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Updated: Sep 10, 2025

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
[How to advance in community orientation in Primary Care: from isolated action to community action process]
Montserrat Niclos-Esteve1,2, Ana Ocaña Ortiz3,4,2, Ana Egea-Ronda5,2
1Departament de salut de La Ribera, Fundación Fisabio. Alzira (Valencia). España.
Abstract:
A classification model of group and community activities carried out from Primary Care and used in the Community Health Strategy of the Valencian Community is developed. The model is framed within three levels of community orientation, based on the prior conceptualization of what a community activity is according to the axes of temporality, intersectorality, and participation, and it is represented by a staircase. At the first step, individual care with a community orientation is located; the second step is subdivided: sublevel 2- (represents punctual group action); sublevel 2 (where the action has continuity and is considered group health education with an equity approach and social determinants of health); and sublevel 2+ (where intersectorality and engagement community are also incorporated). At the third step is where community action is situated. The model includes recommendations on how to progress from each level.
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