Abstract:
:In this article, we describe the different stages of the rise and decline of Primary Health Care and, in particular, its community approach; we do so by providing a historical journey of the relationship between the Spanish National Health System and community health, outlining the connections and disconnections with Public Health as well as the influence of dominant political ideologies. We defend a community reorientation of health services, considering community health as an essential part of Primary Health Care, and in accordance with the Alma Ata strategy and the principles of the Ottawa Charter. The Primary Health System is taken up as the strategic axis of the National Health System, given its capacity for an integral approach to health-disease processes, and the possibility it poses for reducing inequalities and confronting social determinants as well as overcoming inequities in health, with the participation of the population and in coordination with other sectors. The challenges of the immediate future, as well as the consequences of the economic crisis, the cuts, and the weakening of the Welfare State, make evident the need to promote participatory processes that involve all the social actors and, above all, the citizenship -considered not as a recipient and'user' or consumer, but as an active and collaborative subject. These participatory processes aim at creating a new collective culture regarding the sustainability and universality of existing public health resources.
journal_name
Gac Sanitjournal_title
Gaceta sanitariaauthors
Martínez Cía N,Pérez Pérez M,Heras-Mosteiro J,Gutiérrez Ávila G,Díaz-Olalla JM,Ruiz-Giménez Aguilar JLdoi
10.1016/j.gaceta.2018.06.004subject
Has Abstractpub_date
2018-10-01 00:00:00pages
17-21eissn
0213-9111issn
1578-1283pii
S0213-9111(18)30144-4journal_volume
32 Suppl 1pub_type
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