[Analysis of community agendas in primary care and factors associated with their implementation]. / Análisis de las agendas comunitarias en atención primaria y factores asociados a su implantación.

OBJECTIVE: To describe the community agendas created by the Aragonese Primary Care Teams (PCT), to analyze the characteristics of said PCT, and to explore factors related to their implementation. METHOD: Descriptive observational study of the community agendas and the Aragonese PCT that have created them since the implementation of the Aragonese Community Care Strategy (ACCS) in 2016 until March 2021. Bivariate and multivariate analysis of the characteristics of these PCT that have created the agenda with respect to those who have not developed it. RESULTS: 75 of the 123 Aragonese PCT (61%) have created the community agenda. 74.7% of them also have an active Health Council. 45 of the 75 agendas are of the advanced type, with 41 PCT that had carried out the zone health diagnosis and 28 PCT that made asset recommendations. It was observed how the creation of the community agenda is related to being a PCT belonging to a semi-urban basic health zone (odds ratio [OR]: 3.02; 95% confidence interval [95% CI]: 1.22-7.47; p=0.017) and that at least one professional would have received specific training (OR: 5.29; 95% CI: 1.09-25.72; p=0.039). CONCLUSIONS: The community agenda is a tool that supports the development of community care for PCT. The training provided by the ACCS has been shown to be key to the development of the agendas, and this work must continue, with special emphasis on the PCT belonging to rural or urban basic health zones, since they are the ones that are experiencing the greatest difficulties.

Análisis de las agendas comunitarias en atención primaria y factores asociados a su implantación / Analysis of community agendas in primary care and factors associated with their implementation

Objetivo: Describir las agendas comunitarias creadas por los equipos de atención primaria (EAP) aragoneses, analizar las características de dichos EAP y explorar factores relacionados con la puesta en marcha de las agendas. Método: Estudio observacional descriptivo de las agendas comunitarias y los EAP aragoneses que las han creado desde la implantación de la Estrategia de Atención Comunitaria Aragón (EACA) en 2016 hasta marzo de 2021. Análisis bivariante y multivariante de las características de estos EAP que han creado una agenda con respecto a los que no la han desarrollado. Resultados: De los 123 EAP aragoneses, 75 (61%) han creado la agenda comunitaria. El 74,7% de ellos tienen también activo el Consejo de Salud de zona. De las 75 agendas, 45 son de tipo avanzado, con 41 EAP que tenían realizado el diagnóstico de salud de zona y 28 EAP que realizaban recomendación de activos. Se observó que la creación de la agenda comunitaria está relacionada con ser un EAP perteneciente a una zona básica de salud semiurbana (odds ratio [OR]: 3,02; intervalo de confianza del 95% [IC95%]: 1,22-7,47; p = 0,017) y que al menos un profesional del EAP hubiera recibido formación específica (OR: 5,29; IC95%: 1,09-25,72; p = 0,039). Conclusiones: La agenda comunitaria es una herramienta que apoya el desarrollo de la atención comunitaria de los EAP. La formación impartida desde la EACA se ha demostrado clave para el desarrollo de las agendas, debiendo continuar con este trabajo y haciendo especial énfasis en los EAP pertenecientes a zonas básicas de salud rurales o urbanas, pues son los que están teniendo mayores dificultades. (AU)

Objective: To describe the community agendas created by the Aragonese Primary Care Teams (PCT), to analyze the characteristics of said PCT, and to explore factors related to their implementation. Method: Descriptive observational study of the community agendas and the Aragonese PCT that have created them since the implementation of the Aragonese Community Care Strategy (ACCS) in 2016 until March 2021. Bivariate and multivariate analysis of the characteristics of these PCT that have created the agenda with respect to those who have not developed it. Results: 75 of the 123 Aragonese PCT (61%) have created the community agenda. 74.7% of them also have an active Health Council. 45 of the 75 agendas are of the advanced type, with 41 PCT that had carried out the zone health diagnosis and 28 PCT that made asset recommendations. It was observed how the creation of the community agenda is related to being a PCT belonging to a semi-urban basic health zone (odds ratio [OR]: 3.02; 95% confidence interval [95% CI]: 1.22–7.47; p = 0.017) and that at least one professional would have received specific training (OR: 5.29; 95% CI: 1.09–25.72; p = 0.039). Conclusions: The community agenda is a tool that supports the development of community care for PCT. The training provided by the ACCS has been shown to be key to the development of the agendas, and this work must continue, with special emphasis on the PCT belonging to rural or urban basic health zones, since they are the ones that are experiencing the greatest difficulties. (AU)

Official COVID-19 coping strategies in educational institutions / Estrategias de enfrentamiento oficiales de la COVID-19 en instituciones de enseñanza / Estratégias de enfrentamento oficiais da COVID-19 em instituições de ensino

ABSTRACT Objective: To analyze normative acts on coping with COVID-19 in the teaching environment, sanctioned by the state and federal governments of Brazil. Methods: Documentary research, with a qualitative approach to documents published by federal and state education and health bodies between March/2020 and March/2021, analyzed according to Bardin's Document Analysis framework. Results: From 61 documents, four categories resulted: Acts and strategies to protect against COVID19 adopted by the federal government; Normative acts of state governments on suspension of classes; Strategies to protect against COVID-19 in the teaching environment common among Brazilian states; Strategies to protect against COVID-19 in the teaching environment specific to Brazilian states. Final considerations: The normative acts analyzed present weaknesses regarding the clarification on how to establish the systematization of COVID-19 surveillance actions in the teaching environment, as well as there is a lack of reflections on the importance of such actions.

RESUMEN Objetivo: Analizar actos normativos sobre enfrentamiento de la COVID-19 en instituciones académicas, sancionados por los gobiernos estatales y federal de Brasil. Métodos: Investigación documental, con abordaje cualitativo de documentos publicados por órganos federales y estatales de la educación y de la salud entre marzo/2020 y marzo/2021, analizados conforme el referencial de Bardin de Análisis Documental. Resultados: De 61 documentos, resultaron cuatro categorías: Actos y estrategias de protección contra la COVID-19 adoptadas por el gobierno federal; Actos normativos de gobiernos estatales sobre suspensión de clases; Estrategias de protección contra la COVID-19 en instituciones académicas comunes entre estados brasileños; Estrategias de protección contra la COVID-19 en instituciones académicas específicas de estados brasileños. Consideraciones finales: Los actos normativos analizados presentan fragilidades cuanto al esclarecimiento sobre como establecer la sistematización de las acciones de vigilancia de la COVID-19 en instituciones académicas, así como hay escasez de reflexiones acerca de la importancia de tales acciones.

RESUMO Objetivo: Analisar atos normativos sobre enfrentamento da COVID-19 no ambiente de ensino, sancionados pelos governos estaduais e federal do Brasil. Métodos: Pesquisa documental, com abordagem qualitativa de documentos publicados por órgãos federais e estaduais da educação e da saúde entre março/2020 e março/2021, analisados de acordo com o referencial de Bardin de Análise Documental. Resultados: De 61 documentos, resultaram quatro categorias: Atos e estratégias de proteção contra a COVID-19 adotadas pelo governo federal; Atos normativos de governos estaduais sobre suspensão de aulas; Estratégias de proteção contra a COVID-19 no ambiente de ensino comuns entre estados brasileiros; Estratégias de proteção contra a COVID-19 no ambiente de ensino específicas de estados brasileiros. Considerações finais: Os atos normativos analisados apresentam fragilidades quanto ao esclarecimento sobre como estabelecer a sistematização das ações de vigilância da COVID-19 no ambiente de ensino, bem como há escassez de reflexões acerca da importância de tais ações.