加强西班牙巴斯克地区卫生公平的社区行动

Community Actionto Strengthen Health Equityin the Spanish BasqueCountry This work is published under the responsibility of the Secretary-General of the OECD. The opinions expressed andarguments employed herein do not necessarily reflect the official views of the Member countries of the OECD. This document was produced with the financial assistance of the European Union. The views expressed herein can inno way be taken to reflect the official opinion of the European Union. This document, as well as any data and map included herein, are without prejudice to the status of or sovereignty overany territory, to the delimitation of international frontiers and boundaries and to the name of any territory, city or area. Photo credits:Cover © ESB Professional/Shutterstock.com. Corrigenda to OECD publications may be found at: https://www.oecd.org/en/publications/support/corrigenda.html.© OECD 2025 Attribution 4.0 International (CC BY 4.0) This work is made available under the Creative Commons Attribution 4.0 International licence. By using this work, you accept to be bound by the terms of this licence(https://creativecommons.org/licenses/by/4.0/).Attribution– you must cite the work.Translations– you must cite the original work, identify changes to the original and add the following text:In the event of any discrepancy between the original work and thetranslation, only the text of the original work should be considered valid.Adaptations– you must cite the original work and add the following text:This is an adaptation of an original work by the OECD. The opinions expressed and arguments employed inthis adaptation should not be reported as representing the official views of the OECD or of its Member countries.Third-party material– the licence does not apply to third-party material in the work. If using such material, you are responsible for obtaining permission from the third party and forany claims of infringement.You must not use the OECD logo, visual identity or cover image without express permission or suggest the OECD endorses your use of the work.Any dispute arising under this licence shall be settled by arbitration in accordance with the Permanent Court of Arbitration (PCA) Arbitration Rules 2012. The seat of arbitration shallbe Paris (France). The number of arbitrators shall be one. Foreword This report ispart of the project “Community participatory processes, focussed on equity in health, at thelocal level”, conducted by the Directorate of Employment, Labour and Social Affairs of the OECD. Thereport was produced in collaboration with the Department of Health of the Basque Country and funded bythe European Union via the Technical Support Instrument. The project is implemented inco-operation withthe Reform and Investment Task Force of the European Commission. The main objective of this project is tosupport the Basque authorities in developing a strategy to establishmechanisms and processes that promote community action for public health and well-being, building onand creating synergieswith existing initiatives. This report corresponds to Activities3.1and 3.2ofOutput3, and Activity5.1of Output5 of the project, which began in November2023 and was completedby January2024. The report builds on the information collected during the fact-finding mission, follow-uponline interviews and throughseveral questionnaires completed by various stakeholders. The reportpresents the assessment of the work of the Department of Health of the Basque Country and the mappingof community action for health in the Basque Country. Theassessmentand the mappingofprocessesconstitute key inputs for the development of recommendations for a strategy to strengthen communityaction processes and improve health and well-being in the Basque Country. Authors acknowledge the support and active collaboration of the Directorate of Public Health andAddictions of the Department of Health of the Basque Country. The authors would also like to thank themany persons and institutions (Osakidetza, provincial and municipal authorities, other directorates of theDepartment of Health of the Basque Country, third sector and private entities and academic researchers)who contributed to this work through interviews, the provision of documentation, and the responses toquestionnaires. The action has received funding from the European Union via the Technical Support Instrument and isimplemented by the OECD, inco-operation with the Reform and Investment Task Force of the EuropeanCommission. Table of contents 3 Foreword Acronyms and concepts 7 Executive summary 1 Community action for health has gained momentum in the Basque Country10 Introduction111.1. Community action is defined in many ways, but core principles remain consistent111.2. Trends in health status emphasise the importance of community action for health in theBasque country13References17Notes18 2 The institutional setup for community health in the Basque Country is intricate19Introduction202.1.