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Micro macro integration: reframing primary healthcare practice and community development in health
Legge, David G; Gleeson, Deborah H; Wilson, Gai; Wright, Maria; McBride, Tony; Butler, Paul; Stagoll, Onella.
Afiliação
  • Legge, David G; La Trobe University. School of Public Health. Melbourne. Australia
  • Gleeson, Deborah H; La Trobe University. Centre for Development and Innovation in Health. Melbourne. Australia
  • Wilson, Gai; La Trobe University. Centre for Development and Innovation in Health. Melbourne. Australia
  • Wright, Maria; La Trobe University. Centre for Development and Innovation in Health. Melbourne. Australia
  • McBride, Tony; Health Issues Centre. Australia
  • Butler, Paul; Victorian Department of Human Services. Australia
  • Stagoll, Onella; BreastScreen Victoria. Coordination Unit. Australia
Crit. public health ; 17(2): 171-182, Jun. 2007.
Artigo em Inglês | CidSaúde - Cidades saudáveis | ID: cid-56728
Biblioteca responsável: BR67.1
Localização: BR67.1
ABSTRACT
The idea of micro macro integration (MMI) provides a useful framework for thinking about primary healthcare (PHC) and community development in health (CD). PHC and CD are important strategies for addressing the structural determinants of health. They are each based on a powerful logic and have significant body of support. However, while exemplary, even inspiring, instances of practice are common, attempts to replicate models of good practice (or 'scale up') often flounder. As frameworks for analysing this paradox, both PHC and CD have limitations, partly because they are overburdened with different and conflicting meanings. This paper explores an alternative framework based on a common aspiration of both PHC and CD to effect change at both the micro level (meeting the immediate health needs of individuals, families and communities) and also at the macro level (of political, economic and social structures). The MMI framework assumes that health issues can be analysed at different levels of scale and of term (from the micro to the macro); that objectives and strategies can be conceived at these different levels; and that a coherent programme of activities can be conceived and implemented which addresses both the immediate and local problems and the larger scale and longer term phenomena that reproduce those patterns of need. The idea of MMI is less ambitious than either PHC or CD but (partly because of this) has value as a framework for analysing barriers to good practice (AU)
Assuntos
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Coleções: Bases de dados temática Contexto em Saúde: 11_ODS3_cobertura_universal Tema em saúde: 11_governance_arrangements Base de dados: CidSaúde - Cidades saudáveis Assunto principal: Atenção Primária à Saúde / Planejamento Social / Política de Saúde Idioma: Inglês Revista: Crit. public health Ano de publicação: 2007 Tipo de documento: Artigo Instituição/País de afiliação: BreastScreen Victoria/Australia / Health Issues Centre/Australia / La Trobe University/Australia / Victorian Department of Human Services/Australia
Buscar no Google
Coleções: Bases de dados temática Contexto em Saúde: 11_ODS3_cobertura_universal Tema em saúde: 11_governance_arrangements Base de dados: CidSaúde - Cidades saudáveis Assunto principal: Atenção Primária à Saúde / Planejamento Social / Política de Saúde Idioma: Inglês Revista: Crit. public health Ano de publicação: 2007 Tipo de documento: Artigo Instituição/País de afiliação: BreastScreen Victoria/Australia / Health Issues Centre/Australia / La Trobe University/Australia / Victorian Department of Human Services/Australia
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