ABSTRACT
OBJETIVO: Describir el proceso de desarrollo de la salud comunitaria (SC) en un territorio en que la dirección territorial de Atención Primaria decidió incluirla como línea estratégica en su hoja de ruta. DISEÑO: Investigación evaluativa mediante técnicas cualitativas, incluyendo análisis DAFO en SC, en 2 etapas (estudio bietápico). EMPLAZAMIENTO: Equipos de Atención Primaria del Instituto Catalán de la Salud en Barcelona. PARTICIPANTES Y CONTEXTO: El ámbito de estudio son los 24 EAP del Servicio de Atención Primaria Muntanya-Dreta de la ciudad de Barcelona, referentes de un total de 557.430 habitantes, con un total de 904 profesionales. MÉTODO: 1. a fase: constitución de un grupo de trabajo en SC; identificación de los proyectos comunitarios en el territorio con cuestionario ad hoc; análisis DAFO.2. a fase: a partir de las necesidades detectadas en la fase anterior se elaboró un plan de actividades formativas en SC: taller básico, taller avanzado y jornada de intercambio de experiencias en salud comunitaria. RESULTADOS: Ochenta profesionales de los equipos recibieron formación específica en los 4 talleres realizados, uno de ellos de nivel avanzado; se realizaron 2 jornadas de intercambio de experiencias en las que participaron 165 profesionales de los equipos del territorio y en las que se presentaron 22 experiencias locales. De los 24 EAP, 6 han efectuado diagnóstico comunitario en 2013. CONCLUSIONES: Aunque la SC está ciertamente desarrollada en determinadas áreas, dista todavía de tener un papel relevante en el modelo de atención. Su expansión va a depender del soporte directivo, la impronta comunitaria local y el propio EAP
OBJECTIVE: To describe the process of development of community health in a territory where the Primary Health Care board decided to include it in its roadmap as a strategic line. DESIGN: Evaluative research using qualitative techniques, including SWOT analysis on community health. Two-steps study. LOCATION: Primary care teams (PCT) of the Catalan Health Institute in Barcelona city. PARTICIPANTS AND/OR CONTEXT: The 24 PCT belonging to the Muntanya-Dreta Primary Care Service in Barcelona city, with 904 professionals serving 557,430 inhabitants. METHOD: Application of qualitative methodology using SWOT analysis in two steps (two-step study). Step 1: Setting up a core group consisting of local PCT professionals; collecting the community projects across the territory; SWOT analysis. Step 2: From the needs identified in the previous phase, a plan was developed, including a set of training activities in community health: basic, advanced, and a workshop to exchange experiences from the PCTs. RESULTS: A total of 80 team professionals received specific training in the 4 workshops held, one of them an advanced level. Two workshops were held to exchange experiences with 165 representatives from the local teams, and 22 PCTs presenting their practices. In 2013, 6 out of 24 PCTs have had a community diagnosis performed. CONCLUSIONS: Community health has achieved a good level of development in some areas, but this is not the general situation in the health care system. Its progression depends on the management support they have, the local community dynamics, and the scope of the Primary Health Care
Subject(s)
Humans , Male , Female , Decision Making , Decision Support Techniques , Community Health Services , Community Health Services/organization & administration , Community Medicine/organization & administration , Primary Health Care/methods , Primary Health Care/organization & administration , Surveys and Questionnaires , Critical Pathways/methods , Critical Pathways/policies , Systemic Management/methodsABSTRACT
Em seu projeto de retorno a Freud, Lacan propõe um diálogo com outras disciplinas para a análise dos conceitos psicanalíticos. Neste artigo, analisa-se a contribuição de conceitos de Linguística, Lógica e Matemática para a formulação do conceito de sujeito do inconsciente, tal como encontramos no matema "um significante representa um sujeito para outro significante". O termo 'crítica' é referido à análise da racionalidade necessária para se atingir um conhecimento. Este trabalho mostra que a análise do conceito de sujeito do inconsciente conduziu Lacan à elaboração de uma lógica do significante. Esta lógica poderá ser nomeada como uma lógica psicanalítica(AU)
The critique as method in the return to Freud. In his project of a return to Freud, Lacan proposes a dialogue with other disciplines for the analysis of psychoanalytic concepts. This paper presents an analysis of the contribution of concepts from linguistics, logic and mathematics in the elaboration of the concept of unconscious subject, as appears in the matheme: a signifier represents a subject to another signifier. The term critique refers to the analysis of rationality necessary to reach knowledge. This work concludes that the formulation of the concept of the unconscious subject leads Lacan to the development of a signifiant's logic. This logic may be named as a psychoanalytical logical(AU)
Subject(s)
Humans , Adult , Psychoanalysis/methods , Logic , Critical Pathways/methodsABSTRACT
Em seu projeto de retorno a Freud, Lacan propõe um diálogo com outras disciplinas para a análise dos conceitos psicanalíticos. Neste artigo, analisa-se a contribuição de conceitos de Linguística, Lógica e Matemática para a formulação do conceito de sujeito do inconsciente, tal como encontramos no matema "um significante representa um sujeito para outro significante". O termo 'crítica' é referido à análise da racionalidade necessária para se atingir um conhecimento. Este trabalho mostra que a análise do conceito de sujeito do inconsciente conduziu Lacan à elaboração de uma lógica do significante. Esta lógica poderá ser nomeada como uma lógica psicanalítica...
The critique as method in the return to Freud. In his project of a return to Freud, Lacan proposes a dialogue with other disciplines for the analysis of psychoanalytic concepts. This paper presents an analysis of the contribution of concepts from linguistics, logic and mathematics in the elaboration of the concept of unconscious subject, as appears in the matheme: a signifier represents a subject to another signifier. The term critique refers to the analysis of rationality necessary to reach knowledge. This work concludes that the formulation of the concept of the unconscious subject leads Lacan to the development of a signifiant's logic. This logic may be named as a psychoanalytical logical...
