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Local problem solving in the Portuguese health examination survey: a mixed method study

2022-08-24Journal article Open access
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dc.contributor.authorLyshol, Heidi
dc.contributor.authorGil, Ana Paula
dc.contributor.authorTolonen, Hanna
dc.contributor.authorNamorado, Sónia
dc.contributor.authorKislaya, Irina
dc.contributor.authorBarreto, Marta
dc.contributor.authorAntunes, Liliana
dc.contributor.authorGaio, Vânia
dc.contributor.authorSantos, Ana João
dc.contributor.authorRodrigues, Ana Paula
dc.contributor.authorMatias Dias, Carlos
dc.date.accessioned2022-11-07T15:34:12Z
dc.date.available2022-11-07T15:34:12Z
dc.date.issued2022-08-24
dc.description.abstractBackground: Participation rates in health surveys, recognized as an important quality dimension, have been declining over the years, which may affect representativeness and confidence in results. The Portuguese national health examination survey INSEF (2015) achieved a participation rate of 43.9%, which is in line with participation rates from other similar health examination surveys. The objective of this article is to describe how local teams of survey personnel conducted the survey, describing strategies used to solve practical survey problems and to try to increase the participation rate. Methods: After a literature search, informal interviews were conducted with 14 public health officials from local health examination teams, regional and central authorities. Forty-one of the local staff members (survey personnel) also filled in a short questionnaire anonymously. The interviews and self-administered questionnaires were analysed using mixed methods, informed by thematic analysis. Results: The local teams believed that the detailed manual, described as a “cookbook for making a health examination survey”, made it possible to maintain high scientific standards while allowing for improvising solutions to problems in the local context. The quality of the manual, supported by a series of training workshops with the central research and support team, gave the teams the confidence and knowledge to implement local solutions. Motivation and cohesion within the local teams were among the goals of the training process. Local teams felt empowered by being given large responsibilities and worked hard to incite people to attend the examination through a close and persuasive approach. Local teams praised their INSA contacts for being available for assistance throughout the survey, and said they were inspired to try harder to reach participants to please their contacts for interpersonal reasons. Conclusions: The theory of organizational improvisation or bricolage, which means using limited resources to solve problems, was useful to discuss and understand what took place during INSEF. A detailed manual covering standard procedures, continuous monitoring of the data collection and face-to-face workshops, including role-play, were vital to assure high scientific standards and high participation rates in this health examination survey. Close contacts between the central team and local focal points in all regions and all survey sites were key to accommodating unexpected challenges and innovative solutions.pt_PT
dc.description.sponsorshipThe Portuguese National Health Examination Survey 2015 (INSEF) was developed as part of the Pre-defined project of the Public Health Initiatives Program (reference 000039_ PDP), ‘‘Improvement of epidemiological health information to support public health decision and management in Portugal. Towards reduced inequalities, improved health, and bilateral cooperation”, that benefits from a 1.500.000€ Grant from Iceland, Liechtenstein and Norway through the European Economic Area Financial Mechanism (EEA Grants), 85%, and from the Portuguese Government, 15%. The INSEF data collection was co-funded by EEA Grants and the Portuguese Government. The analyses and writing of the present study were funded by the Norwegian Institute of Public Health and the workplaces of the co-authors.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationArch Public Health . 2022 Aug 24;80(1):198. doi: 10.1186/s13690-022-00939-7pt_PT
dc.identifier.doi10.1186/s13690-022-00939-7pt_PT
dc.identifier.issn2049-3258
dc.identifier.urihttp://hdl.handle.net/10400.18/8307
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherBMCpt_PT
dc.relation.publisherversionhttps://archpublichealth.biomedcentral.com/articles/10.1186/s13690-022-00939-7pt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectHealth Examination Surveypt_PT
dc.subjectOrganizational Improvisationpt_PT
dc.subjectParticipation Ratept_PT
dc.subjectProcedure Manualpt_PT
dc.subjectInquérito de Saúde com Exame Físicopt_PT
dc.subjectINSEFpt_PT
dc.subjectEstados de Saúde e de Doençapt_PT
dc.subjectDeterminantes da Saúde e da Doençapt_PT
dc.subjectPortugalpt_PT
dc.titleLocal problem solving in the Portuguese health examination survey: a mixed method studypt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.issue1pt_PT
oaire.citation.titleArchives of Public Healthpt_PT
oaire.citation.volume80pt_PT
person.familyNameLyshol
person.familyNameGil
person.familyNameTolonen
person.familyNameNamorado
person.familyNameKislaya
person.familyNameBarreto
person.familyNamedo Carmo Cerdeira Antunes
person.familyNameGaio
person.familyNameCarvalho da Silva Santos
person.familyNameRodrigues
person.familyNameMatias Dias
person.givenNameHeidi
person.givenNameAna Paula
person.givenNameHanna
person.givenNameSónia
person.givenNameIrina
person.givenNameMarta
person.givenNameLiliana
person.givenNameVânia
person.givenNameAna João
person.givenNameAna Paula
person.givenNameCarlos
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person.identifier.ciencia-idA71A-17AF-30C7
person.identifier.ciencia-id7E12-E842-1216
person.identifier.ciencia-id6311-6117-ADEB
person.identifier.orcid0000-0003-3135-5827
person.identifier.orcid0000-0002-6728-7689
person.identifier.orcid0000-0003-3121-4303
person.identifier.orcid0000-0002-7500-8811
person.identifier.orcid0000-0001-5772-2416
person.identifier.orcid0000-0001-6464-548X
person.identifier.orcid0000-0003-0453-5304
person.identifier.orcid0000-0001-7626-4991
person.identifier.orcid0000-0003-0556-5513
person.identifier.orcid0000-0003-2264-4723
person.identifier.orcid0000-0002-0206-5874
person.identifier.ridD-7168-2015
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person.identifier.scopus-author-id55755813700
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person.identifier.scopus-author-id23103292400
rcaap.embargofctAcesso de acordo com política editorial da revista.
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
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