[Society, violence and health].
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Biomedical subjects
Publications and source records attributed to C Guerra de Macedo.
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This article discusses the epidemiologic and programmatic bases for action as well as the political, historical and technical background for "The Initiative for Restructuring of Psychiatric Care in Latin America." It discusses also the broad implications of this health policy, the modus operandi of its implementation and monitoring, and the chief obstacles that it has encountered. Lastly, it briefly sketches the results obtained thus far.
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Both the epidemiological and program bases for action are reviewed as well as the political, historical, and technical background of the Initiative for a Re-structuration Psychiatric Care in Latin America. Attention is also paid to (a) the wide repercussion of this new-old health policy, (b) procedures for its implementation, and (c) the main obstacles the Initiative has been facing to date. Results obtained so far are reviewed.
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A case is made that a new frontier of international health is developing technical cooperation among countries of the Americas for narrowing and eventually filling the gap between them. Several initiatives of PAHO are cited.
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In this article the term health manpower is applied to members of society who have acquired specific training and taken on responsibilities in health work. The different aspects of manpower development are viewed strictly from the standpoint of policy. They include the regulatory role of government and the influence of superstructure factors on decisions about health. There is a detailed discussion of the power relationships between decision-making groups and the organization of health services, and also of the role of knowledge as a power factor. The implementation of proposals on manpower depends on the operation of a sociopolitical process in which technical people who have the scientific ability and political sensitivity must participate to bring about changes that will benefit the majority.
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