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Search Results: 1 - 10 of 8249 matches for " Franco-Giraldo "
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Referentes teóricos para el análisis de la reforma del sistema de salud colombiano
Franco-Giraldo,Alvaro;
Revista Gerencia y Políticas de Salud , 2012,
Abstract: the purpose of this topic review was to define themes for interpreting the health reform and guide a new model system. the method was a literature review on theories of public policy, relating to the analysis, quasi-markets in health and integrated networks of health services (inhs) and primary health care (phc). it contrasts the logic of public health (collective-citizen) and micro economic logic (individual-consumer). it analyzed the colombian reform (law 100/93 and 1438/2001), based on theories of policy choice, classical approaches cycle policies and neoclassical theory, the structural reform based on the right to health, equity and theories of public policy (critical and constructivist approach). it concludes a need to continue the ideological debate on structural reform of the health system. similarly, continue with technical developments, instrumental and implement strategies for integrated networks of health services and primary health care, to strengthen integrated health systems.
Health promotion in globalization
álvaro Franco-Giraldo
Revista Facultad Nacional de Salud Pública , 2012,
Abstract: Objective: to unravel some theoretical and factual elements required to implement more effective health promotion strategies and practices in the field of health services whilst following the great challenges that globalization has imposed on the health systems, which are inevitably expressed in the local context (glocalization). Methodology: a narrative review taking into account the concepts of globalization and health promotion in relation to health determinants. The authors approach some courses of action and strategies for health promotion based on the social principles and universal values that guide health promotion, health service reorientation and primary healthcare, empowerment, social participation, and inter-sectoral and social mobilization. Discussion: the discussion focuses on the redirection of health promotion services in relation to the wave of health reforms that has spread throughout the world under the neoliberal rule. The author also discusses health promotion, its ineffectiveness, and the quest for renewal. Likewise, the author sets priorities for health promotion in relation to social determinants. Conclusion: the current global order, in terms of international relations, is not consistent with the ethical principles of health promotion. In this paper, the author advocates for the implementation of actions to change the social and physical life conditions of people based on changes in the use of power in society and the appropriate practice of politics in the context of globalization in order to achieve the effectiveness of the actions of health promotion.
Primary Health Care (phc): Back to the Past?
Alvaro Franco-Giraldo
Revista Facultad Nacional de Salud Pública , 2012,
Abstract: Primary health care is analyzed as the alternative throughwhich health systems will recover the role they had during thelate twentieth century: working with other sectors to implementhealth promotion actions to improve the users’ quality of lifeand equity. A renewal is presented in recognition of the effortsduring the final century to establish primary care policies andprograms as the core of the health systems, emphasizing thereorientation of health services. This paper discusses the principles and methods establishedby the new proposal for primary health care. This renewalproposal raises expectations regarding its return to the past,not only as a strategy but also because it raises hopes at a timeof global crisis whose impact on health services is evident.The first question posed here is: Is there really a renewal?The discussion focuses on the following topics: phc and thedeterioration of health indicators in many areas in the world,social inequalities and health inequities, the weaknesses inthe declarations of Alma Ata understood as “medicine forthe poor,” the renewal of phc as opposed to the critical healthstatus in countries and the opposing progress of the neoliberalglobalization, phc and the political conceptions of the Right,phc and the reform to the reform of the health systems;coordination of phc with health promotion and public health,the changes in the contexts and the new economic crisis in thisglobal event. The paper concludes with a call to revitalize theprocesses of the health systems from a political standpoint, andto rethink the sanitary reforms of the health systems basing thereasoning on primary health care, which is the focus of theirtransformation.
Derechos humanos, una oportunidad para las políticas públicas en salud
Franco-Giraldo,álvaro; álvarez-Dardet,Carlos;
Gaceta Sanitaria , 2008, DOI: 10.1590/S0213-91112008000300015
Abstract: human rights outlined a better scenario for public policies in health. for it requires intersectoral and interdisciplinary approach. this article emphasizes the perspective of public health policies based on human rights, clarifies the relationship of public policies with the exercise of human rights, beyond the right to health. it recognizes the need to implement genuinely democratic and participatory mechanisms. it considers the universal declaration of human rights and other institutional expressions about the same as the international covenant on economic, social and cultural rights, discusses the ranking of the same and defend its entirety on the determinants of health through its cohesion and political factor. it defines a framework for public health and human rights that trend by strengthening social rights, as a new area of operation, based on public policies to address the determinants of health, upholding social justice, beyond the health field and the biological and behavioural risk factors to decisions arising from political power, exceeds medical solutions and access to health services. in conclusion, it promoting respect for human rights by greater understanding of them and strengthens the importance of indirect health policies (such as food, environment and health, violence gender) and the role of international policies in the global world.
Protección Social y Modelos de Desarrollo en América Latina
Mejía-Ortega,Luz M; Franco-Giraldo,álvaro;
Revista de Salud Pública , 2007, DOI: 10.1590/S0124-00642007000300016
Abstract: social protection systems are closely related to the development models which each nation has historically consolidated; these have implicitly or explicitly determined social policy. this article deals with latin-american development models and the social protection systems so implemented as a response to the population's health needs and well-being. it considers the state's role and basic social policy aspects concerning the relationship between development models and approaches to social protection in latin-america. latin-american development models during the last century (without being really developed) have been mainly based on keynesian theory regarding the welfare state, substitution of imports-based industrialisation, central planning (for the specific case of cuba) and liberal approaches since the 1980s. these models have all given rise to social protection systems which have fluctuated between social security approaches, social insurance and social assistance, passing through minimum social protection networks and social handling of risk. the last two have been promoted by international organisms led by the world bank.
Efecto del ajuste estructural sobre la situación de salud en América Latina y el Caribe, 1980-2000
Franco-Giraldo,álvaro; Palma,Marco; álvarez-Dardet,Carlos;
Revista Panamericana de Salud Pública , 2006, DOI: 10.1590/S1020-49892006000500001
Abstract: objective: to assess the impact of structural adjustment on health indicators in latin america and the caribbean during 1980-2000. methods: this was an ecological study. public spending and per capita gross domestic product (pcgdp) figures were obtained from the world bank, and life expectancy (le) and infant mortality (im) figures were obtained from the world health organization. structural adjustment (government downsizing) was assessed by looking at the change in the amount of spending taken up by the government (or the reduction in public spending) in latin american and caribbean countries during 1980-1990. changes in health indicators were measured in terms of the percentage variation in le and im. the variations found in latin america and the caribbean were compared to those seen in different groups of countries in other parts of the world during 1980-2000. pearson?s chi squared test was used to explore the associations between the decrease in public spending and health indicators. in order to estimate the health effects of such changes, a multivariate linear regression model was created, with adjustments for pcgdp. results: a deceleration in the rise of le and in the decline of im in latin america and the caribbean was noted, especially over the period from 1980 through 1990. significant associations were observed between health indicators and the change in public spending in all groups of countries included in the study. when adjustments were introduced into the multiple regression model, the only associations that remained were seen in latin america and the caribbean. conclusions: in the decade of 1980, adjustments in macroeconomic policies had a negative effect on social indicators, specifically those that had to do with health conditions in latin america and the caribbean. such an effect lasted throughout the following decade.
Salud pública global: un desafío a los límites de la salud internacional a propósito de la epidemia de influenza humana A
Franco-Giraldo,álvaro; álvarez-Dardet,Carlos;
Revista Panamericana de Salud Pública , 2009, DOI: 10.1590/S1020-49892009000600011
Abstract: this article comes from the intense international pressure that follows a near-catastrophy, such as the human influenza a h1n1 epidemic, and the limited resources for confronting such events. the analysis covers prevailing 20th century trends in the international public health arena and the change-induced challenges brought on by globalization, the transition set in motion by what has been deemed the "new" international public health and an ever-increasing focus on global health, in the context of an international scenario of shifting risks and opportunities and a growing number of multinational players. global public health is defined as a public right, based on a new appreciation of the public, a new paradigm centered on human rights, and altruistic philosophy, politics, and ethics that undergird the changes in international public health on at least three fronts: redefining its theoretical foundation, improving world health, and renewing the international public health system, all of which is the byproduct of a new form of governance. a new world health system, directed by new global public institutions, would aim to make public health a global public right and face a variety of staggering challenges, such as working on public policy management on a global scale, renewing and democratizing the current global governing structure, and conquering the limits and weaknesses witnessed by international health.
Valoración de los objetivos de desarrollo del milenio mediante la revisión de la literatura científica en 2008
Gil-González,Diana; Carrasco-Porti?o,Mercedes; Davó Blanes,Ma Carmen; Donat Castelló,Lucas; Franco-Giraldo,álvaro; Ortiz Moncada,Rocio; Palma Solís,Marco; Ruiz-Cantero,Ma Teresa; Vives-Cases,Carmen; Stein,Airton; Hernández Aguado,Ildefonso; álvarez-Dardet Díaz,Carlos;
Revista Espa?ola de Salud Pública , 2008, DOI: 10.1590/S1135-57272008000500002
Abstract: the millennium development goals (mdgs) are now at the midterm of their target period, as 2015 is the date scheduled by the united nations organisation (un) for their attainment. the purpose of this article is to review the current situation of the mdgs worldwide and to analyse the barriers which are preventing them from being attained in each of the mdg areas, as well as to assess a number of the indicators evaluated. in order to do so, a review has been made of the scientific literature published on the mdgs in the principal health sciences and social sciences databases, as well as the most significant reports on the issue drawn up by the united nations. the scientific studies on the 8 mdgs and their 18 targets make it possible to undertake a critical analysis of the situation in which each of these goals are found at the present time, identifying the determinants that are preventing the attainment of the goals and the actions considered necessary in order to achieve progress. although there have been improvements in some of the goals on a world level, the research carried out to date reveals barriers to the attainment of the mdgs, as well as the insufficient weight of the developing countries in the economic and political decision-making processes, together with the incoherence between the economic policies and the social and health policies. furthermore, sub-saharan africa constitutes the most disadvantaged region, which means that it will not attain the majority of the mdgs. spain and the developed countries, in addition to contributing resources, can also contribute to the mdgs by means of the identification and eradication of the barriers preventing attainment. this involves promoting international economic relations under conditions of social justice, by supporting a greater decision-making power for developing countries and denouncing actions that increase social inequalities and the impoverishment of the population.
Enfoque para el análisis de la crisis económica global y la salud
Franco Giraldo,álvaro;
Revista Facultad Nacional de Salud Pública , 2009,
Abstract: context: it begins by recognizing several areas for analysis of the global crisis in relation to health. it then focuses on the analysis of some aspects of the economic crisis, policy alternatives to mitigate the financial crisis and the identification of health indicators more sensitive to the vagaries of the economy. objective: to propose some basis for analyzing the financial crisis of 2008 and its effects on health in the world. methodology: it based on the analysis of the possible effects of the economic crisis on health after consider four essential axes: the conditions of life and health determinants, indicators of socio-demographic and epidemiological changes, the total public expenditure and spending on health and monitoring of policies to mitigate the crisis. conclusion: the first crisis of globalization of the present century will have serious health implications and should lead to rethinking the global economic system based on state control and regulation of the markets. to avoid adverse effects on the environment and health, it is proposed addressing the determinants of global influences, to stimulate public policies that invest in health, boost action in international health legislation, and finally, to establish and implement a crisis system monitoring and its effect on health.
The distribution of the non-prime numbers - A new Sieve
Fabio Giraldo-Franco,Phil Dyke
Mathematics , 2011,
Abstract: We present a new sieve that allows us to find the prime numbers by using only regular patterns and, more importantly, avoiding any duplication of elements between them.
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