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puguin prescriure i recomanar l&#39;activitat f&#237;sica com a plantejament terap&#232;utic i tamb&#233; com a recurs de prevenci&#243; i promoci&#243; de la salut&#46; Establint un proc&#233;s consensuat de selecci&#243; i derivaci&#243; de pacients&#44; es far&#224; una avaluaci&#243; per iniciar el programa d&#39;exercicis&#44; els quals estaran supervisats per professionals amb una formaci&#243; adequada&#44; i es facilitar&#224; i promour&#224; entre els pacients per mantenir l&#39;activitat f&#237;sica a llarg termini&#46;</p><p class="elsevierStylePara">Per aix&#242; hem previst un model en qu&#232; els especialistes en medicina de l&#39;esport puguin fer de consultors&#44; donin el seu suport i siguin promotors dels equips de prim&#224;ria quan aquests el considerin escaient&#46; &#201;s a dir&#44; estarien presents en les &#224;rees b&#224;siques de salut&#46;</p><p class="elsevierStylePara">L&#39;objectiu del Pla &#233;s fer una campanya adre&#231;ada a tota la poblaci&#243;&#44; especialment als col&#183;lectius de gent sedent&#224;ria&#44; perqu&#232; s&#39;incloguin en un programa d&#39;activitat f&#237;sica amb fins saludables&#44; com tamb&#233; aconseguir els anys vinents uns millors est&#224;ndards de salut de la poblaci&#243; gr&#224;cies als beneficis d&#39;aquest programa d&#39;exercici f&#237;sic amb fins saludables&#46; Per&#242; el programa tamb&#233; s&#39;adre&#231;a a persones amb malalties com l&#39;obesitat&#44; la hipertensi&#243;&#44; la diabetis <span class="elsevierStyleItalic">mellitus</span> i les dislip&#232;mies que siguin tribut&#224;ries de programes d&#39;exercici f&#237;sic&#46;</p><p class="elsevierStylePara">Sin&#232;rgicament&#44; es proposa millorar la dieta de la poblaci&#243; mitjan&#231;ant consells senzills i persistents i que es caracteritzen per moderar el consum de calories i augmentar el consum de vegetals&#46;</p><p class="elsevierStylePara">Aconseguir aquests objectius&#44; a m&#233;s de millorar la salut de la poblaci&#243; d&#39;una manera immediata&#44; repercutir&#224; en un estalvi en la factura sanit&#224;ria de Catalunya&#44; que podria oscil&#183;lar entre els 280 i els 300 milions d&#39;euros els propers 15 anys&#46;</p><p class="elsevierStylePara">Els programes d&#39;activitat f&#237;sica dirigits a les persones tribut&#224;ries es prescriuran d&#39;acord amb diverses possibilitats&#58;</p><p class="elsevierStylePara">-&#173; Recomanaci&#243; general&#58; prescripci&#243; directa i f&#224;cil d&#39;exercici feta per l&#39;equip d&#39;atenci&#243; prim&#224;ria segons la varietat de pautes estandarditzades i limitades&#46; L&#39;objectiu &#233;s que es puguin fer activitats f&#237;siques que ja es prevegin al mateix municipi &#40;caminades&#44; pedalades&#44; nedar&#44; gimn&#224;stica de manteniment en centres espec&#237;fics&#44; tai-txi&#41;&#46;</p><p class="elsevierStylePara">-&#173; Recomanaci&#243; amb assessorament&#58; recomanacions generals o espec&#237;fiques que es fan a una persona amb un full de seguiment i que es controla peri&#242;dicament des del centre d&#39;atenci&#243; prim&#224;ria &#40;metge de prim&#224;ria&#44; metge de l&#39;esport o servei d&#39;infermeria&#41;&#46;</p><p class="elsevierStylePara">&#173;- Recomanaci&#243; de derivaci&#243; a l&#39;especialista&#58; derivaci&#243; al metge d&#39;esport de l&#39;&#224;rea b&#224;sica de salut en casos m&#233;s dif&#237;cils o amb risc&#44; perqu&#232; faci un informe m&#232;dic de prescripci&#243; de l&#39;exercici i el derivi al t&#232;cnic en salut &#40;llicenciat en ci&#232;ncies de l&#39;activitat f&#237;sica i esport&#44; CAFE&#41; per incloure els pacients en programes espec&#237;fics i adaptats&#44; grups o altres modalitats que localment estiguin disponibles a les instal&#183;lacions&#44; segons el seu criteri&#46;</p><p class="elsevierStylePara">Coneixedors que l&#39;activitat f&#237;sica &#233;s un bon mitj&#224; de millora de la salut i de la qualitat de vida&#44; el Departament de Salut i la Secretaria General de l&#39;Esport estan decidits a impulsar aquest programa a tot Catalunya durant el per&#237;ode 2007-2010 &#40;per estendre&#39;l a uns 350 municipis&#44; m&#233;s de 400 CAP i m&#233;s de 205 instal&#183;lacions&#41;&#44; en benefici dels ciutadans del nostre pa&#237;s&#46;</p>"
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El Programa PIP
The plan for the progressive implementation of the prescription of physical exercise in primary care in Catalonia
Mario Lloret
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d&#39;una manera immediata&#44; repercutir&#224; en un estalvi en la factura sanit&#224;ria de Catalunya&#44; que podria oscil&#183;lar entre els 280 i els 300 milions d&#39;euros els propers 15 anys&#46;</p><p class="elsevierStylePara">Els programes d&#39;activitat f&#237;sica dirigits a les persones tribut&#224;ries es prescriuran d&#39;acord amb diverses possibilitats&#58;</p><p class="elsevierStylePara">-&#173; Recomanaci&#243; general&#58; prescripci&#243; directa i f&#224;cil d&#39;exercici feta per l&#39;equip d&#39;atenci&#243; prim&#224;ria segons la varietat de pautes estandarditzades i limitades&#46; L&#39;objectiu &#233;s que es puguin fer activitats f&#237;siques que ja es prevegin al mateix municipi &#40;caminades&#44; pedalades&#44; nedar&#44; gimn&#224;stica de manteniment en centres espec&#237;fics&#44; tai-txi&#41;&#46;</p><p class="elsevierStylePara">-&#173; Recomanaci&#243; amb assessorament&#58; recomanacions generals o espec&#237;fiques que es fan a una persona amb un full de seguiment i que es controla peri&#242;dicament des del centre d&#39;atenci&#243; prim&#224;ria &#40;metge de prim&#224;ria&#44; metge de l&#39;esport o servei d&#39;infermeria&#41;&#46;</p><p class="elsevierStylePara">&#173;- Recomanaci&#243; de derivaci&#243; a l&#39;especialista&#58; derivaci&#243; al metge d&#39;esport de l&#39;&#224;rea b&#224;sica de salut en casos m&#233;s dif&#237;cils o amb risc&#44; perqu&#232; faci un informe m&#232;dic de prescripci&#243; de l&#39;exercici i el derivi al t&#232;cnic en salut &#40;llicenciat en ci&#232;ncies de l&#39;activitat f&#237;sica i esport&#44; CAFE&#41; per incloure els pacients en programes espec&#237;fics i adaptats&#44; grups o altres modalitats que localment estiguin disponibles a les instal&#183;lacions&#44; segons el seu criteri&#46;</p><p class="elsevierStylePara">Coneixedors que l&#39;activitat f&#237;sica &#233;s un bon mitj&#224; de millora de la salut i de la qualitat de vida&#44; el Departament de Salut i la Secretaria General de l&#39;Esport estan decidits a impulsar aquest programa a tot Catalunya durant el per&#237;ode 2007-2010 &#40;per estendre&#39;l a uns 350 municipis&#44; m&#233;s de 400 CAP i m&#233;s de 205 instal&#183;lacions&#41;&#44; en benefici dels ciutadans del nostre pa&#237;s&#46;</p>"
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Article information
ISSN: X8866581
Original language: Català
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Apunts Sports Medicine

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