Análisis de la implementación del mapeo de activos y prescripción social en Cataluña

Abstract

Introduction: Asset mapping and Social Prescribing (PrS) are key tools in community action to address social determinants of health. This study examines their implementation in Catalonia by exploring facilitating factors, challenges, and perceptions of impact on public health. Methods: A mixed-methods study that included a descriptive analysis of the “Assets and Health” platform and semi-structured interviews with 25 key actors in 11 municipalities. The interviews were analyzed qualitatively to identify patterns in the implementation of the strategies. Results: Between 2016 and 2021, 4,113 activities and 4,214 resources were registered on the “Activos y Salud” platform. Disparity in coverage was observed across age groups and provinces, with limited representation of activities for young people. The impact of COVID-19 significantly affected the registration and sustainability of activities. Community background, such as the existence of previous intersectoral processes, was crucial to the success of mapping and PrS. Strategies included intersectoral meetings, use of digital tools, and collaboration with universities. Challenges identified included lack of specific resources, digital divides, and difficulties in continuously updating assets. PrS was adapted to local characteristics through differentiated circuits. Participants highlighted positive impacts such as the creation of community networks, reduced isolation, and increased social participation. Conclusions: Effective implementation requires overcoming barriers, strengthening local capacities, training professionals, improving digital infrastructure and community participation, incorporating artificial intelligence, and transferable learnings that guide i mplementation in other contexts.

Keywords

Community Health

Implementation

Primary Health Care

Health Promotion

Social Support

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