Framework for Community Health in the Aragón Health System: Primary Care (EACA)

About this good practice
The Aragon Community Care framework (EACA) is a Department of Health initiative aimed at promoting regional health and community participation. It integrates the Community Care service within the basic Primary Care services of the National Health System in Aragon. This service addresses the population's health problems, needs, and inequalities through community participation.
Primary Care Teams deliver it via two methods: Community Activities and Local Health Councils. EACA aims to implement community care at all levels of primary care work—individual, group, and community.
Objectives:
1. Promote salutogenic orientation
2. Reduce medicalization, promoting patient autonomy and social prescribing
3. Generate organizational capacity in health services
4. Facilitate continuous training
5. Promote collaboration to develop healthy policies, intersectorality, and networking
Lines of Action for Primary Care Teams:
1. Creation of the community agenda as a tool for the team's community orientation
2. Development of community care projects
3. Asset-based community care
Each line includes its own planning, tools, and evaluation. The strategy involves five coordinated actions for its implementation:
1. Multidisciplinary training program
2. Technical support from Public Health and other health department areas
3. Scientific support
4. Local health networks
5. Dissemination plan
EACA implements the Spanish Strategic Framework for Primary & Community Care of the Ministry of Health in Aragón.
Resources needed
Human Resources:
• Full-time coordinator
• Health Department General Directorates and Aragonese Health Service Provider working group
• Local public health services, primary care departments, and each primary care team
Funding
• Aragonese Department of Health
• Spanish Ministry of Health
Evidence of success
After 8 years, EACA is sustainable and acts as a transversal strategy for community-oriented primary care. Currently, 91% of teams have community agenda groups and roadmaps for developing community care services. Participation in local health networks and health councils has improved. EACA offers over 1,331 community resources through the Asset Finder for Health, validated by Public Health. Over 8,000 patients in Aragon have benefited from a social prescribing scheme.
Potential for learning or transfer
The EACA enhances community orientation in primary health care, leveraging combined knowledge from professionals, technicians, population, & best practices from Aragón & other regions
Development & Recognition
• Developed by: Interdisciplinary primary care (PC) professionals
• Initial Analysis: Based on Aragón Community Care’ research
• Recognition: WHO-recognised for good practice in population health management & PC transformation
Keys to Sustainability
• Institutional Support: Strong backing from institutions
• Management Tools: Integrated with PC teams' tools: online community agenda tool, Aragon Health Asset Finder, Health Asset Recommendation Guide, & social prescribing protocol linked to eHRs.
• Training Programme: Multidisciplinary
• Knowledge & Network Generation
• EACA Web-blog: Access to content, technical, & scientific support for PC professionals
• Network Facilitation: EACA fosters knowledge exchange & participation among professionals, institutions, services, & citizens