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Farm. comunitarios (Internet) ; 11(4): 56-58, dic. 2019.
Artigo em Espanhol | IBECS | ID: ibc-186887


El 20 y el 21 de septiembre de 2018 tuve la oportunidad de facilitar una conferencia organizada por la Sociedad Española de Farmacia Familiar y Comunitaria (SEFAC) en Lanzarote, España. El título de dicha conferencia fue Salud pública y farmacia comunitaria como promotora de salud. Durante la conferencia en Lanzarote, mi objetivo fue ofrecer un marco de referencia útil para fortalecer el papel de las farmacias comunitarias dentro de una estrategia sólida de promoción de la salud relevante para el contexto de Canarias. En este artículo tocaré y expandiré algunas de las reflexiones que hice en esa conferencia, con un enfoque nacional y global

On September 20 and 21, 2018, I had the opportunity to facilitate a conference organized by the Sociedad Española de Farmacia Familiar y Comunitaria [Spanish Society of Family and Community Pharmacy] (SEFAC) in Lanzarote, Spain. The title of this conference was Public Health and Community Pharmacy as Health Pro-moter. During the conference in Lanzarote, my objective was to offer a reference standard to strengthen the role of community pharmacies within a solid strategy of promoting health relevant to the context of the Canary Islands. In this article I will cover and explore reflections made in this conference, with a national and global focus

Humanos , Promoção da Saúde , Farmácias , Estratégias de Saúde , Organização Mundial da Saúde
Health Promot Int ; 26 Suppl 2: ii216-25, 2011 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-22080076


One of the five action domains in the Ottawa Charter was Reorienting Health Services. In this paper, we reflect on why progress in this domain has been somewhat lethargic, particularly compared with some of the other action domains, and why now it is important to renew our commitment to this domain. Reorienting health services has been largely overlooked and opportunities missed, although good exceptions do exist. The occasion of the 25th anniversary of the Ottawa Charter represents an important opportunity for health promotion to: (i) renew its active voice in current policy debate and action and (ii) enhance achievements made to date by improving our efforts to advocate, enable and mediate for the reorientation of health services and systems. We outline six steps to reactivate and invest more in this action domain so as to be in a better position to promote health equitably and sustainably in today's fast changing world. Though our experience is mainly based in the European context, we hope that our reflections will be of some value to countries outside of this region.

Atenção à Saúde/organização & administração , Promoção da Saúde/organização & administração , Meio Ambiente , Comportamentos Relacionados com a Saúde , Alocação de Recursos para a Atenção à Saúde/organização & administração , Política de Saúde , Disparidades nos Níveis de Saúde , Humanos , Estilo de Vida , Qualidade da Assistência à Saúde/organização & administração
Int J Public Health ; 54 Suppl 2: 278-84, 2009 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-19639252


Over the past 25 years, the WHO collaborative cross-national Health Behaviour in School-aged Children (HBSC) study has been accumulating evidence that provides insights into how to promote the health and well-being of young people. HBSC has increased understanding of the determinants of young people's health, particularly in relation to the social contexts in which they live, learn and play. The study now spans 43 countries and regions in Europe and North America. HBSC provides intelligence for the development and evaluation of public health policy and practice at national, sub-national and international levels. However, the mere existence of evidence does not automatically change policy nor necessarily improve the lives of young people. Effective mechanisms to ensure use of evidence in policy-making and practice are needed. The WHO/HBSC Forum series is a platform designed to facilitate the translation of evidence into action. Forum processes convene researchers, policy-makers and practitioners from across Europe to analyse data, review policies and interventions, and identify lessons learned to improve the health of adolescents through actions that address the social contexts that influence their health. Each Forum process consists of case studies produced by interdisciplinary teams in countries and regions, cross-country evidence reviews, a European consultation, an outcomes statement within a final publication, and a Web-based knowledge platform. In addition to emphasizing the translation of research into action, the Forum series focuses on increasing know-how to scale up intersectoral policies and interventions; reduce health inequities; and involve young people in the design, implementation and evaluation of policies and interventions. Interviews with selected participants in the 2007 Forum process revealed that national-level impacts of involvement were: brokering new or strengthening existing working relationships among members of case study drafting teams and national delegations to events; feeding into the formulation of national policy or practice design; and enabling the comparison of information systems, policies, interventions, and working methods with other countries and against the evidence base, thus providing encouragement for new and/or validation of existing activities. The WHO/HBSC Forum series is an evolving platform. The methodology for each Forum process incorporates lessons learnt through past Fora - within resource constraints - and is based on the principles of efficiency and effectiveness. Areas requiring further development, identified through the aforementioned interviews and based on the reflections of co-organizers, include identification of means to ensure systematic, appropriate and meaningful youth involvement; maximization of the usefulness of the European consultation; and definition of a budget line and framework for evaluation of the process' impact at country level.

Nível de Saúde , Inquéritos Epidemiológicos , Internacionalidade , Classe Social , Organização Mundial da Saúde , Adolescente , Congressos como Assunto , Europa (Continente) , Promoção da Saúde , Humanos , Entrevistas como Assunto , Saúde Mental , América do Norte , Satisfação Pessoal
Promot Educ ; Suppl 2: 17-22, 2007.
Artigo em Inglês | MEDLINE | ID: mdl-17685075


Historically, approaches to the promotion of population health have been based on a deficit model. That is, they tend to focus on identifying the problems and needs of populations that require professional resources and high levels of dependence on hospital and welfare services. These deficit models are important and necessary to identify levels of needs and priorities. But they need to be complemented by some other perspectives as they have some drawbacks. Deficit models tend to define communities and individuals in negative terms, disregarding what is positive and works well in particular populations. In contrast 'assets' models tend to accentuate positive capability to identify problems and activate solutions. They focus on promoting salutogenic resources that promote the self esteem and coping abilities of individuals and communities, eventually leading to less dependency on professional services. Much of the evidence available to policy makers to inform decisions about the most effective approaches to promoting health and to tackling health inequities is based on a deficit model and this may disproportionately lead to policies and practices which disempower the populations and communities who are supposed to benefit from them. An assets approach to health and development embraces a 'salutogenic' notion of health creation and in doing so encourages the full participation of local communities in the health development process. The asset model presented here aims to revitalise how policy makers, researchers and practitioners think and act to promote a more resourceful approach to tackling health inequities. The model outlines a systematic approach to asset based public health which can provide scientific evidence and best practice on how to maximise the stock of key assets necessary for promoting health. Redressing the balance between the assets and deficit models for evidence based public health could help us to unlock some of the existing barriers to effective action on health inequities. This re-balancing would help in better understanding the factors that influence health and what can be done about them. It would promote a positive and inclusive approach to action.

Medicina Baseada em Evidências , Política de Saúde , Promoção da Saúde , Saúde Pública , Justiça Social , Marketing Social , Tomada de Decisões , Saúde Global , Humanos , Internacionalidade , Ontário , Política Pública , Fatores Socioeconômicos , Organização Mundial da Saúde
Promot. educ ; (n.esp 2): 17-22, 2007. ilus
Artigo em Inglês | CidSaúde - Cidades saudáveis | ID: cid-57169


A lo largo de la história, los enfoques de la promoción de la saludde la población tenían su fundamento en un modelo basado en las carencias de dicha población. Es decir, tienden a centrar su acción en detectar los problemas y las necesidades de las poblaciones que requieren recursos profesionales y dependen en gran medida de los hospitales y los servicios sociales. Estos modelos basados en las carencias son importantes y necesarios para detectar las necesidades y prioridades. Pero tienen algunas desvantajas. Como por ejemplo, definir a las comunidades y a las personas en términos negativos, sin tener en cuenta lo positivo y lo que funciona bien en el seno de las mismas. Por el contrario, el modelo basado en los activos tiende a acentuar la capacidad real de detectar los problemas y activar las soluciones, lo cual promueve la autoestima de personas y comunidades, y conlleva a una menor dependencia de los servicios profesionales. Gran parte de la evidencia que sirve a los responsables de las políticas para tomar decisiones con conocimiento de causa respecto de los grandes enfoques más efectivos para promover la salud y para abordar las desigualdades en materia de salud se fundamenta en un modelo basado en las carencias y en consecuencia, llevan a la puesta en marcha políticas y prácticas que, de modo desproporcionado restan autonomía a las poblaciones y comunidades que supuestamente tienen que beneficiarse de ellas. El enfoque de la salu y del desarrollo que se basa en los activos de una comunidad adopta la noción salutogénica de generación de salud y, de este modo, fomenta la plena participación de las comunidades locales en el proceso de desarrollo de la salud. El modelo basado en los activos de presentamos aqui pretende revitalizar el pensamiento y la acción de los responsables de elaborar las políticas, de los investigadores y de los profesionales de la salud para promover un planteamiento más basado en los recursos que en las carencias con vistas a abordar las desigualdades en materia de salud. El modelo contiene un enfoque sistemático de la salud pública basado en los activos que puede ofrecer evidencia científica y mejores prácticas sobre cómo optimizar la reserva de activos esenciales para la promoción...(AU)

Medicina Baseada em Evidências , Política de Saúde , Promoção da Saúde , Saúde Pública , Marketing Social , Justiça Social , Internacionalidade , Fatores Socioeconômicos , Saúde Global , Organização Mundial da Saúde , Ontário , Política Pública , Tomada de Decisões
Washington; Organización Panamericana de la Salud; 2000. 29p
Monografia em Espanhol | PAHO | ID: pah-192245
Washington D.C; Pan American Health Organization; 2000. 26 p.
Monografia em Inglês | PAHO | ID: pah-192711
México; Organización Panamericana de la Salud; 2000. 33 p. ilus.
Monografia em Espanhol | LILACS | ID: lil-380833
Washington; Organización Panamericana de la Salud; 2000. 29 p.
Monografia em Espanhol | LILACS | ID: lil-381126
Washington, D.C; Pan Américan Health Organization; 2000. 26 p.
Monografia em Inglês | LILACS | ID: lil-381375
México, D.F; Organización Panamericana de la Salud; 2000. 33 p. ilus.
Monografia em Espanhol | PAHO | ID: pah-33285
In. Fundação Prefeito Faria Lima - CEPAM. O município no século XXI: cenários e perspectivas. São Paulo, CEPAM, 1999. p.111-21.
Monografia em Português | CidSaúde - Cidades saudáveis | ID: cid-4680


Busca, dentro dos contornos de uma concepção específica de Estado, no processo de descentralização administrativa brasileira, as responsabilidades e o papel dos governos locais na definição de políticas públicas (AU)

Política Pública , Formulação de Políticas , Governo Local , Investimentos em Saúde
In. Fundaçäo Prefeito Faria Lima-CEPAM. O município no século XXI: cenários e perspectivas. Säo Paulo, Fundaçäo Prefeito Faria Lima-CEPAM, 1999. p.111-21.
Monografia em Português | LILACS | ID: lil-255412


Busca, dentro dos contornos de uma concepçäo específica de Estado, no processo de descentralizaçäo administrativa brasileira, as responsabilidades e o papel dos governos locais na definiçäo de políticas públicas

Investimentos em Saúde , Governo Local , Formulação de Políticas , Política Pública