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Dialogues between the Astana Declaration, the Right to Health and Family and Community Medicine training in Rio de Janeiro, Brazil

Teixeira Junior, Jorge Esteves ; Romano, Valéria Ferreira ; Izecksohn, Mellina Marques Vieira ; Faria Neto, Ernesto ; Paiva, Marcele Bocater Paulo de

Ciência & saude coletiva, 2020-04, Vol.25 (4), p.1261-1268 [Periódico revisado por pares]

Brazil: Associacao Brasileira de Pos-Graduacao em Saude Coletiva - ABRASCO

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  • Título:
    Dialogues between the Astana Declaration, the Right to Health and Family and Community Medicine training in Rio de Janeiro, Brazil
  • Autor: Teixeira Junior, Jorge Esteves ; Romano, Valéria Ferreira ; Izecksohn, Mellina Marques Vieira ; Faria Neto, Ernesto ; Paiva, Marcele Bocater Paulo de
  • Assuntos: Brazil ; Community Medicine - education ; Congresses as Topic ; Family Practice - education ; Health care ; Humans ; International organizations ; Internship and Residency ; Kazakhstan ; Medicine ; Right to Health ; Training ; Universal Health Insurance
  • É parte de: Ciência & saude coletiva, 2020-04, Vol.25 (4), p.1261-1268
  • Notas: ObjectType-Article-1
    SourceType-Scholarly Journals-1
    ObjectType-Feature-2
    content type line 23
  • Descrição: This paper discusses and fosters concerns in light of the repercussions of both the 40th anniversary of the Alma-Ata Declaration and the Astana Declaration, discussing the possible influence on Family and Community Medicine training, as per the lenses of two Residency Programs of three public institutions, namely, State University of Rio de Janeiro, Federal University of Rio de Janeiro, and the Oswaldo Cruz Foundation. These are inserted in a historical and social context, between the world of work, public policies, international organizations, the population and subjects involved in the construction, maintenance, and consolidation of the Brazilian PHC. Thus, in a brief historical revival, we contextualized which Primary Care was a practice setting and where we might be headed. We concluded that the willingness to ensure the Right to Health would be threatened by the concept of Universal Coverage, advocated by the Astana Declaration, which leads to essential discussions: ensuring state-provided services, advocating for equity and integrality of actions, reaffirming the risk of generating inequality by creating multiple service offerings for different segments of the population, reiterating the relevance of access to health, and valuation of territorialization.
  • Editor: Brazil: Associacao Brasileira de Pos-Graduacao em Saude Coletiva - ABRASCO
  • Idioma: Português;Inglês
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  • Realização: ABCD-USP USP   Logos de Redes Sociais: Freepik

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