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Cocreating Actions to Improve Rationality in the health system

Project description

How community involvement can improve health and promote equity

Social, economic and environmental factors significantly influence health, yet most interventions focus on individual-level solutions such as medication and patient counselling. The ERC-funded CAIR project aims to showcase the effectiveness of collaborative efforts in addressing psychological well-being, cardiovascular health and antimicrobial resistance within communities. Through this approach, the project seeks to ease the burden on primary care services, decrease reliance on medication and advance health equity. Employing various methodologies, CAIR will evaluate the existing healthcare system, engage community members in developing interventions, and assess the impact of these initiatives. Ultimately, the project endeavours to demonstrate how community involvement can build a cross-sector and more community-focused healthcare system.

Objective

Despite widespread recognition of social, economic, or environmental health determinants, health action remains heavily dominated by individual-level solutions (e.g. medication, patient counselling, vaccination). This proposal aims to stimulate changes in health system functioning by demonstrating how the cocreation of actions to address psychological well-being, cardiovascular health, and antimicrobial resistance from within the community can alleviate the burden on primary care services, reduce medicalisation and increase health equity.
The scientific approach uses mixed methods and incorporates theory from multiple disciplines. We will appraise how the current system addresses psychological well-being, cardiovascular health, and rational use of antibiotics using a population survey, a survey of patients collecting their medication at community pharmacies, aggregate health service indicators on medication consumption and primary care consultations, and qualitative methods exploring stakeholders’ perceptions. We will undertake community-based participatory research to engage citizen scientists in the cocreation of community-led actions to promote psychological well-being, cardiovascular health, and prevent antimicrobial resistance. The design, implementation, and evaluation of the actions will apply an assets-based approach and apply theories and frameworks from implementation science in an iterative manner over 3 years. Finally, we will analyse the impact of the cocreated actions, considering effectiveness and broader contextual issues such as initiative adoption, implementation, and maintenance. This will use a before-after comparison of survey indicators, an interrupted time-series analysis of health service data and qualitative analysis.
The goal is to demonstrate how the integration of community action with attention to the social determinants of health, can lead to a more rational approach to health care and ultimately improve health and health equity.

Fields of science (EuroSciVoc)

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Keywords

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Programme(s)

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Topic(s)

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Funding Scheme

Funding scheme (or “Type of Action”) inside a programme with common features. It specifies: the scope of what is funded; the reimbursement rate; specific evaluation criteria to qualify for funding; and the use of simplified forms of costs like lump sums.

HORIZON-ERC - HORIZON ERC Grants

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Call for proposal

Procedure for inviting applicants to submit project proposals, with the aim of receiving EU funding.

(opens in new window) ERC-2023-COG

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Host institution

UNIVERSIDAD MIGUEL HERNANDEZ DE ELCHE
Net EU contribution

Net EU financial contribution. The sum of money that the participant receives, deducted by the EU contribution to its linked third party. It considers the distribution of the EU financial contribution between direct beneficiaries of the project and other types of participants, like third-party participants.

€ 1 998 750,00
Address
AVENIDA DE LA UNIVERSIDAD S-N
03202 Elche
Spain

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Region
Este Comunitat Valenciana Alicante/Alacant
Activity type
Higher or Secondary Education Establishments
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Total cost

The total costs incurred by this organisation to participate in the project, including direct and indirect costs. This amount is a subset of the overall project budget.

€ 1 998 750,00

Beneficiaries (1)

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