2026/01/01 by Manuel F. Herrera Artiles, M. Pilar López-Sánchez, Elena Vanessa Martínez-Sánchez +1 · 1 voice · 1 citation
Business, Management and Accounting · Health Professions · Social Sciences · #Healthcare Systems and Technology #Labor Law and Work Dynamics #Public Health Policies and Education
paper · doi:10.1016/j.gaceta.2026.102613
openalex publication_date 2026/01/01 · openalex created_date 2026/06/05 · openalex updated_date 2026/07/23
OBJECTIVE: To analyze two good practices of intersectoral coordination promoted by public health, including primary care and other health and non-health sectors, and to identify the strengths and weaknesses perceived by public health and primary care professionals for the development of effective coordination. METHOD: A qualitative and participatory study was conducted based on the analysis of two well-established experiences: the mihsalud program (Valencia) and the Barcelona Action Plan on Drugs and Addictions (PADAB). The study combined a descriptive review of the practices with a participatory strategic analysis using the SWOT methodology. A total of 27 public health and primary care professionals from one autonomous community were purposively selected to identify strengths, weaknesses, opportunities, and threats related to coordination, as well as proposals for improvement. RESULTS: Both experiences show that shared governance, community participation, and intersectoral collaboration facilitate the integration of public health and healthcare services, contributing to the sustainability and effectiveness of interventions. Key strengths include professional expertise, the existence of supportive regulatory frameworks, and interinstitutional partnerships. Nevertheless, persistent weaknesses were identified, such as organizational fragmentation, lack of interoperability of information systems, limited joint training, and insufficient stable funding. The SWOT analysis made it possible to define strategies aimed at strengthening interdisciplinary training, improving interoperability, reducing bureaucracy, and consolidating stable governance frameworks. CONCLUSIONS: Effective coordination between public health and healthcare services is essential to improve equity, system efficiency, and health outcomes. The experiences analyzed provide transferable lessons that highlight the need for structural reforms, sustained investment, and the strengthening of collaborative governance to move toward integrated and sustainable models.