La salud en todas las políticas. Tiempo de crisis, ¿tiempo de oportunidades? Informe SESPAS 2010

Abstract

A cost-effective and equitable health policy design involves tackling social determinants of health and becoming aware of the impact of non-healthcare policies. Structural changes in institutional organization, targeted to create a new space for network governance, are required. Some factors tend to delay this process, such as institutional inertia, poor coordination and cooperation mechanisms among sectors, levels of government and agents, the consolidation of the biomedical paradigm reinforced by lobbies and cultural patterns, and inadequate collaboration among experts, practitioners and health authorities. However, these factors may be counterbalanced by political will and by the knowledge provided by domestic and foreign experiences. The present situation arising from the recent public health crises, and particularly from the current economic depression, offers a major chance to introduce the needed changes in health oriented actions.

Barriers and Facilitators for Exclusive Breastfeeding within the Health System and Public Policies from In-Depth Interviews to Primary Care Midwives in Tenerife (Canary Islands, Spain)

“…Midwives emphasise, among the barriers to EBF within the different political and health institutions, the lack of their support at a national as well as local level. At the national level, health policies that focus on tackling diseases and their clinical prevention limit the prioritisation and investment of primary prevention and health promotion strategies [ 63 ]. Taking into account the results of our study, the lack of investment by institutions in measures to enhance EBF and the absence of laws to protect it, mean that its promotion and support remain exclusively in the hands of health professionals and their willingness to spend time on this matter.…”

“…Taking into account the results of our study, the lack of investment by institutions in measures to enhance EBF and the absence of laws to protect it, mean that its promotion and support remain exclusively in the hands of health professionals and their willingness to spend time on this matter. Training in BF depends on the will of health professionals themselves who are often not motivated to promote EBF due again to the lack of resources, time and support from the institutions themselves, as previously observed in other studies [59,[63][64][65][66][67].…”

La diversificación y consolidación de los servicios sociales para las personas mayores en España y Suecia

“…En el contexto actual de crisis económica gana más fuerza la incorporación y el desarrollo de los servicios sociales "menores" porque son más baratos. Todas las crisis abren nuevas oportunidades a cambios 44 . Esto también sucede en el ámbito sanitario y de servicios sociales 45 .…”

The Absurd Consciousness of Those Lying in a Health Care System About to Collapse

“…However, experts have declared that in order to mitigate the effects of the financial crisis, the current approaches need to be reconsidered and new strategies guaranteeing the system's sustainability must be implemented, being primary health care (PHC) and its focus on health promotion and disease prevention the tool with the best access and lowest cost. Therefore, PHC is a cost-effective strategy that by connecting the individual to its environment aims to impact their living conditions and way of living (Catford & Nutbeam 1984;Urbanos, 2010), through the adoption of self-controlled behaviors, thus providing a healthier future (Guibert, 2002).…”