CKGROUND: Developing Information and Communication Technology (ICT) supported health communication in PHC could contribute to increased health literacy and empowerment, which are foundations for enabling people to increase control over their health, as a way to reduce increasing lifestyle related ill health. However, to increase the likelihood of success of implementing ICT supported health communication, it is essential to conduct a detailed analysis of the setting and context prior to the intervention. The aim of this study was to gain a better understanding of health communication for health promotion in PHC with emphasis on the implications for a planned ICT supported interactive health channel.METHODS: A qualitative case study, with a multi-methods approach was applied. Field notes, document study and focus groups were used for data collection. Data was then analyzed using qualitative content analysis.RESULTS: Health communication is an integral part of health promotion practice in PHC in this case study. However, there was a lack of consensus among health professionals on what a health promotion approach was, causing discrepancy in approaches and practices of health communication. Two themes emerged from the data analysis: Communicating health and environment for health communication. The themes represented individual and organizational factors that affected health communication practice in PHC and thus need to be taken into consideration in the development of the planned health channel.CONCLUSIONS: Health communication practiced in PHC is individual based, preventive and reactive in nature, as opposed to population based, promotive and proactive in line with a health promotion approach. The most significant challenge in developing an ICT supported health communication channel for health promotion identified in this study, is profiling a health promotion approach in PHC. Addressing health promotion values and principles in the design of ICT supported health communication channel could facilitate health communication for promoting health, i.e. 'health promoting communication'.

Resumo Limpo

ckground develop inform communic technolog ict support health communic phc contribut increas health literaci empower foundat enabl peopl increas control health way reduc increas lifestyl relat ill health howev increas likelihood success implement ict support health communic essenti conduct detail analysi set context prior intervent aim studi gain better understand health communic health promot phc emphasi implic plan ict support interact health channelmethod qualit case studi multimethod approach appli field note document studi focus group use data collect data analyz use qualit content analysisresult health communic integr part health promot practic phc case studi howev lack consensus among health profession health promot approach caus discrep approach practic health communic two theme emerg data analysi communic health environ health communic theme repres individu organiz factor affect health communic practic phc thus need taken consider develop plan health channelconclus health communic practic phc individu base prevent reactiv natur oppos popul base promot proactiv line health promot approach signific challeng develop ict support health communic channel health promot identifi studi profil health promot approach phc address health promot valu principl design ict support health communic channel facilit health communic promot health ie health promot communic

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