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1.
Cad Saude Publica ; 40(6): e00169423, 2024.
Article in Portuguese | MEDLINE | ID: mdl-39082569

ABSTRACT

This is a documentary, exploratory, descriptive study, which is part of a multicenter international study assessing the national health systems with a care model based on primary health care of Brazil, Spain, Italy, and Portugal, funded by the Brazilian National Research Council (CNPq, acronym in Portuguese). It aims to identify the basic health legislation, the right to health, and the doctrinal and organizational principles of each country with a focus on the impact of social determinants of health on the national health systems. The results showed these countries have similar legislation and doctrinal principles, with a constitutional right to health, based on primary health care, and with a care model of the family health type. The challenges identified were low birth rate and high life expectancy at birth in European countries and criteria for access to medication and care financing. Based on our findings, the countries with higher investment in a structural basis, ensuring more dignified, solid, and vigilant socioeconomic and sanitary conditions, provide an important differentiation in responsiveness and sustainability of the national health system and direct impact on the quality of life.


Trata-se de uma pesquisa documental, exploratória, descritiva, partindo de um estudo multicêntrico e internacional entre Brasil, Espanha, Itália e Portugal sobre sistemas nacionais de saúde com modelo de atenção baseado na atenção primária à saúde e financiado pelo Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq) do Brasil. Tem como objetivo identificar as legislações de base da saúde, o direito à saúde e os princípios doutrinários e organizativos de cada país selecionado com ênfase no impacto dos determinantes sociais de saúde sobre os sistemas nacionais de saúde. Os resultados revelaram países com legislações e princípios doutrinários semelhantes, com direito à saúde constitucional, ancorados na atenção primária à saúde, e com modelo assistencial de acesso do tipo saúde da família. Os desafios encontrados foram a baixa natalidade e elevada expectativa de vida ao nascer em países europeus e critérios para acesso a medicamentos e financiamento assistencial. Com base nos nossos achados, os países que tiveram maior investimento em base estrutural, perpassando por assegurar condições socioeconômicas e sanitárias mais dignas, sólidas e vigilantes, garantiram importante diferenciação na capacidade de resposta e sustentabilidade do sistema nacional de saúde e no impacto direto na qualidade de vida das pessoas.


Se trata de una investigación documental, exploratoria, descriptiva, parte de un estudio multicéntrico, internacional entre Brasil, España, Italia y Portugal sobre los Sistemas Nacionales de Salud con un modelo de atención basado en la atención primaria de salud y financiado por el Consejo Nacional de Desarrollo Científico y Tecnológico (CNPq) de Brasil. Tiene como objetivo identificar la legislación de base de la salud, el derecho a la salud y los principios doctrinales y organizativos de cada país seleccionado con énfasis en el impacto de los determinantes sociales de la salud sobre los sistemas nacionales de salud. Los resultados revelaron países con legislaciones y principios doctrinales similares, con derecho a salud constitucional, anclados en la atención primaria de salud y con un modelo asistencial de acceso del tipo salud de la familia. Los desafíos encontrados fueron la baja tasa de natalidad y la alta esperanza de vida al nacer en países europeos y criterios para el acceso a medicamentos y financiación asistencial. Con base en nuestros hallazgos, los países que tuvieron mayor inversión en base estructural, asegurando condiciones socioeconómicas y sanitarias más dignas, sólidas y vigilantes, garantizan una diferenciación importante en la capacidad de respuesta y sostenibilidad del sistema nacional de salud y en el impacto directo en la calidad de vida de las personas.


Subject(s)
Social Determinants of Health , Humans , Brazil , Portugal , Spain , Italy , National Health Programs/legislation & jurisprudence , Health Policy/legislation & jurisprudence , Primary Health Care/legislation & jurisprudence , Health Services Accessibility/legislation & jurisprudence , Socioeconomic Factors , Right to Health/legislation & jurisprudence
3.
Cad. Saúde Pública (Online) ; 40(6): e00169423, 2024. tab
Article in Portuguese | LILACS-Express | LILACS | ID: biblio-1564240

ABSTRACT

Resumo: Trata-se de uma pesquisa documental, exploratória, descritiva, partindo de um estudo multicêntrico e internacional entre Brasil, Espanha, Itália e Portugal sobre sistemas nacionais de saúde com modelo de atenção baseado na atenção primária à saúde e financiado pelo Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq) do Brasil. Tem como objetivo identificar as legislações de base da saúde, o direito à saúde e os princípios doutrinários e organizativos de cada país selecionado com ênfase no impacto dos determinantes sociais de saúde sobre os sistemas nacionais de saúde. Os resultados revelaram países com legislações e princípios doutrinários semelhantes, com direito à saúde constitucional, ancorados na atenção primária à saúde, e com modelo assistencial de acesso do tipo saúde da família. Os desafios encontrados foram a baixa natalidade e elevada expectativa de vida ao nascer em países europeus e critérios para acesso a medicamentos e financiamento assistencial. Com base nos nossos achados, os países que tiveram maior investimento em base estrutural, perpassando por assegurar condições socioeconômicas e sanitárias mais dignas, sólidas e vigilantes, garantiram importante diferenciação na capacidade de resposta e sustentabilidade do sistema nacional de saúde e no impacto direto na qualidade de vida das pessoas.


Abstract: This is a documentary, exploratory, descriptive study, which is part of a multicenter international study assessing the national health systems with a care model based on primary health care of Brazil, Spain, Italy, and Portugal, funded by the Brazilian National Research Council (CNPq, acronym in Portuguese). It aims to identify the basic health legislation, the right to health, and the doctrinal and organizational principles of each country with a focus on the impact of social determinants of health on the national health systems. The results showed these countries have similar legislation and doctrinal principles, with a constitutional right to health, based on primary health care, and with a care model of the family health type. The challenges identified were low birth rate and high life expectancy at birth in European countries and criteria for access to medication and care financing. Based on our findings, the countries with higher investment in a structural basis, ensuring more dignified, solid, and vigilant socioeconomic and sanitary conditions, provide an important differentiation in responsiveness and sustainability of the national health system and direct impact on the quality of life.


Resumen: Se trata de una investigación documental, exploratoria, descriptiva, parte de un estudio multicéntrico, internacional entre Brasil, España, Italia y Portugal sobre los Sistemas Nacionales de Salud con un modelo de atención basado en la atención primaria de salud y financiado por el Consejo Nacional de Desarrollo Científico y Tecnológico (CNPq) de Brasil. Tiene como objetivo identificar la legislación de base de la salud, el derecho a la salud y los principios doctrinales y organizativos de cada país seleccionado con énfasis en el impacto de los determinantes sociales de la salud sobre los sistemas nacionales de salud. Los resultados revelaron países con legislaciones y principios doctrinales similares, con derecho a salud constitucional, anclados en la atención primaria de salud y con un modelo asistencial de acceso del tipo salud de la familia. Los desafíos encontrados fueron la baja tasa de natalidad y la alta esperanza de vida al nacer en países europeos y criterios para el acceso a medicamentos y financiación asistencial. Con base en nuestros hallazgos, los países que tuvieron mayor inversión en base estructural, asegurando condiciones socioeconómicas y sanitarias más dignas, sólidas y vigilantes, garantizan una diferenciación importante en la capacidad de respuesta y sostenibilidad del sistema nacional de salud y en el impacto directo en la calidad de vida de las personas.

4.
Rev Bras Enferm ; 77(1): e770101, 2023 Dec 08.
Article in English, Portuguese, Spanish | MEDLINE | ID: mdl-38088691
7.
Article in English | MEDLINE | ID: mdl-36981606

ABSTRACT

Publishing in JCR and SJR journals has become crucial for curricular development. Results from nursing investigations "compete" for publication in journals which are not specific to the field of care, affecting the academic development of these investigators. This phenomenon may lead to an ongoing adverse effect on nursing researchers and academics engaged in research in nursing care. The aim of this study was to evaluate habits regarding scientific literature consulting, the transfer of published material, and the citation of nursing investigations. A cross-sectional descriptive study by means of questionnaires was carried out, focusing on both Spanish and Portuguese nurses. The findings of the study reveal the following reasons for reading the scientific literature: that the language was understood; for learning and applying what was learnt; that the journal was of open access; for elaborating protocols and work procedures; and that the journal was indexed in scientific databases and in nursing databases. The reasons for reading, using, and publishing in journals were related to knowledge of the language and the associated usefulness of learning and applying knowledge. Creating a specific index of research publications in nursing will have a positive effect on the scientific production of caring methodologies.


Subject(s)
Periodicals as Topic , Students, Nursing , Humans , Publishing , Cross-Sectional Studies , Habits
8.
Rev. Rol enferm ; 46(2): 52-55, feb. 2023. ilus
Article in Spanish | IBECS | ID: ibc-215599

ABSTRACT

El pasado mes de octubre, en el marco de las Jornadas Nacionales de la Asociación de Enfermería Comunitaria (AEC), se llevaron a cabo las elecciones a la Presidencia de la misma. Maribel Mármol López, hasta entonces secretaria de la anterior Junta, encabezó la única candidatura y fue elegida como Presidenta.Su amplia experiencia como enfermera comunitaria, tanto en el ámbito de la atención, como en el de la gestión, la docencia y la investigación, le avalan y le sitúan como un claro referente para liderar tan importante cargo al frente de la sociedad científica decana de la Enfermería Comunitaria en España. (AU)


Subject(s)
Humans , Societies, Scientific/organization & administration , Societies, Scientific/trends , Community Health Nursing , Spain
9.
Article in English | MEDLINE | ID: mdl-36360857

ABSTRACT

The salutogenesis theory of Aaron Antonovsky and the Health Assets Model of Morgan and Ziglio have given rise to a notable interest in defining the resources available to individuals and the community to maintain or improve their health and well-being. The present study began by identifying the universal dimensions of Community Assets for Health, and then analyzed and validated an assessment scale following the Delphi method. A high degree of consensus was achieved among 13 experts from different disciplines. The results of the content analysis and statistical analysis led to a reconfiguring of an instrument that is so far unique in its approach. It is composed of 103 items across 14 dimensions (utility, intention, previous use, affordability, proximity, walkability, connectivity, intelligibility, identity, design, safety, diversity, public dimension, and sustainability).


Subject(s)
Consensus , Humans , Delphi Technique
10.
Enferm. clín. (Ed. impr.) ; 32(6): 367-375, Nov-Dic. 2022. tab, ilus
Article in Spanish | IBECS | ID: ibc-211829

ABSTRACT

Objetivo: Investigar la calidad metodológica de las revisiones sistemáticas publicadas sobre factores asociados con COVID-19 en personas con diabetes. Método: Revisión sistemática con protocolo de registro en PROSPERO, bajo el número CRD42020222418. Las búsquedas se realizaron de octubre a noviembre de 2020 en las bases de datos de las bibliotecas Medline, Web of Science, Scopus, LILACS, Embase y Cochrane Library, además de la búsqueda en la lista de referencias de los estudios seleccionados. Se incluyeron estudios de revisión sistemática con o sin metaanálisis y sin restricciones de fecha e idioma. Los datos se extrajeron de forma estandarizada y la calidad de los estudios se evaluó mediante la escala Assessment of Multiple Systematic Reviews. Resultados: Se incluyeron 12 revisiones, publicadas entre 2020 y 2021, con predominio del idioma inglés; son revisiones sistemáticas de estudios observacionales con metaanálisis con una muestra que va desde 6 a 83 estudios. En cuanto a la financiación, la mayoría de los estudios informaron que no recibieron este tipo de ayuda. En cuanto a la evaluación de la calidad metodológica, 3 fueron de calidad moderada, 5 fueron clasificados como de baja calidad y 3 revisiones sistemáticas fueron evaluadas como críticamente bajas. Conclusiones: Los artículos analizados presentaron un sesgo en la elaboración de informes sobre sus estudios, evidenciando la necesidad de utilizar mecanismos para mejorar la adherencia a los lineamientos de reporte establecidos y herramientas de evaluación metodológica.(AU)


Objective: To investigate the methodological quality of published systematic reviews of factors associated with COVID-19 in people with diabetes. Method: Systematic review with registration protocol in PROSPERO, under the number CRD42020222418. Searches were carried out from October to November 2020 in the databases of the Medline, Web of Science, Scopus, LILACS, Embase and Cochrane Library, in addition to searching the reference list of the selected studies. Systematic review studies with or without meta-analysis and without date and language restrictions were included. Data were extracted in a standardized way and the quality of the studies was assessed using the Assessment of Multiple Systematic Reviews scale. Results: Twelve reviews, published between 2020 and 2021, with a predominance of the English language, systematic reviews of observational studies with meta-analysis with a sample ranging from 6 to 83 studies, were included. Regarding financing, most of the study reported did not receive this type of support. Regarding to the assessment of the methodological quality of the studies, 3 were of moderate quality, 5 were classified as low quality and 3 with critically low quality. Conclusions: The analyzed articles presented a bias in the preparation of reports on their studies, suggesting the need to use mechanisms to improve adherence to the established reporting guidelines and methodological evaluation tools.(AU)


Subject(s)
Humans , Diabetes Mellitus , Systematic Reviews as Topic , Risk Factors , Betacoronavirus , Coronavirus Infections/epidemiology , Severe acute respiratory syndrome-related coronavirus , Nursing Services , Nursing , Nurses , Nursing Care
11.
Rev. Rol enferm ; 45(10): 36-45, Oct. 2022. tab, ilus
Article in Spanish | IBECS | ID: ibc-211108

ABSTRACT

Se presenta un trabajo conceptual sobre el análisis de los hallazgos del sondeo sobre la conceptualización de los planes de la Red de Conocimientos en Enfermería en los países de habla hispana como parte de la acción internacional de la Red. La información recopilada ha sido revelada por profesores de Chile, Colombia, España, México, Paraguay y Perú. Las respuestas han permitido reflexionar sobre conceptualizaciones y áreas que requieren más exploración para responder de manera efectiva a las lagunas en la enseñanza y la práctica de la investigación en Enfermería. Se presentan las brechas en la investigación que pueden explicarse por la falta de políticas gubernamentales e institucionales para financiar la investigación en Enfermería en áreas que tradicionalmente no se perciben como prioridades de salud pública. Otros temas analizados fueron los obstáculos a la difusión del conocimiento científico en Enfermería, las posibilidades de reforzar la investigación en Enfermería y los beneficios deseados con la participación a la Red. Entre las fortalezas de este sondeo está su originalidad y su potencial para estimular las actividades de cooperación para la producción de conocimiento, en particular, el fortalecimiento de los estudios de posgrado con la movilidad académica y de profesores en proyectos internacionales de investigación multicéntrica, la tutoría y el coaching para la investigación. Las respuestas indican una novedad en las áreas prospectivas de desarrollo profesional para educadores, investigadores, así como áreas de posible adopción de la innovación en la educación para los estudiantes. (AU)


Conceptual work is presented regarding the analysis of information gathered from an environmental scan underpinning the plans for the creation of the Nursing Knowledge Network in Spanish-speaking countries as part of the international action of the Network. The information is structured according to the compilation of baseline information provided by nursing faculty from Chile, Colombia, Spain, Mexico, Paraguay and Peru. The information helped conceptualize and anticipate areas that require further exploration to effectively respond to gaps in Nursing teaching and research practice. The reported gaps in current research can be explained by lack of government and institutional policies to finance nursing research in areas that are not traditionally perceived as public health priorities. Other topics analyzed included obstacles to dissemination of scientific knowledge in Nursing, the possibilities of reinforcing Nursing research and the desired benefits of participating in the Network. Among the strengths of this environmental scan is its originality and potential to stimulate activities of cooperation for the production of knowledge, in particular the strengthening of graduate studies with faculty and students’ mobility in international multicenter research projects, research tutoring and coaching. Information also indicates new prospective areas of professional development for faculty, researchers, as well as areas of possible adoption of innovation in student education. (AU)


Subject(s)
Humans , Education, Nursing , Nursing Research , Surveys and Questionnaires , Information Dissemination , Health Priorities
12.
Invest. educ. enferm ; 40(3): 215-224, 15 octubre de 2022.
Article in English | LILACS, BDENF - Nursing, COLNAL | ID: biblio-1402563

ABSTRACT

The 1978 Alma-Ata International Declaration (Kazakhstan ­ former Soviet Socialist state),(1) was a turning point, at least regarding the conception of what was understood by primary health care (PHC) and what it should contribute to respond to the needs and demands of the population. The Declaration considered it, not only possible, but was aimed at achieving health for every country by the year 2000. The approaches to achieve this, although praiseworthy and difficult for anyone to reject, led to its signing by the 134 countries and 67 international organizations present at the meeting ­ highlighting the important absence of the People's Republic of China-, the intention was to stop financing rearmament policies and support for military conflicts and direct policies to promote independence, peace, détente and disarmament, to use those resources in the social and economic development of the people and invest on PHC, as essential element to achieve it. But beyond these proposals with an eminently political nature and always subject to the interests and developments of social, economic, and demographic events... it is important to highlight something that unfortunately has received enough importance and visibility, such as the express request for health professionals to commit to promoting PHC in every corner of the planet. Something that was to be key in the evolution of PHC, although with unequal enthusiasm, involvement, and commitment by the main professionals from the different disciplines that made up the PHC staff.


Subject(s)
Nursing , Alma Ata Declaration
13.
Rev. Rol enferm ; 45(9): 6-7, Sept. 2022. ilus
Article in Spanish | IBECS | ID: ibc-211098
14.
Article in English | MEDLINE | ID: mdl-36011482

ABSTRACT

INTRODUCTION: Educational material is a key strategy for primary health care promotion. PURPOSE: To design and validate educational material adapted to the population and aimed to increase knowledge about adherence to the treatment of arterial hypertension and diabetes mellitus. METHODOLOGY: Methodological study for the design of educational material for people with diabetes mellitus and high blood pressure. For the design, content validity tests were carried out, with the participation of six experts in health education and six patients with chronic diseases. Validation was performed pursuant to the attraction, understanding, engagement, and acceptance criteria. RESULTS: The validation confirmed that all items and criteria were above the minimal expected range. CONCLUSION: The design and validation of educational material provide elements that improve the education of patients about their pathologies and their adherence to treatment.


Subject(s)
Cardiovascular Diseases , Diabetes Mellitus , Hypertension , Cardiovascular Diseases/therapy , Chronic Disease , Diabetes Mellitus/therapy , Health Education , Humans , Hypertension/therapy
15.
Enferm Clin (Engl Ed) ; 32(6): 367-375, 2022.
Article in English | MEDLINE | ID: mdl-35781065

ABSTRACT

OBJECTIVE: To investigate the methodological quality of published systematic reviews of factors associated with COVID-19 in people with diabetes. METHOD: Systematic review with registration protocol in PROSPERO, under the number CRD42020222418. Searches were carried out from October to November 2020 in the databases of the MedLine, Web of Science, Scopus, Lilacs, Embase and Cochrane libraries, in addition to searching the reference list of the selected studies. Systematic review studies with or without meta-analysis and without date and language restrictions were included. Data were extracted in a standardized way and the quality of the studies was assessed using the Assessment of Multiple Systematic Reviews scale. RESULTS: Twelve reviews, published between 2020 and 2021, with a predominance of the English language, systematic reviews of observational studies with meta-analysis with a sample ranging from six to 83 studies, were included. Regarding financing, most of the study reported did not receive this type of support. Regarding to the assessment of the methodological quality of the studies, three were of moderate quality, five were classified as low quality and three with critically low quality. CONCLUSIONS: The analyzed articles presented a bias in the preparation of reports on their studies, suggesting the need to use mechanisms to improve adherence to the established reporting guidelines and methodological evaluation tools.


Subject(s)
COVID-19 , Diabetes Mellitus , Humans , Diabetes Mellitus/therapy
16.
Enferm Clin ; 32(6): 367-375, 2022.
Article in Spanish | MEDLINE | ID: mdl-35765372

ABSTRACT

Objective: To investigate the methodological quality of published systematic reviews of factors associated with COVID-19 in people with diabetes. Method: Systematic review with registration protocol in PROSPERO, under the number CRD42020222418. Searches were carried out from October to November 2020 in the databases of the Medline, Web of Science, Scopus, LILACS, Embase and Cochrane Library, in addition to searching the reference list of the selected studies. Systematic review studies with or without meta-analysis and without date and language restrictions were included. Data were extracted in a standardized way and the quality of the studies was assessed using the Assessment of Multiple Systematic Reviews scale. Results: Twelve reviews, published between 2020 and 2021, with a predominance of the English language, systematic reviews of observational studies with meta-analysis with a sample ranging from 6 to 83 studies, were included. Regarding financing, most of the study reported did not receive this type of support. Regarding to the assessment of the methodological quality of the studies, 3 were of moderate quality, 5 were classified as low quality and 3 with critically low quality. Conclusions: The analyzed articles presented a bias in the preparation of reports on their studies, suggesting the need to use mechanisms to improve adherence to the established reporting guidelines and methodological evaluation tools.


Subject(s)
COVID-19 , Diabetes Mellitus , Humans , Bibliometrics , Diabetes Mellitus/therapy
19.
Rev. bras. enferm ; 75(supl.1): e20210069, 2022.
Article in English | LILACS-Express | LILACS, BDENF - Nursing | ID: biblio-1341100

ABSTRACT

ABSTRACT Objective: to narrate the experience of facing a long economic and political crisis and the experience of the arrival process of the coronavirus pandemic in a Spanish healthcare center. Methods: this is a descriptive qualitative study with ethnographic analysis, with data collection through interviews, participant observation and field diary records. Results: the immersion in the context allowed us to identify two axes of domain: "The crisis, work in the community and the territory in Primary Care"; "The inevitability of being a nurse in facing a health crisis". Final considerations: the narrative portrays the ethics in field research, tensions and values of nursing work in crisis situations. Nurses' experiences are presented in narratives of dissatisfaction and difficulties, but with the support of values related to guaranteeing assistance to users and cooperation and solidarity in the collective organization of workers to face the COVID-19 crisis.


RESUMEN Objetivo: narrar la experiencia de afrontar una larga crisis económico-política y la experiencia del proceso de llegada de la pandemia de coronavirus en un centro sanitario español. Métodos: se trata de un estudio cualitativo descriptivo con análisis etnográfico, con recolección de datos a través de entrevistas, observación participante y registros de diario de campo. Resultados: la inmersión en el contexto permitió identificar dos ejes de dominio: "La crisis, el trabajo en la comunidad y el territorio en Atención Primaria"; "De la inevitabilidad de ser enfermero ante la crisis sanitaria". Consideraciones finales: la narrativa retrata la ética en la investigación de campo, las tensiones y los valores del trabajo de enfermería en situaciones de crisis. La experiencia de las enfermeras se presenta en narrativas de insatisfacción y dificultades, pero con el respaldo de valores relacionados con garantizar la asistencia a los usuarios y la cooperación y solidaridad en la organización colectiva de los trabajadores para enfrentar la crisis del COVID-19.


RESUMO Objetivo: narrar a experiência do enfrentamento de uma longa crise econômico-política e a vivência do processo da chegada da pandemia do coronavírus em um centro de saúde espanhol. Métodos: trata-se de estudo descritivo qualitativo com análise etnográfica, com coleta de dados por entrevistas, observação participante e registros em diário de campo. Resultados: a imersão no contexto permitiu identificar dois eixos de domínio: "a crise, o trabalho na comunidade e o território na Atenção Primária"; "da inevitabilidade do ser enfermeiro no enfrentamento da crise sanitária". Considerações finais: a narrativa retrata a ético na pesquisa de campo, tensões e valores do trabalho da enfermagem em conjuntura de crise. A experiência dos enfermeiros é trazida em narrativas de insatisfação e dificuldades, porém com a sustentação de valores relacionados à garantia da assistência aos usuários e de cooperação e solidariedade na organização coletiva dos trabalhadores para enfrentamento da crise da COVID-19.

20.
Rev Bras Enferm ; 75(suppl 1): e20210069, 2021.
Article in English, Portuguese | MEDLINE | ID: mdl-34669788

ABSTRACT

OBJECTIVE: to narrate the experience of facing a long economic and political crisis and the experience of the arrival process of the coronavirus pandemic in a Spanish healthcare center. METHODS: this is a descriptive qualitative study with ethnographic analysis, with data collection through interviews, participant observation and field diary records. RESULTS: the immersion in the context allowed us to identify two axes of domain: "The crisis, work in the community and the territory in Primary Care"; "The inevitability of being a nurse in facing a health crisis". FINAL CONSIDERATIONS: the narrative portrays the ethics in field research, tensions and values of nursing work in crisis situations. Nurses' experiences are presented in narratives of dissatisfaction and difficulties, but with the support of values related to guaranteeing assistance to users and cooperation and solidarity in the collective organization of workers to face the COVID-19 crisis.


Subject(s)
COVID-19 , Pandemics , Humans , Primary Health Care , SARS-CoV-2 , Spain
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