Abstract

GOULART, Flávio A. de Andrade. Cenários Epidemiológicos, Demográficos e Institucionais para os modelos de atenção à Saúde. Inf. Epidemiol. Sus [online]. 1999, vol.8, n.2, pp.17-26. ISSN 0104-1673.  http://dx.doi.org/10.5123/S0104-16731999000200003.

The failure of the old health assistance models has risen a broad range of debates, yielding concepts that are not representatives of "right" or "wrong","general" or "universal" models. The assistance model adopted by the new health system in Brazil is related to the proposal of Health Promotion disseminated by PAHO/WHO and take into account several factors responsible for people and populations health, such as: (a) human biology; (b) environment; (c) life style and (d) health care organization, as foreseen in the Letter of Ottawa. The countless changes highlighted by the transition phenomenas (epidemiologic, demographic or in the fields of politics and institutions), have clear implications in people’s health needs for the new millennium. Some predictable transformations are: a shift from caring primarily for acute diseases in young people to chronical diseases in elderly people; a change on health practices targets: from individuals to families, from healing to prevention and health promotion; the development of new approaches oriented towards habits and life styles and new concepts of educational practices, with special emphasis on women's role in self-care and support to the family cell and, finally, the search for new scenarios in health care practices, in addition to the traditional ones.

Keywords : Health Policies; Health Care Patterns; Demographic Changes; Demographic Profile Changes.

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