RESUMO
This study aims to describe a local community expert's perspective on the identification of and access to children's health assets and to gather proposals to promote children's health and well-being within their community. The health asset approach is essential for health promotion, and there is evidence of its benefits to individuals' or communities' health when this approach is observed. Children's health assets are gaining increasing interest, but the literature that captures the perception of professionals working with children is scarce. Qualitative research designed with Delphi methodology was carried out with the participation of 25 professionals working in a neighbourhood with children and families. The participants stated that this neighbourhood was a good environment for the healthy and happy growth of children but pointed out that there were inequities. They emphasised the importance of economic and physical security and feeling loved. The absolute best aspects of the neighbourhood according to these experts were its support networks, mutual help, educational and health services, and green spaces, and the most deficient aspects were the possibility of a hopeful future and emotional support within the family unit. Poverty and/or the scarcity of economic resources were identified as the main barriers to accessing health assets. Special difficulties in access to health for migrant and Roma children were also identified. The panel of experts made concrete action proposals. It was recommended to support resources and services that already exist in their community. The experts prioritised work with families, education, working in conjunction with vulnerable groups, community participation, and networking.
RESUMO
La pandemia por COVID-19 ha desencadenado una situación de emergencia mundial sin precedentes. La historia demuestra que crisis graves como esta pueden resultar determinantes para dar origen a transformaciones importantes en la sociedad. El objetivo principal de este artículo es aportar reflexiones sobre las posibles consecuencias de la pandemia por COVID-19 en el futuro de la terapia ocupacional a partir del análisis de otras situaciones de emergencia ocurridas en la primera mitad del siglo XX
The COVID-19 pandemic has triggered an unprecedented global emergency. History shows that serious crises such as this can be instrumental in bringing about major transformations in society. The main objective of this article is to provide reflections on the potential impact of the VOC-19 pandemic on the future of occupational therapy based on the analysis of other emergencies that occurred in the first half of the 20th century
Assuntos
Humanos , História do Século XIX , História do Século XX , Terapia Ocupacional/história , Terapia Ocupacional/métodos , Emergências/história , Pandemias/história , Infecções por Coronavirus/epidemiologia , Pneumonia Viral/epidemiologia , Serviços Médicos de Emergência , Emigração e Imigração/história , Epidemias/história , Saúde OcupacionalRESUMO
La salud es el bienestar individual y colectivo determinado por factores que trascienden el sistema sanitario. Si este quiere abordar la dimensión colectiva de la salud es preciso cambiar su orientación. La salud comunitaria está incluida teóricamente en la legislación, la formación, la coordinación y la planificación, y cuenta con marcos estratégicos que implican la coordinación y la participación de instituciones, servicios sanitarios y ciudadanía. Se presenta un artículo de diálogo en el que cinco personas reflexionan sobre la situación, las barreras, las fortalezas y las oportunidades de acción del sistema sanitario en relación con la salud comunitaria. Se precisan cambios en las acciones del sistema sanitario en relación con la salud comunitaria y su abordaje para ser capaces de afrontar los problemas de salud de las comunidades en la situación socioeconómica actual. Desde lo esencial del derecho a la salud reorientemos la acción teniendo presente la participación, la equidad, la orientación social, la intersectorialidad, el abordaje integral, la justicia social o la salud en todas las políticas, para poder tener presente la salud comunitaria en nuestro sistema de salud
Health means individual and collective well-being determined by factors that transcend the health services. If the health services want to address the collective dimension of health, a change of approach is required. Community health is theoretically included in legislation, training, coordination and planning with strategic frameworks that involve the coordination and participation of institutions, health services and citizenship. We present a discussion article in which five authors reflect on the situation, barriers, strengths and opportunities for action of the health services in relation to community health. Changes are needed in the actions of the health services in relation to community health and the way they approach it to address the health problems faced by the communities in the current socioeconomic situation. Given that health is an essential right, we will make a shift in action towards participation, equity, social orientation, intersectorality, comprehensive approach, social justice, and health in all policies, so that community health is taken into account in our health system
Assuntos
Humanos , Atenção Primária à Saúde , Participação da Comunidade , Serviços de Saúde Comunitária , Medicina Comunitária , Sistemas Nacionais de Saúde , Saúde Pública , Equidade em Saúde , Colaboração Intersetorial , 50207 , 17627RESUMO
Health means individual and collective well-being determined by factors that transcend the health services. If the health services want to address the collective dimension of health, a change of approach is required. Community health is theoretically included in legislation, training, coordination and planning with strategic frameworks that involve the coordination and participation of institutions, health services and citizenship. We present a discussion article in which five authors reflect on the situation, barriers, strengths and opportunities for action of the health services in relation to community health. Changes are needed in the actions of the health services in relation to community health and the way they approach it to address the health problems faced by the communities in the current socioeconomic situation. Given that health is an essential right, we will make a shift in action towards participation, equity, social orientation, intersectorality, comprehensive approach, social justice, and health in all policies, so that community health is taken into account in our health system.
