Abstract
This article updates the previous text of the main author published in 2000, revisiting the scientific evidence that reaffirms the contribution of health to the quality of life of individuals and populations. More than the access to health services of any quality, it is necessary to face determinants of health in its entirety, which requires healthy public policies, an effective intersectoral articulation of public power and mobilization of the population. The authors revisit the emergence and development of health promotion, focusing on the analysis of the most promising health strategies for the increase in quality of life, especially in societies with high social and health inequalities, as in the case of Brazil, reinforced by the recent pandemic of COVID-19. Such strategies were concretized on healthy municipalities and intersectoral actions, in health and in all policies which confront social determinants, through their own foundations and practices that are closely related to innovations in public management for integrated and sustainable local development, in view of the 2030 Agenda and its Sustainable Development Objectives (SDG).
Highlights
Resumo Este artigo atualiza o texto anterior do autor principal publicado em 2000, revisitando as evidências científicas que reafirmam a contribuição da saúde para a qualidade de vida de indivíduos e populações
This article updates the previous text of the main author published in 2000, revisiting the scientific evidence that reaffirms the contribution of health to the quality of life of individuals and populations
The authors revisit the emergence and development of health promotion, focusing on the analysis of the most promising health strategies for the increase in quality of life, especially in societies with high social and health inequalities, as in the case of Brazil, reinforced by the recent pandemic of COVID-19. Such strategies were concretized on healthy municipalities and intersectoral actions, in health and in all policies which confront social determinants, through their own foundations and practices that are closely related to innovations in public management for integrated and sustainable local development, in view of the 2030 Agenda and its Sustainable Development Objectives (SDG)
Summary
A influência da saúde sobre as condições e a qualidade de vida, e vice-versa, tem ocupado políticos e pensadores ao longo da história. Há muito tempo tem sido questionado o papel da medicina, da saúde pública e do setor saúde no enfrentamento do que seriam as causas mais amplas e gerais dos problemas de saúde, ou seja, as que fogem à atuação médica propriamente dita. Paim[8] publicou uma revisão sobre estudos da área de medicina e epidemiologia social que relacionavam condições de vida e saúde. A Associação Brasileira de Saúde Coletiva (Abrasco) realizou em 2000 um seminário sobre condições de vida e situação de saúde em que vários autores latino-americanos discutiram o tema da saúde e qualidade de vida. Na articulação entre saúde e condições e qualidade de vida, pode-se identificar, com flagrante inspiração dos pensadores e dos movimentos pioneiros da saúde pública e da medicina social, o desenvolvimento da promoção da saúde como campo conceitual e de práticas.
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