Health Policies Require New Multidisciplinary Research

P. G. Carvalho
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Abstract

The world trends in human life activity highlight that health is beyond a doctor, a hospital or an illness problem. Feeling healthy really impacts productivity and is also very important to fully understand human wellbeing, physical and mental personality, and consequently policies. In health policy the “diagnosis” is not always suitable and this will sometimes open incentives for wrong policy responses. According to Silva (2012), we should consider three important features relating to health policies in Portugal: sustainability and financial efficiency; equity in access and results and system quality. Taken as a whole, all the three features are connected with “cost” management. In fact, since the 1970’s in 20 Century Portugal, the National Health System was implemented as a democratic achievement guaranteeing free health access to every citizen, independent of race, socioeconomic or religious status. It was a democratic political decision after the revolutionary process within a context of economic expansion free of special financial constraints. Suddenly the health care system changed rapidly: higher salaries, a huge increase of new infrastructures and demand for health services and an exponential use of new and expensive technologies. If we link this to the new international and multinational sector of pharmacy and the changes in demographic trends, namely higher life expectancy rates and ageing society, we have the right environment where designing policies would include extremely delicate financial strategies. Furthermore, new physical and nutritional habits were induced through new technology based industries after World War II. The last 70 years brought
卫生政策需要新的多学科研究
人类生命活动的世界趋势突出表明,健康不仅仅是医生、医院或疾病问题。感觉健康确实会影响生产力,对于充分理解人类的健康、身心个性以及政策也非常重要。在卫生政策中,“诊断”并不总是合适的,这有时会为错误的政策反应提供动机。根据Silva(2012)的说法,我们应该考虑与葡萄牙卫生政策有关的三个重要特征:可持续性和财政效率;获取、结果和系统质量的公平性。作为一个整体,这三个特征都与“成本”管理有关。事实上,自20世纪70年代以来,葡萄牙实施了国家卫生系统,作为一项民主成就,保证每个公民,不论种族、社会经济或宗教地位,都能免费获得医疗服务。这是在革命进程之后,在没有特殊财政限制的经济扩张背景下作出的民主政治决定。突然间,卫生保健系统发生了迅速变化:工资提高,新基础设施和卫生服务需求大幅增加,新型昂贵技术的使用呈指数级增长。如果我们将此与新的国际和跨国制药部门以及人口趋势的变化(即预期寿命的提高和老龄化社会)联系起来,我们就拥有了一个合适的环境,在这个环境中,制定政策将包括极其微妙的财务战略。此外,在第二次世界大战后,以新技术为基础的工业诱发了新的身体和营养习惯。过去的70年带来了
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