De Souza Campos GW. Análisis crítico de las contribuciones del cuerpo teórico de la salud pública a las prácticas sanitarias. [Critical analysis of the contributions of public health theory to public health practices.] Cuadernos Médico Sociales [Medical-Social Notebooks] 1998 May; 74:79-90.
Objectives: Critically analyze the contributions of public health theories to local healthcare and public health systems.
Methodology: Analytical and interpretive.
Results: The author reviews health reforms occurring in
It is necessary to analyze the numerous alternative experiences brought about in
These experiences present successes, but also problems that must be rethought. One such problem is the use of models which are effective in controlling or reducing the incidence of certain pathologies, but which remain inappropriate in the control of chronic diseases. Another problem is that, while much is expected from primary care, it is generally not well integrated with more complex levels of care.
Conclusions: The article proposes that public health responsibilities be divided between first-level services and focal points of collective health for each healthcare district. These focal points should work in a coordinated way with primary healthcare teams and should be in charge of such specific areas as workers health and campaigns to control particular outbreaks (e.g., dengue, malaria). The article likewise proposes to strengthen ideas of self-care and to foster autonomy for patients, families, and communities.
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