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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p class="elsevierStyleSimplePara elsevierViewall">Definir los componentes del producto de la atenci&#243;n primaria de salud &#40;APS&#41; a partir de las opiniones de profesionales y usuarios&#44; para establecer indicadores de evaluaci&#243;n&#46;</p> <span class="elsevierStyleSectionTitle">M&#233;todos</span><p class="elsevierStyleSimplePara elsevierViewall">Estudio con metodolog&#237;a cualitativa&#44; con t&#233;cnicas grupales&#58; grupo nominal &#40;profesionales&#41; y grupos focales &#40;usuarios&#41;&#46; &#193;mbito de realizaci&#243;n&#58; APS de Catalunya&#46; Se realizaron 7 grupos&#58; <span class="elsevierStyleItalic">a&#41;</span> m&#233;dicos de familia y pediatras&#59; <span class="elsevierStyleItalic">b&#41;</span> enfermeras y trabajadoras sociales&#59; <span class="elsevierStyleItalic">c&#41;</span> personal de la unidad de admisi&#243;n y atenci&#243;n al usuario&#59; <span class="elsevierStyleItalic">d&#41;</span> otros m&#233;dicos especialistas&#59; <span class="elsevierStyleItalic">e&#41;</span> usuarios&#44; y <span class="elsevierStyleItalic">f&#41;</span> gestores&#44; farmac&#233;uticos y farmac&#243;logos y t&#233;cnicos de salud&#46; Los participantes respondieron a la pregunta&#58; &#171;Respecto a los servicios que deber&#237;a ofrecer la APS&#44; &#191;cu&#225;les son los aspectos que se deber&#237;an valorar&#63;&#187;&#46; Se realiz&#243; un an&#225;lisis de contenido&#46; Los datos textuales se descompusieron en unidades&#44; posteriormente agrupadas en categor&#237;as&#44; siguiendo el criterio de analog&#237;a&#46; Se tuvo en cuenta el contexto de interpretaci&#243;n del equipo investigador&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">Profesionales y usuarios identifican 4 dimensiones del producto de la APS&#44; coincidentes con sus atributos b&#225;sicos&#58; <span class="elsevierStyleItalic">a&#41;</span> accesibilidad a los servicios&#59; <span class="elsevierStyleItalic">b&#41;</span> coordinaci&#243;n y continuidad del equipo de APS con otros niveles asistenciales&#59; <span class="elsevierStyleItalic">c&#41;</span> relaci&#243;n entre profesionales y usuarios&#44; y <span class="elsevierStyleItalic">d&#41;</span> calidad cient&#237;fico-t&#233;cnica de los equipos de atenci&#243;n primaria y cartera de servicios&#46; Equidad&#44; satisfacci&#243;n y eficiencia aparecen en los discursos como ejes transversales de todos los components del producto identificados&#46;</p> <span class="elsevierStyleSectionTitle">Conclusi&#243;n</span><p class="elsevierStyleSimplePara elsevierViewall">Hay una gran coincidencia en la definici&#243;n del producto entre profesionales y usuarios&#46; La relaci&#243;n profesional-paciente aparece como un elemento clave en todos los grupos&#46; Estas 4 dimensiones deber&#237;an formar parte de la evaluaci&#243;n de los equipos de APS&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p class="elsevierStyleSimplePara elsevierViewall">To identify the components of the primary health care &#40;PHC&#41; product defined by health professionals and users in order to establish indicators for evaluation&#46;</p> <span class="elsevierStyleSectionTitle">Methods</span><p class="elsevierStyleSimplePara elsevierViewall">Qualitative methodology was used with group techniques&#58; a nominal group &#40;health professionals&#41; and focus groups &#40;users&#41;&#46; The study was performed in PHC centers in Catalonia &#40;Spain&#41;&#46; There were 7 groups&#58; <span class="elsevierStyleItalic">a&#41;</span> family physicians and pediatricians&#59; <span class="elsevierStyleItalic">b&#41;</span> nurses and social workers&#59; c&#41; staff from admissions units and customer services&#59; <span class="elsevierStyleItalic">d&#41;</span> other medical specialists&#59; <span class="elsevierStyleItalic">e&#41;</span> users&#59; <span class="elsevierStyleItalic">f&#41;</span> managers&#44; pharmacists&#44; pharmacologists&#44; and technicians&#46; Participants responded to the question&#58; &#171;Which features should be evaluated in the services that should be provided by PHC&#63;&#187;&#46; A content analysis was performed&#46; Textual data were broken down into units and then grouped into categories&#44; following analogy criteria&#46; The interpretative context of the research team was taken into account&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">Health professionals and users identified 4 dimensions of the PHC product&#44; coinciding with its basic attributes&#58; <span class="elsevierStyleItalic">a&#41;</span> access to services&#59; <span class="elsevierStyleItalic">b&#41;</span> coordination and continuity of the PHC teams with other levels of healthcare&#59; <span class="elsevierStyleItalic">c&#41;</span> relationship between health professionals and users&#44; and <span class="elsevierStyleItalic">d&#41;</span> scientific-technical quality of the PHC teams and the portfolio of services&#46; Equity&#44; satisfaction and efficiency appeared as keystones in all the components of the product identified&#46;</p> <span class="elsevierStyleSectionTitle">Conclusion</span><p class="elsevierStyleSimplePara elsevierViewall">There was broad agreement in the product definition among health professionals and users&#46; The relationship between health professionals and patients was a key element in all groups&#46; The four dimensions should be included in the evaluation of PHC teams&#46;</p>"
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Originales
El producto de la atención primaria definido por profesionales y usuarios
Primary health care product defined by health professionals and users
Enriqueta Pujol Riberaa, Joan Gené Badiaa,b,c,
Autor para correspondencia
jgene@clinic.ub.es

Correspondencia: Dr. Joan Gené Badia. Consorci d’Atenció Primaria de Salut de l’Eixample (CAPSE). Roselló, 161. 08036 Barcelona. España.
, Mireia Sans Corralesa,d, Laura Sampietro-Colome, María Isabel Pasarín Ruaf, Begoña Iglesias-Péreza, Josep Casajuana-Bruneta, Georgia Escaramis-Babianoc
a Institut Català de la Salut (ICS), Barcelona, España
b Consorci d’Atenció Primaria de Salut de l’Eixample (CAPSE), Barcelona, España
c Departament de Salut Pública, Universitat de Barcelona, Barcelona, España
d Departament de Ciències Mèdiques, Campus Bellvitge, Universitat de Barcelona, L’Hospitalet de Llobregat, Barcelona, España
e Unitat de Planificació Estratègica, Departament de Salut, Barcelona, España
f Agència de Salut Pública de Barcelona, España
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        "titulo" => "Resumen"
        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p class="elsevierStyleSimplePara elsevierViewall">Definir los componentes del producto de la atenci&#243;n primaria de salud &#40;APS&#41; a partir de las opiniones de profesionales y usuarios&#44; para establecer indicadores de evaluaci&#243;n&#46;</p> <span class="elsevierStyleSectionTitle">M&#233;todos</span><p class="elsevierStyleSimplePara elsevierViewall">Estudio con metodolog&#237;a cualitativa&#44; con t&#233;cnicas grupales&#58; grupo nominal &#40;profesionales&#41; y grupos focales &#40;usuarios&#41;&#46; &#193;mbito de realizaci&#243;n&#58; APS de Catalunya&#46; Se realizaron 7 grupos&#58; <span class="elsevierStyleItalic">a&#41;</span> m&#233;dicos de familia y pediatras&#59; <span class="elsevierStyleItalic">b&#41;</span> enfermeras y trabajadoras sociales&#59; <span class="elsevierStyleItalic">c&#41;</span> personal de la unidad de admisi&#243;n y atenci&#243;n al usuario&#59; <span class="elsevierStyleItalic">d&#41;</span> otros m&#233;dicos especialistas&#59; <span class="elsevierStyleItalic">e&#41;</span> usuarios&#44; y <span class="elsevierStyleItalic">f&#41;</span> gestores&#44; farmac&#233;uticos y farmac&#243;logos y t&#233;cnicos de salud&#46; Los participantes respondieron a la pregunta&#58; &#171;Respecto a los servicios que deber&#237;a ofrecer la APS&#44; &#191;cu&#225;les son los aspectos que se deber&#237;an valorar&#63;&#187;&#46; Se realiz&#243; un an&#225;lisis de contenido&#46; Los datos textuales se descompusieron en unidades&#44; posteriormente agrupadas en categor&#237;as&#44; siguiendo el criterio de analog&#237;a&#46; Se tuvo en cuenta el contexto de interpretaci&#243;n del equipo investigador&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">Profesionales y usuarios identifican 4 dimensiones del producto de la APS&#44; coincidentes con sus atributos b&#225;sicos&#58; <span class="elsevierStyleItalic">a&#41;</span> accesibilidad a los servicios&#59; <span class="elsevierStyleItalic">b&#41;</span> coordinaci&#243;n y continuidad del equipo de APS con otros niveles asistenciales&#59; <span class="elsevierStyleItalic">c&#41;</span> relaci&#243;n entre profesionales y usuarios&#44; y <span class="elsevierStyleItalic">d&#41;</span> calidad cient&#237;fico-t&#233;cnica de los equipos de atenci&#243;n primaria y cartera de servicios&#46; Equidad&#44; satisfacci&#243;n y eficiencia aparecen en los discursos como ejes transversales de todos los components del producto identificados&#46;</p> <span class="elsevierStyleSectionTitle">Conclusi&#243;n</span><p class="elsevierStyleSimplePara elsevierViewall">Hay una gran coincidencia en la definici&#243;n del producto entre profesionales y usuarios&#46; La relaci&#243;n profesional-paciente aparece como un elemento clave en todos los grupos&#46; Estas 4 dimensiones deber&#237;an formar parte de la evaluaci&#243;n de los equipos de APS&#46;</p>"
      ]
      "en" => array:2 [
        "titulo" => "Abstract"
        "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p class="elsevierStyleSimplePara elsevierViewall">To identify the components of the primary health care &#40;PHC&#41; product defined by health professionals and users in order to establish indicators for evaluation&#46;</p> <span class="elsevierStyleSectionTitle">Methods</span><p class="elsevierStyleSimplePara elsevierViewall">Qualitative methodology was used with group techniques&#58; a nominal group &#40;health professionals&#41; and focus groups &#40;users&#41;&#46; The study was performed in PHC centers in Catalonia &#40;Spain&#41;&#46; There were 7 groups&#58; <span class="elsevierStyleItalic">a&#41;</span> family physicians and pediatricians&#59; <span class="elsevierStyleItalic">b&#41;</span> nurses and social workers&#59; c&#41; staff from admissions units and customer services&#59; <span class="elsevierStyleItalic">d&#41;</span> other medical specialists&#59; <span class="elsevierStyleItalic">e&#41;</span> users&#59; <span class="elsevierStyleItalic">f&#41;</span> managers&#44; pharmacists&#44; pharmacologists&#44; and technicians&#46; Participants responded to the question&#58; &#171;Which features should be evaluated in the services that should be provided by PHC&#63;&#187;&#46; A content analysis was performed&#46; Textual data were broken down into units and then grouped into categories&#44; following analogy criteria&#46; The interpretative context of the research team was taken into account&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">Health professionals and users identified 4 dimensions of the PHC product&#44; coinciding with its basic attributes&#58; <span class="elsevierStyleItalic">a&#41;</span> access to services&#59; <span class="elsevierStyleItalic">b&#41;</span> coordination and continuity of the PHC teams with other levels of healthcare&#59; <span class="elsevierStyleItalic">c&#41;</span> relationship between health professionals and users&#44; and <span class="elsevierStyleItalic">d&#41;</span> scientific-technical quality of the PHC teams and the portfolio of services&#46; Equity&#44; satisfaction and efficiency appeared as keystones in all the components of the product identified&#46;</p> <span class="elsevierStyleSectionTitle">Conclusion</span><p class="elsevierStyleSimplePara elsevierViewall">There was broad agreement in the product definition among health professionals and users&#46; The relationship between health professionals and patients was a key element in all groups&#46; The four dimensions should be included in the evaluation of PHC teams&#46;</p>"
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                          "etal" => false
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                            0 => "M&#46; Pla"
                            1 => "M&#46; Ros"
                            2 => "E&#46; Fern&#225;ndez"
                            3 => "R&#46; P&#233;rez"
                            4 => "A&#46; Llena"
                            5 => "C&#46; Vega"
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                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "M&#46;A&#46; Prieto"
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                          "etal" => false
                          "autores" => array:2 [
                            0 => "P&#46; Twohig"
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                  ]
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                          "etal" => false
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                            0 => "J&#46; Kitzinger"
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                    0 => array:2 [
                      "titulo" => "El grupo de discusi&#243;n&#46; Gu&#237;a pr&#225;ctica para la investigaci&#243;n aplicada"
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                        0 => array:2 [
                          "etal" => false
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                    0 => array:1 [
                      "Libro" => array:3 [
                        "fecha" => "1991"
                        "editorial" => "Pir&#225;mide"
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                    0 => array:2 [
                      "titulo" => "Qualitative data analysis"
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                            0 => "M&#46;B&#46; Miles"
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                    0 => array:1 [
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                    0 => array:2 [
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