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Review
. 2023 Apr;55(4):102608.
doi: 10.1016/j.aprim.2023.102608.

[ROWING AGAINST THE CURRENT]

[Article in Spanish]
Gisela Galindo Ortego  1 , Remedios Martin Alvarez  2 , Susana Aldecoa Landesa  2 , Paula Chao Escuer  2 , Laura Carbajo Martin  2 , Maria Del Campo Gimenez  2 , Miguel Angel Hernandez Rodriguez  2 , Ignecio Parraga Martinez  2 , Juan Antonio Lopez-Rodriguez  2 , Jose Luis Hernandez Galan  2 , Beatriz Gutierrez Muñoz  2 , Carmen Lázaro de Juan  2 , Paula Bellido Izquierdo  2
Affiliations
Review

[ROWING AGAINST THE CURRENT]

[Article in Spanish]
Gisela Galindo Ortego et al. Aten Primaria. 2023 Apr.

Abstract
in English, Spanish

At Lalonde we know that the determinants that most influence the health of the population are lifestyle, genetics and the environment. Health represents only 10% and is the determinant that consumes the most resources. It has been shown that a salutogenic approach focused on the social determinants of health and the support of public policies to improve the environment are more efficient in the long term than medicine focused on hospitals, technology and super-specialization. Primary Care (PC) that has an approach centered on the person and families with a community vision, is the ideal level to provide health care, and to influence lifestyles. However it is not invested in PC. In this article we review the socioeconomic and political factors that globally influence the lack of interest in the development of PC.

Desde Lalonde sabemos que los determinantes que más influyen en la Salud de la población son el estilo de vida, la genética y el entorno. La sanidad representa solo el 10% y es el determinante que más recursos consume. Está demostrado que un enfoque salutogénico centrado en los determinantes sociales de la salud y el apoyo de políticas públicas para mejorar el entorno, son más eficientes a largo plazo que la medicina centrada en los hospitales, la tecnología y la superespecialización. La Atención Primaria (AP) que tiene un enfoque centrado en la persona y las familias con una visión comunitaria, es el nivel idóneo para proveer atención sanitaria, y para influir en los estilos de vida. Sin embargo no se invierte en AP. En este artículo revisamos los condicionantes socioeconómicos y políticos que influyen de manera global en la falta de interés en el desarrollo de la AP.

Keywords: Atención Primaria; Determinantes de la salud; Estilo de vida; Factores socioeconómicos y políticos; Health Determinants; Lifestyle; Primary Care; Socioeconomic and political factors.

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