RESUMO
La implementación local de la Estrategia de Promoción de la Salud y Prevención en el Sistema Nacional de Salud se presenta como una oportunidad para avanzar en promoción de la salud. Aunque existen diferentes visiones desde los ámbitos municipal, autonómico y nacional, así como desde la salud pública y desde la atención primaria, hay consenso en cuanto a que es necesario impulsar las estrategias de salud local. Se deben establecer mecanismos de coordinación que faciliten el trabajo multinivel e intersectorial. La implementación local debe avanzar en la promoción de la participación ciudadana y la salud comunitaria, más allá de la elaboración del mapa de recursos
The local implementation of the Prevention and Health Promotion Strategy of the National Health System is presented as an opportunity to advance in health promotion. Although there are different visions from the municipal, regional and national levels, as well as from public health and from primary care, there is a consensus that it is necessary to promote local health strategies. Coordination mechanisms should be established to facilitate multilevel and intersectoral work. Local implementation must advance in the promotion of citizen participation and community health, beyond the preparation of the resource map
Assuntos
Humanos , Centros Comunitários de Saúde/organização & administração , Planejamento em Saúde Comunitária/organização & administração , Participação da Comunidade/tendências , Promoção da Saúde/organização & administração , Estratégias de Saúde Locais , Cidade Saudável , Programas Gente Saudável/organização & administração , Atenção Primária à Saúde/organização & administraçãoRESUMO
The local implementation of the Prevention and Health Promotion Strategy of the National Health System is presented as an opportunity to advance in health promotion. Although there are different visions from the municipal, regional and national levels, as well as from public health and from primary care, there is a consensus that it is necessary to promote local health strategies. Coordination mechanisms should be established to facilitate multilevel and intersectoral work. Local implementation must advance in the promotion of citizen participation and community health, beyond the preparation of the resource map.
Assuntos
Atenção à Saúde/organização & administração , Promoção da Saúde/organização & administração , Humanos , Prevenção Primária , Relatório de Pesquisa , Sociedades Médicas , EspanhaRESUMO
The policy of continued improvement in citizens' health, further to the definitions provided in the latest World Health Organization reports, entails a huge undertaking on the part of local administrations in issues that not only affect health management but also involve a change in other health-related policies, such as urban development and planning. Until now, urban development has been reluctant to incorporate the criteria defined by health strategies into its field of knowledge. However, there is a lack of research in public health, which could specify the clear effects of the environmental on citizens' health and enable criteria applicable to spatial planning to be defined. The present article reflects on certain experiences acquired in our environment of processes that bring together these two views of health, ranging from urban and environmental policies in indicator-based reports to a series of good practice. The integrated municipal action of San Fernando de Henares in the Healthy Cities project has also been significant.
Assuntos
Saúde Pública , Saúde da População Urbana , População Urbana , Reforma Urbana , Humanos , EspanhaRESUMO
El planteamiento de mejora continua de la salud de la ciudadanía, según los conceptos definidos en los últimos informes por la Organización Mundial de la Salud, implica un fuerte compromiso de las administraciones locales en temas que se refieren no sólo a aspectos de gestión sanitaria, sino a un cambio en otras políticas relacionadas con la salud, entre ellas, las políticas de urbanismo y planificación urbana. Hasta el momento, el urbanismo no ha estado muy abierto a incorporar los criterios definidos por estrategias de salud a su campo de conocimiento, pero hay que reconocer que también ha faltado investigación en salud pública, que concrete las evidencias del impacto del entorno en la salud de los ciudadanos y permita definir criterios aplicables a la planificación espacial. Este texto refleja algunas experiencias realizadas en nuestro entorno de procesos de acercamiento de estos dos enfoques de la salud: desde las políticas urbanas y ambientales, a través de informes basados en indicadores y series de buenas prácticas, y desde la acción integrada municipal, en el ejemplo del trabajo de San Fernando de Henares a través del Proyecto de Ciudades Saludables
The policy of continued improvement in citizens¿ health, further to the definitions provided in the latest World Health Organization reports, entails a huge undertaking on the part of local administrations in issues that not only affect health management but also involve a change in other health-related policies, such as urban development and planning. Until now, urban development has been reluctant to incorporate the criteria defined by health strategies into its field of knowledge. However, there is a lack of research in public health, which could specify the clear effects of the environmental on citizens¿ health and enable criteria applicable to spatial planning to be defined. The present article reflects on certain experiences acquired in our environment of processes that bring together these two views of health, ranging from urban and environmental policies in indicator-based reports to a series of good practice. The integrated municipal action of San Fernando de Henares in the Healthy Cities project has also been significant (AU)
Assuntos
Humanos , Saúde Pública , População Urbana , Reforma Urbana , Saúde da População Urbana , EspanhaRESUMO
El planteamiento de mejora continua de la salud de la ciudadanía,según los conceptos definidos en los últimos informespor la Organización Mundial de la Salud, implica un fuertecompromiso de las administraciones locales en temas quese refieren no sólo a aspectos de gestión sanitaria, sino a uncambio en otras políticas relacionadas con la salud, entre ellas,las políticas de urbanismo y planificación urbana. Hasta el momento,el urbanismo no ha estado muy abierto a incorporarlos criterios definidos por estrategias de salud a su campo deconocimiento, pero hay que reconocer que también ha faltadoinvestigación en salud pública, que concrete las evidenciasdel impacto del entorno en la salud de los ciudadanos ypermita definir criterios aplicables a la planificación espacial.Este texto refleja algunas experiencias realizadas en nuestroentorno de procesos de acercamiento de estos dos enfoquesde la salud: desde las políticas urbanas y ambientales,a través de informes basados en indicadores y series de buenasprácticas, y desde la acción integrada municipal, en el ejemplodel trabajo de San Fernando de Henares a través del Proyectode Ciudades Saludables(AU)
The policy of continued improvement in citizens health, furtherto the definitions provided in the latest World Health Organizationreports, entails a huge undertaking on the part oflocal administrations in issues that not only affect health managementbut also involve a change in other health-relatedpolicies, such as urban development and planning. Until now,urban development has been reluctant to incorporate the criteriadefined by health strategies into its field of knowledge.However, there is a lack of research in public health, whichcould specify the clear effects of the environmental on citizenshealth and enable criteria applicable to spatial planning to bedefined.The present article reflects on certain experiences acquiredin our environment of processes that bring together thesetwo views of health, ranging from urban and environmentalpolicies in indicator-based reports to a series of good practice.The integrated municipal action of San Fernando deHenares in the Healthy Cities project has also been significant(AU)
