Mejorar en seguridad diagnóstica: la asignatura pendiente / To improve in diagnostic safety: The pending subject

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Salud comunitaria: una integración de las competencias de atención primaria y de salud pública. Informe SESPAS 2010 / Community health: Integration of primary care and public health competencies. SESPAS report 2010

La atención primaria y la salud pública han tenido trayectorias paralelas, con escasos puntos de encuentro y coordinación en lo que se refiere a la acción comunitaria para la mejora de la salud de la población. Considerando la salud comunitaria como «la salud individual y de grupos en una comunidad definida, determinada por la interacción de factores personales, familiares, por el ambiente socio-económico-cultural y físico», y la intervención en salud comunitaria como la acción en el nivel local para lograr su mejora, la AP y la SP son actores clave del entorno sanitario para llevarla a cabo. De todas formas, su actuación deberá contar con otros agentes territoriales, incluida la población. La inclusión de la salud comunitaria como un objetivo del sistema sanitario hace evidente la necesidad de buscar y lograr una acción más coordinada e integral, lo cual debe introducir cambios en diversas áreas, entre las que destacan la formación de los profesionales, los contratos a los proveedores de servicios, los sistemas de definición de las carteras de servicios y la organización de los servicios (AU)

Primary care and public health have run on parallel tracks with scarce points of contact or coordination in community action to improve the population’s health. If community health is defined as the «health of individuals and groups in a defined community, determined by the interaction of personal and familial factors and by the socioeconomic-cultural and physical environments» and of community intervention is defined as local action to improve community health, primary care and public health are the key players to implement this aim. However, their actions should take into account other local actors, including the population. The inclusion of community health as an objective of the health system highlights the need to achieve more coordinated and comprehensive action, and to introduce advances in several areas, which include training for health professionals, contracts to service providers, systems for defining service portfolios, and organizational aspects of services (AU)

[Community health: integration of primary care and public health competencies. SESPAS report 2010]. / Salud comunitaria: una integración de las competencias de atención primaria y de salud pública. Informe SESPAS 2010.

Primary care and public health have run on parallel tracks with scarce points of contact or coordination in community action to improve the population's health. If community health is defined as the "health of individuals and groups in a defined community, determined by the interaction of personal and familial factors and by the socioeconomic-cultural and physical environments" and of community intervention is defined as local action to improve community health, primary care and public health are the key players to implement this aim. However, their actions should take into account other local actors, including the population. The inclusion of community health as an objective of the health system highlights the need to achieve more coordinated and comprehensive action, and to introduce advances in several areas, which include training for health professionals, contracts to service providers, systems for defining service portfolios, and organizational aspects of services.