Cubillo-Llanes Jara, García-Blanco Daniel, Benede-Azagra Belén, Gallego-Diéguez Javier, Hernán-García Mariano
Ministerio de Sanidad, Madrid, España.
Servicio Madrileño de Salud, Madrid, España.
Gac Sanit. 2022;36 Suppl 1:S22-S25. doi: 10.1016/j.gaceta.2022.02.011.
Community participation has been put as secondary due to the management of the COVID-19 pandemic. This is despite the evidence of its importance in relation to equity and health promotion. Even so, there have been a number of experiences of community participation that can give us clues towards how to confront potential future emergencies focusing on health promotion and social determinants. The main aim of this article is reflecting critically on the role of community participation during the pandemic as well as extracting a number of ideas which could be useful and ensure a better management of a future crisis. They arise from evidence and experiences undertaken in Spain. In order to do so, it is key to build and maintain community networks whilst identifying common goals and the role that different community agents must play, adapting to different contexts and participatory assessments. Community action cannot be improvised: it demands time, resources and specific political willingness to make it sustainable and efficient.
由于新冠疫情的管控,社区参与被置于次要地位。尽管有证据表明其在公平性和健康促进方面具有重要性,但仍是如此。即便如此,仍有一些社区参与的经验,能为我们应对未来以健康促进和社会决定因素为重点的潜在紧急情况提供线索。本文的主要目的是批判性地反思疫情期间社区参与的作用,并提炼出一些可能有用的想法,以确保更好地应对未来危机。这些想法源于西班牙的相关证据和经验。为此,关键在于建立和维护社区网络,同时确定共同目标以及不同社区主体必须发挥的作用,适应不同情境并进行参与式评估。社区行动不能临时拼凑:它需要时间、资源和特定的政治意愿,以使其可持续且高效。