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Measuring and Analysing Community Action for Health: An Indicator-Based Typology and Its Application to the Case of Barcelona

Author

Listed:
  • Nicolás Barbieri

    (Universitat Autònoma de Barcelona)

  • Raquel Gallego

    (Universitat Autònoma de Barcelona)

  • Ernesto Morales

    (Universitat Autònoma de Barcelona)

  • Maica Rodríguez-Sanz

    (Universitat Pompeu Fabra)

  • Laia Palència

    (Agència de Salut Pública de Barcelona)

  • M. Isabel Pasarín

    (Agència de Salut Pública de Barcelona)

Abstract

Social welfare systems face major challenges, particularly in a context of social transformation, austerity and growing inequalities. This process is highly visible in the health sector. In this context, many voices ask for public sector reforms and community action for health as a relevant practice. However, analyses and evaluations of this kind of practices are still limited, particularly beyond the cases of single community health actions or interventions. We still need to identify key indicators for measuring and characterising what community action for health consists of, as well as to what degree this kind of intervention has been developed across a city. Based on a research about 49 neighborhoods in Barcelona, this paper creates an index to measure and characterize community action for health, using different indicators: citizen engagement programs in community health, organizational transformation of the health and social protection systems, stable participatory structures with specific teams, and urban health policies. We apply the index to the case of Barcelona and build a map of community action for health in the city using 4 categories: strong community health development (one neighbourhood), middle (9 neighborhoods), emergent (25 neighborhoods) and without specific community health promotion (14 neighbourhoods). We find that community action for health is extensive within the city of Barcelona, have great potential as a response to the need for change in the relationship between the public (health) sector and the citizenry, but is still implemented unequally across the urban territory in terms of types and methods.

Suggested Citation

  • Nicolás Barbieri & Raquel Gallego & Ernesto Morales & Maica Rodríguez-Sanz & Laia Palència & M. Isabel Pasarín, 2018. "Measuring and Analysing Community Action for Health: An Indicator-Based Typology and Its Application to the Case of Barcelona," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 139(1), pages 25-45, August.
    • Handle: RePEc:spr:soinre:v:139:y:2018:i:1:d:10.1007_s11205-017-1703-4
    DOI: 10.1007/s11205-017-1703-4
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    References listed on IDEAS

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    1. Cahuas, Madelaine C. & Wakefield, Sarah & Peng, Yun, 2015. "Social change or business as usual at city hall? Examining an urban municipal government's response to neighbourhood-level health inequities," Social Science & Medicine, Elsevier, vol. 133(C), pages 366-373.
    2. Dahlgren, Göran & Whitehead, Margaret, 1991. "Policies and strategies to promote social equity in health. Background document to WHO - Strategy paper for Europe," Arbetsrapport 2007:14, Institute for Futures Studies.
    3. Danielle M. Wood, 2016. "Community indicators and collective impact: facilitating change," Community Development, Taylor & Francis Journals, vol. 47(2), pages 194-208, May.
    4. Borrell, Carme & Muntaner, Carles & Benach, Joan & Artazcoz, Lucía, 2004. "Social class and self-reported health status among men and women: what is the role of work organisation, household material standards and household labour?," Social Science & Medicine, Elsevier, vol. 58(10), pages 1869-1887, May.
    5. Nuño, Roberto & Coleman, Katie & Bengoa, Rafael & Sauto, Regina, 2012. "Integrated care for chronic conditions: The contribution of the ICCC Framework," Health Policy, Elsevier, vol. 105(1), pages 55-64.
    6. Marilyn Taylor, 2007. "Community Participation in the Real World: Opportunities and Pitfalls in New Governance Spaces," Urban Studies, Urban Studies Journal Limited, vol. 44(2), pages 297-317, February.
    7. Fuertes, Carmen & Pasarín, M. Isabel & Borrell, Carme & Artazcoz, Lucía & Díez, Èlia, 2012. "Feasibility of a community action model oriented to reduce inequalities in health," Health Policy, Elsevier, vol. 107(2), pages 289-295.
    8. Alicia Renedo & Cicely Alice Marston & Dimitrios Spyridonidis & James Barlow, 2015. "Patient and Public Involvement in Healthcare Quality Improvement: How organizations can help patients and professionals to collaborate," Public Management Review, Taylor & Francis Journals, vol. 17(1), pages 17-34, January.
    9. Mehdipanah, Roshanak & Manzano, Ana & Borrell, Carme & Malmusi, Davide & Rodriguez-Sanz, Maica & Greenhalgh, Joanne & Muntaner, Carles & Pawson, Ray, 2015. "Exploring complex causal pathways between urban renewal, health and health inequality using a theory-driven realist approach," Social Science & Medicine, Elsevier, vol. 124(C), pages 266-274.
    10. Malmusi, Davide & Borrell, Carme & Benach, Joan, 2010. "Migration-related health inequalities: Showing the complex interactions between gender, social class and place of origin," Social Science & Medicine, Elsevier, vol. 71(9), pages 1610-1619, November.
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