title: [Community health in primary health care teams: a management objective].
abstract: OBJECTIVE
  To describe the process of development of community health in a territory where the Primary Health Care board decided to include it in its roadmap as a strategic line.
  
  
  METHODS
  Evaluative research using qualitative techniques, including SWOT analysis on community health. Two-steps study.
  
  
  METHODS
  Primary care teams (PCT) of the Catalan Health Institute in Barcelona city.
  The 24 PCT belonging to the Muntanya-Dreta Primary Care Service in Barcelona city, with 904 professionals serving 557,430 inhabitants.
  
  
  METHODS
  Application of qualitative methodology using SWOT analysis in two steps (two-step study). Step 1: Setting up a core group consisting of local PCT professionals; collecting the community projects across the territory; SWOT analysis. Step 2: From the needs identified in the previous phase, a plan was developed, including a set of training activities in community health: basic, advanced, and a workshop to exchange experiences from the PCTs.
  
  
  RESULTS
  A total of 80 team professionals received specific training in the 4 workshops held, one of them an advanced level. Two workshops were held to exchange experiences with 165 representatives from the local teams, and 22 PCTs presenting their practices. In 2013, 6 out of 24 PCTs have had a community diagnosis performed.
  
  
  CONCLUSIONS
  Community health has achieved a good level of development in some areas, but this is not the general situation in the health care system. Its progression depends on the management support they have, the local community dynamics, and the scope of the Primary Health Care.
authors.affiliation: SAP Muntanya-Dreta, Àmbit Atenció Primària Barcelona ciutat, ICS, Barcelona, España. Electronic address: cnebot.bcn.ics@gencat.cat.
authors.forename: Carme
authors.initials: C
authors.lastname: Nebot Adell
authors.affiliation: Agència de Salut Pública Barcelona, Barcelona, España.
authors.forename: Maribel
authors.initials: M
authors.lastname: Pasarin Rua
authors.affiliation: Universitat de Barcelona, Barcelona, España.
authors.forename: Jaume
authors.initials: J
authors.lastname: Canela Soler
authors.affiliation: SAP Muntanya-Dreta, Àmbit Atenció Primària Barcelona ciutat, ICS, Barcelona, España.
authors.forename: Clara
authors.initials: C
authors.lastname: Sala Alvarez
authors.affiliation: SAP Muntanya-Dreta, Àmbit Atenció Primària Barcelona ciutat, ICS, Barcelona, España.
authors.forename: Alex
authors.initials: A
authors.lastname: Escosa Farga
mesh_terms: D006801:Humans; D010348:Patient Care Team / Q000458:organization & administration*; D011320:Primary Health Care / Q000458:organization & administration*; D011634:Public Health; D011635:Public Health Administration; D013030:Spain
keywords: Atención primaria de salud; Community health; Decision making process; Primary health care; Proceso de toma de decisiones; Salud comunitaria