{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T16:58:35Z","timestamp":1790614715647,"version":"4.1.0"},"reference-count":32,"publisher":"Pan American Health Organization","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,9,18]]},"abstract":"<title>RESUMEN<\/title>\n                  <sec>\n                    <title>Objetivo.<\/title>\n                    <p>Describir la experiencia de los promotores comunitarios en la prevenci\u00f3n de enfermedades cardiovasculares en el marco de la iniciativa HEARTS, considerando las caracter\u00edsticas territoriales.<\/p>\n                  <\/sec>\n                  <sec>\n                    <title>M\u00e9todo.<\/title>\n                    <p>Estudio de dise\u00f1o mixto convergente, con componente cuantitativo de tipo censal que incluy\u00f3 a 56 promotores de salud cardiovascular comunitarios de zonas urbanas y rurales; y componente cualitativo con enfoque fenomenol\u00f3gico y muestreo te\u00f3rico-intencional de 13 participantes. Los resultados se integraron mediante triangulaci\u00f3n de datos, contraste con la literatura y retroalimentaci\u00f3n de los participantes.<\/p>\n                  <\/sec>\n                  <sec>\n                    <title>Resultados.<\/title>\n                    <p>Se evidenci\u00f3 una labor con un claro predominio del sexo femenino (92,9%) y una edad promedio de 57,7 a\u00f1os. Se realizaron 973 controles de presi\u00f3n arterial, 447 registros y 34 derivaciones a centros de salud; se destaca el papel en la detecci\u00f3n temprana de enfermedades cardiovasculares. Los promotores rurales informaron una mayor seguridad en su desempe\u00f1o (94,5%) que los urbanos, lo cual se asoci\u00f3 con el capital social y la confianza territorial. No existe una asociaci\u00f3n estad\u00edsticamente significativa entre las variables. El an\u00e1lisis cualitativo gener\u00f3 siete categor\u00edas, agrupadas en dos temas centrales: \u201cSignificado del papel de promotora de salud cardiovascular\u201d y \u201cPr\u00e1cticas sociales y contextos culturales\u201d. La motivaci\u00f3n de las y los promotores surge de experiencias personales y familiares, as\u00ed como de una fuerte vocaci\u00f3n de servicio. Act\u00faan como mediadores, reducen las barreras geogr\u00e1ficas y culturales y abordan problemas como las brechas digitales, la limitada sistematizaci\u00f3n de los registros y la resistencia comunitaria al cambio de h\u00e1bitos.<\/p>\n                  <\/sec>\n                  <sec>\n                    <title>Conclusiones.<\/title>\n                    <p>Los promotores comunitarios desempe\u00f1an un papel estrat\u00e9gico en la detecci\u00f3n temprana de patolog\u00edas cardiovasculares y en la adherencia al tratamiento, especialmente en contextos rurales. La sostenibilidad de HEARTS requiere fortalecer la articulaci\u00f3n con el sistema de salud, la capacitaci\u00f3n continua y la equidad de g\u00e9nero.<\/p>\n                  <\/sec>","DOI":"10.26633\/rpsp.2026.86","type":"journal-article","created":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T13:55:31Z","timestamp":1789739731000},"page":"1","source":"Crossref","is-referenced-by-count":1,"title":["Iniciativa HEARTS: experiencia con promotores comunitarios de salud cardiovascular en una comuna chilena"],"prefix":"10.26633","volume":"50","author":[{"given":"Catherine","family":"Vega Gual","sequence":"first","affiliation":[{"name":"Ministerio de Salud, Santiago, Chile."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gina","family":"Brun Mautino","sequence":"additional","affiliation":[{"name":"Servicio de Salud Los R\u00edos, Valdivia, Chile."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dorka","family":"Norambuena Perea","sequence":"additional","affiliation":[{"name":"Servicio de Salud Los R\u00edos, Valdivia, Chile."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Romane","family":"V\u00e9liz Lobos","sequence":"additional","affiliation":[{"name":"Escuela de Enfermer\u00eda, Facultad de Medicina, Universidad Austral de Chile, Valdivia, Chile."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ximena","family":"Zapata Neculhueque","sequence":"additional","affiliation":[{"name":"Ministerio de Salud, Santiago, Chile."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"Flores Gonz\u00e1lez","sequence":"additional","affiliation":[{"name":"idaflores@uach.cl"},{"name":"Escuela de Enfermer\u00eda, Facultad de Medicina, Universidad Austral de Chile, Valdivia, Chile."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carolina","family":"Neira Ojeda1","sequence":"additional","affiliation":[{"name":"Ministerio de Salud, Santiago, Chile."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcela","family":"Rivera Medina1","sequence":"additional","affiliation":[{"name":"Ministerio de Salud, Santiago, Chile."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"11167","reference":[{"key":"ref1","unstructured":"Organizaci\u00f3n Mundial de la Salud. 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