Health promotion for older people in Portugal

Roberto Falvo; Andrea Poscia; Nicola Magnavita; Daniele Ignazio La Milia; Agnese Collamati; Umberto Moscato; Iwona Kowalska-Bobko; Alicja  Domagała; Gisele Câmara; Andreia Costa

Tytuły

Abstrakt

In a country like Portugal where life expectancy is very high, Health Promotion for Older People (HP4OP) is a relevant issue and specific strategies are considered within priority health programmes defined at the national level by the Directorate-General of Health on behalf of the Ministry of Health. The National Health Plan 2016–2020 includes directives to facilitate health promotion and access to health and social services, as well as to reduce the burden of chronic diseases.

HP4OP funds and resources derive mainly from the Ministry of Health and also from the Ministry of Labour, Solidarity and Social Security. Moreover, institutions can access European and other funds to develop projects in this field and some municipalities also finance projects and initiatives.

Health plans, strategies and programmes outlined at the national level are adopted by Regional Health Administrations and the Groups of Health Centres guide implementation at the local level through dedicated units that work within the primary health care context.

The integration of both social and health actions in terms of HP4OP depends on collaboration between the Ministry of Health; the Ministry of Labour, Solidarity and Social Security; municipalities; institutions in the cooperative and social sector and other stakeholders such as families, educational institutions, religious communities and health professionals.

As a whole, health promotion policies for the older people in Portugal tackle the social determinants of health too. Nevertheless, a systematic approach and an integrated strategy to tackle HP4OP might constitute an important condition for the full implementation of such policies. Additionally, fragmentation of initiatives at the regional and local levels, together with other barriers to addressing health promotion activities among health professionals, might lead to the non-homogeneous implementation of interventions of HP4OP throughout the country.

It is expected that many of these constraints will be overcome with the launch and implementation of the intersectoral National Strategy for the Promotion of Active Ageing from 2017.

In a country like Portugal where life expectancy is very high, Health Promotion for Older People (HP4OP) is a relevant issue and specific strategies are considered within priority health programmes defined at the national level by the Directorate-General of Health on behalf of the Ministry of Health. The National Health Plan 2016–2020 includes directives to facilitate health promotion and access to health and social services, as well as to reduce the burden of chronic diseases.

HP4OP funds and resources derive mainly from the Ministry of Health and also from the Ministry of Labour, Solidarity and Social Security. Moreover, institutions can access European and other funds to develop projects in this field and some municipalities also finance projects and initiatives.

Health plans, strategies and programmes outlined at the national level are adopted by Regional Health Administrations and the Groups of Health Centres guide implementation at the local level through dedicated units that work within the primary health care context.

The integration of both social and health actions in terms of HP4OP depends on collaboration between the Ministry of Health; the Ministry of Labour, Solidarity and Social Security; municipalities; institutions in the cooperative and social sector and other stakeholders such as families, educational institutions, religious communities and health professionals.

As a whole, health promotion policies for the older people in Portugal tackle the social determinants of health too. Nevertheless, a systematic approach and an integrated strategy to tackle HP4OP might constitute an important condition for the full implementation of such policies. Additionally, fragmentation of initiatives at the regional and local levels, together with other barriers to addressing health promotion activities among health professionals, might lead to the non-homogeneous implementation of interventions of HP4OP throughout the country.

It is expected that many of these constraints will be overcome with the launch and implementation of the intersectoral National Strategy for the Promotion of Active Ageing from 2017.

Słowa kluczowe

Health Promotion, elderly, Public Health, healthy ageing, policy, Portugal

Bibliografia

1. PORDATA, 2016a, Retrato de Portugal. Edição 2016, Lisboa 2016.

2. Eurostat, 2016, Healthy life years, http://ec.europa.eu/eurostat/data/database?node_code=proj; accessed: 15.11.2016.

3. Portugal, 2005, Constituição da República Portuguesa. Sétima Revisão Constitucional, Portugal.

4. Barros P.; Machado S., Simões J., Portugal: Health system review, “Health Systems in Transition” 2011; 13 (4): 1–156.

5. Portugal, 2006, Decreto-Lei n.o 101/2006, de 6 de junho, Portugal.

6. Portugal, 2011, Decreto-Lei n.o 86-A/2011, de 12 de julho, Portugal.

7. Portugal, 2011, Decreto-Lei n.o 124/2011, de 29 de Dezembro, Portugal.

8. Portugal, Ministério da Saúde. Direção-Geral da Saúde, 2015, Plano Nacional de Saúde: revisão e extensão a 2020, Lisboa 2015.

9. Portugal, 2008, Decreto-Lei n.o 28/2008, de 22 de fevereiro, Portugal.

10. PORDATA, 2016b, Base de dados Portugal Contemporâneo, www.pordata.pt; accessed: 15.11. 2016.

11. Eurostat, 2014, EUROPOP 2013: population projections, http://ec.europa.eu/eurostat/data/database?node_code=proj; accessed: 15.11.2016.

12. Instituto Nacional de Estatística, 2014, Estatísticas da Saúde, www.ine.pt, accessed: 15.11.2016.

13. Portugal, Direção-Geral da Saúde, 2014, Idade maior em números – 2014, Lisboa 2014.

14. Instituto Nacional de Estatística, 2016, Conta Satélite da Saúde, https://www.ine.pt/xportal/xmain?xpid=INE&xpgid=ine_cnacionais2010&contexto=cs&selTab=tab4&
perfil=220674570&INST=220617355; accessed: 15.11.2016.

15. World Health Organization, 2016, Total expenditure on health as a percentage of gross domestic product (US$), http://www.who.int/gho/health_financing/total_expenditure/en/; accessed: 15.11.2016.

16. Portugal, Ministério do Trabalho, Solidariedade e Segurança Social. Sou Cidadão, http://www.seg-social.pt/complemento-solidario-para-idosos AND http://www.seg-social.pt/subsidio-por-assistencia-de-3-pessoa; accessed: 15.11.2016.

17. Portugal, Ministério da Saúde. Direção-Geral da Saúde, 2016a, Direção de Serviços de Prevenção da Doença e Promoção da Saúde, https://www.dgs.pt/diretor-geral-direcao-e-servicos/direcao-de-servicos-de-prevencao-da-doenca-e-promocao-da-saude/atribuicoes-e-competencias.aspx; accessed: 15.11. 2016.

18. Portugal, Ministério da Saúde. Administração Regional de Saúde do Norte, 2016, Plano Regional de Saúde do Norte 2014–2016, http://portal.arsnorte.min-saude.pt/portal/page/portal/ARSNorte/Conteúdos/Saúde Pública Conteudos/PlanoRegionalSaudeNorte_2014_2016.pdf; accessed: 16.11.2016.

19. Portugal, Direção-Geral da Saúde, 2012, Plano Nacional de Saúde 2012–2016: versão resumo, Lisboa 2012.

20. Portugal, Ministério da Saúde. Direção-Geral da Saúde, 2016b, Programas de Saúde Prioritários, https://www.dgs.pt/programas-de-saude-prioritarios.aspx; accessed: 16.11.2016.

21. Portugal, Ministério da Saúde, 2015, Relatório anual sobre o acesso a cuidados de saúde nos estabelecimentos do SNS e entidades convencionadas (2014), Lisboa 2015.

22. Portugal, Ministério da Saúde. Direção-Geral da Saúde, 2008, Planos locais de acção em habitação e saúde: manual para projectos, Lisboa 2008.

23. European Comission, 2012, eHealth Action Plan 2012–2020: innovative healthcare for the 21st century, Brussels 2012.

24. European Commission, 2014, A map of social enterprises and their eco-systems in Europe, Brussels 2014.

25. Portugal, 2013. Lei 30/2013, de 8 de maio. Portugal.

26. Marques M.C., Maciel V.M.V., The accounting of non-profit organizations in Portugal: the case of private institutions of social solidarity (IPSS), “Problems in Management in the 21st Century” 2012; 5: 72–82.

27. Portugal, Ministério da Saúde. Administração Central dos Sistemas de Saúde, 2013, Implementação e monitorização da Rede Nacional de Cuidados Continuados Integrados (RNCCI). Relatório Final, Lisboa 2013.

28. União das Misericórdias Portuguesas, 2016, União das Misericórdias Portuguesas, http://www.ump.pt/; accessed: 15.11.2016.

29. Portugal, 2012, Ministério da Solidariedade e da Segurança Social, Portaria n.o 67/2012, de 21 de março, Portugal.

30. Rede Portuguesa dos Municípios Saudáveis, 2016, Rede Portuguesa dos Municípios Saudáveis, http://www.cm-seixal.pt/rede-portuguesa-de-municipios-saudaveis; accessed: 15.11.2016.

31. Portugal, Ministério da Saúde. Direcção-Geral da Saúde, 2004, Programa Nacional para a Saúde das Pessoas Idosas, Lisboa 2004.

32. Portugal, Ministério da Saúde, 2004, Plano Nacional de Saúde. Prioridades para 2004–2010, Lisboa 2004.

33. Portugal, Ministério da Saúde, 2004, Plano Nacional de Saúde. Orientações Estratégicas para 2004–2010, Lisboa 2004.

34. Portugal, 2003, Decreto-lei 281/2003, de 8 de novembro, Portugal.

35. Eurostat, 2016, Gini coefficient of equivalised disposable income – EU-SILC survey, http://ec.europa.eu/eurostat/tgm/table.do?tab=table&language=en&pcode=tessi190; accessed: 15.11.2016.

36. Eurostat, 2016, Statistics Explained. Income distribution statistics, http://ec.europa.eu/eurostat/statistics-explained/index.php/Income_distribution_statistics; accessed: 15.11.2016.

37. Eurostat, 2015, Statistics Explained. Inequality of income distribution, 2013, http://ec.europa.eu/eurostat/statistics-explained/index.php/File:Inequality_of_income_distribution,_2013_(income_quintile_share_ratio)_YB15.png; accessed: 15.11.2016.

Informacje

Informacje: Zdrowie Publiczne i Zarządzanie, 2017, Tom 15, Numer 1, s. 49 - 61

DOI: https://doi.org/10.4467/20842627OZ.17.006.6232

Typ artykułu: Oryginalny artykuł naukowy

Tytuły:

Polski:

Health promotion for older people in Portugal

Angielski:

Health promotion for older people in Portugal

Autorzy

Roberto Falvo

Department of Public Health, Università Cattolica del Sacro Cuore
Włochy

Andrea Poscia

Department of Public Health, Università Cattolica del Sacro Cuore
Włochy

Nicola Magnavita

https://orcid.org/0000-0002-0988-7344

Department of Woman, Child & Public Health, Fondazione Policlinico Gemelli, Rome, Italy

Post-graduate School of Occupational Health, Università Cattolica del Sacro Cuore
Włochy

Daniele Ignazio La Milia

Department of Public Health, Università Cattolica del Sacro Cuore
Włochy

Agnese Collamati

Department of Gerontology, Orthopaedics and Neuroscience, Università Cattolica del Sacro Cuore
Włochy

Umberto Moscato

Department of Public Health, Università Cattolica del Sacro Cuore
Włochy

Iwona Kowalska-Bobko

https://orcid.org/0000-0003-3728-2323

Instytut Zdrowia Publicznego, Uniwersytet Jagielloński Collegium Medicum, Kraków

Alicja Domagała

https://orcid.org/0000-0001-6162-1810

Instytut Zdrowia Publicznego, Wydział Nauk o Zdrowiu, Uniwersytet Jagielloński Collegium Medicum, Kraków

Gisele Câmara

Directorate-General of Health, Directorate of Disease Prevention and Health Promotion, Lisbon, Portugal

Andreia Costa

Directorate-General of Health, Directorate of Disease Prevention and Health Promotion, Lisbon, Portugal

Publikacja: 30.01.2017

Status artykułu: Otwarte

Licencja: CC BY-NC-ND

Udział procentowy autorów:

Roberto Falvo (Autor) - 10%

Andrea Poscia (Autor) - 10%

Nicola Magnavita (Autor) - 10%

Daniele Ignazio La Milia (Autor) - 10%

Agnese Collamati (Autor) - 10%

Umberto Moscato (Autor) - 10%

Iwona Kowalska-Bobko (Autor) - 10%

Alicja Domagała (Autor) - 10%

Gisele Câmara (Autor) - 10%

Andreia Costa (Autor) - 10%

Korekty artykułu:

-

Języki publikacji:

Angielski

Liczba wyświetleń: 3789

Liczba pobrań: 3523

<p> Health promotion for older people in Portugal</p>

Pobierz pełny tekst

Tytuły

Abstrakt

Słowa kluczowe

Bibliografia

Informacje

Autorzy