Promotion of health and human functionality

Detalhes bibliográficos
Autor(a) principal: Brasil, Ana Cristhina de Oliveira
Data de Publicação: 2013
Tipo de documento: Artigo
Idioma: por
eng
Título da fonte: Revista Brasileira em Promoção da Saúde
Texto Completo: https://ojs.unifor.br/RBPS/article/view/2646
Resumo: For the development of public health policies in Brazil, two aspects should be taken into consideration, namely, the demographic transition and the epidemiological transition. More and more, it is perceivable an increase in the number of elderly people living with numerous disabilities and also an epidemiological profile. National Household Sample Survey (Pesquisa Nacional por Amostra de Domicílios - PNAD) 1998-2003 indicates a distribution of chronic diseases that, consequently, has generated an expressive number of disabilities. These people with disabilities need health services, and use them when they manage to access them. However, the current models of healthcare for the elderly or people with disabilities are expensive and, in some aspects, are not efficient, requiring preventive strategies and health equipment for the maintenance or recovery of health of an aged population. Thus, the public policy agenda of Brazil should give priority to the maintenance of the functionality of the aged, with monitoring of health status, specific preventive actions on health and education, and care seeking an integral and multidimensional attention, not necessarily focused on disease(1). The need to develop policies and strategies, particularly on health promotion, with a look detached from the disease is justified because health problems come not only from the disease, but from any other circumstance or health condition, such as, pregnancy , aging, stress, genetic predisposition – all classified by D-10, nevertheless, not being able to measure the status alterations related to health, and much less to sort and describe the context in which these problems occur, which complicates and jeopardizes the planning and solvability of actions and services in health, unlike the data by means of qualifiers that the International Classification of Functioning, Disability and Health (ICF) has the potential to generate(2). Brazil is a member country of the World Health Organization, signatory of Resolution WHA54.21-OMS54.21, which recommends the use of the International Classification of Functioning, Disability and Health (ICF), translated into Portuguese in 2003. The main paradigm that ICF brings is the shift from an approach based on the disease to an approach focused on the human functionality (3). Only in May 2012 the National Health Council (Conselho nacioinal de Saúde – CNS) approved the resolution 452 for the Ministry of Health to adopt the ICF, among other uses, as a generator of indicators of human functionality (4). Human functionality, according to the International Classification of Functioning, Disability and Health (ICF) of the World Health Organization, is a comprehensive term that designates the elements of the body, its functions and structures, the human activities and participation in the social processes, indicating the positive aspects of the interaction of individuals with certain health conditions and thee context in which he lives with regard to personal and environmental factors (structural and attitudinal) (3). However, health information appears incomplete, since data regarding the human functionality is not yet meaningful enough to support the developed policies so that they could accomplish the expected results in the face of the disabilities posed by the deficiencies, limitations in activities and restrictions of participation(5). Given the above, a change in direction is required in the paths of public health policies in Brazil, disposing of the exclusively biological approach to the disease, and starting to see it as a problem produced by the society. Therefore, it is necessary to develop information that record not only the disease but the additional aspects of the individuals´ health status. The human functionality is directly influenced both by the presence of diseases, mainly the chronic ones (featuring the change induced by the epidemiologic transition), as by the occurance of negative context, like the diverse environmental barriers, whether they are physical, geographic, technological, legal, among others(5). Such health problems that generated those impairments are harmful not only to the citizens but also to the State, since they burden the social security system (health, welfare and social security), leading to decreased quality of life, especially of those affected by such problems. Despite the finding of facts as the major expenses with medium and high complexity services in health, sickness benefit and early retirements that could have been avoided, one can perceive the lack of specific and properly planned actions, the implementation of which depends on political and administrative will and on a paradigm shift regarding the expanded focus on the etiology of all these health problems. And yet, no public policies are known in Brazil, to follow up, in a transversal and integral way, all the stages of the life cycle or to delineate the profile of functionality and the monitoring of the incidence of disabilities, but also, in particular, actions focused on future generations, based on the expanded concept of health proposed by WHO and defended in the principles and guidelines of SUS. Far more required than simply creating reintegration services is to avoid / prevent social restriction. Therefore, policies must be drawned with a new perspective on the human being, that respects the constitutional principles and guidelines of the NHS and meet the consequences of demographic and epidemiological transitions in order to promote health so that people live without major disabilities an increased life expectancy that has already been settled in Brazil. At the 13th National Conference on Health, the unprecedented proposal n.144 has been approved on Axis II - Public Policies for Health and Quality of Life: SUS in Social Security and the Pact for Health, along with the motion n. 84, aiming to develop and implement a national health functional policy crossing all health policies at their different levels, particularly in areas involving the health of workers, of the elderly, the disabled person, the schoolar, the woman, the man and the other cycles of life, ensuring the interdisciplinary and multidisciplinary performance(6). As from a technical discussion, it is possible to conceive as functional health the status of functionality of individuals and communities welfare at all stages of the life cycle, in activities performance and in social participation, promoting quality of life and autonomy for the full exercise of citizenship. Early detection should be the first step for the actions of functional health, beyond the lines of promotion and care to give visibility to the professional actions of health recovery and prevention of disabilities, seen here in a much broader sense, seeking an outstanding performance of human activities and the most possibly complete participation in society. It becomes evident, then, the need to ensure actions in the promotion of functional health, prevention of structural changes and dysfunctions / disabilities, with or without an underlying disease, and effective recovery of dysfunction, to overcome the limitations and / or restrictions imposed by such condition that affects the functional health. A policy like this brings, among all the advantages of its results, a reduction of damages to social security, arising from these disabilities, as well as an improvement in quality of life, with a low aggregate cost, since the actions require basically the performance of specific professionals, light technology inputs and the utmost possibility of its emphasis on primary care. Based on what has been written in this editorial is that in the Brazilian Journal in Health Promotion (RBPs), supported by its articles focused on education and health promotion, highlights the need for the adoption of measures aiming the elaboration of public policies for human functionality, through epidemiological identification of risk groups, based on CIF, with the aim of optimizing the actions and the offer of services to users of the Unified Health System (Sistema Único de Saúde - SUS), the Unified Welfare System (Sistema de Assistência Social - SUAS) and Social Security that are have as their reference the paradigm of functional health, generating an important factor of promotion, prevention and recovery of functional health, and promoting the development and social reintegration, which constitutionally must be ensured to the Brazilian population
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spelling Promotion of health and human functionalityPromoção de saúde e a funcionalidade humana - doi:10.5020/18061230.2013.p1For the development of public health policies in Brazil, two aspects should be taken into consideration, namely, the demographic transition and the epidemiological transition. More and more, it is perceivable an increase in the number of elderly people living with numerous disabilities and also an epidemiological profile. National Household Sample Survey (Pesquisa Nacional por Amostra de Domicílios - PNAD) 1998-2003 indicates a distribution of chronic diseases that, consequently, has generated an expressive number of disabilities. These people with disabilities need health services, and use them when they manage to access them. However, the current models of healthcare for the elderly or people with disabilities are expensive and, in some aspects, are not efficient, requiring preventive strategies and health equipment for the maintenance or recovery of health of an aged population. Thus, the public policy agenda of Brazil should give priority to the maintenance of the functionality of the aged, with monitoring of health status, specific preventive actions on health and education, and care seeking an integral and multidimensional attention, not necessarily focused on disease(1). The need to develop policies and strategies, particularly on health promotion, with a look detached from the disease is justified because health problems come not only from the disease, but from any other circumstance or health condition, such as, pregnancy , aging, stress, genetic predisposition – all classified by D-10, nevertheless, not being able to measure the status alterations related to health, and much less to sort and describe the context in which these problems occur, which complicates and jeopardizes the planning and solvability of actions and services in health, unlike the data by means of qualifiers that the International Classification of Functioning, Disability and Health (ICF) has the potential to generate(2). Brazil is a member country of the World Health Organization, signatory of Resolution WHA54.21-OMS54.21, which recommends the use of the International Classification of Functioning, Disability and Health (ICF), translated into Portuguese in 2003. The main paradigm that ICF brings is the shift from an approach based on the disease to an approach focused on the human functionality (3). Only in May 2012 the National Health Council (Conselho nacioinal de Saúde – CNS) approved the resolution 452 for the Ministry of Health to adopt the ICF, among other uses, as a generator of indicators of human functionality (4). Human functionality, according to the International Classification of Functioning, Disability and Health (ICF) of the World Health Organization, is a comprehensive term that designates the elements of the body, its functions and structures, the human activities and participation in the social processes, indicating the positive aspects of the interaction of individuals with certain health conditions and thee context in which he lives with regard to personal and environmental factors (structural and attitudinal) (3). However, health information appears incomplete, since data regarding the human functionality is not yet meaningful enough to support the developed policies so that they could accomplish the expected results in the face of the disabilities posed by the deficiencies, limitations in activities and restrictions of participation(5). Given the above, a change in direction is required in the paths of public health policies in Brazil, disposing of the exclusively biological approach to the disease, and starting to see it as a problem produced by the society. Therefore, it is necessary to develop information that record not only the disease but the additional aspects of the individuals´ health status. The human functionality is directly influenced both by the presence of diseases, mainly the chronic ones (featuring the change induced by the epidemiologic transition), as by the occurance of negative context, like the diverse environmental barriers, whether they are physical, geographic, technological, legal, among others(5). Such health problems that generated those impairments are harmful not only to the citizens but also to the State, since they burden the social security system (health, welfare and social security), leading to decreased quality of life, especially of those affected by such problems. Despite the finding of facts as the major expenses with medium and high complexity services in health, sickness benefit and early retirements that could have been avoided, one can perceive the lack of specific and properly planned actions, the implementation of which depends on political and administrative will and on a paradigm shift regarding the expanded focus on the etiology of all these health problems. And yet, no public policies are known in Brazil, to follow up, in a transversal and integral way, all the stages of the life cycle or to delineate the profile of functionality and the monitoring of the incidence of disabilities, but also, in particular, actions focused on future generations, based on the expanded concept of health proposed by WHO and defended in the principles and guidelines of SUS. Far more required than simply creating reintegration services is to avoid / prevent social restriction. Therefore, policies must be drawned with a new perspective on the human being, that respects the constitutional principles and guidelines of the NHS and meet the consequences of demographic and epidemiological transitions in order to promote health so that people live without major disabilities an increased life expectancy that has already been settled in Brazil. At the 13th National Conference on Health, the unprecedented proposal n.144 has been approved on Axis II - Public Policies for Health and Quality of Life: SUS in Social Security and the Pact for Health, along with the motion n. 84, aiming to develop and implement a national health functional policy crossing all health policies at their different levels, particularly in areas involving the health of workers, of the elderly, the disabled person, the schoolar, the woman, the man and the other cycles of life, ensuring the interdisciplinary and multidisciplinary performance(6). As from a technical discussion, it is possible to conceive as functional health the status of functionality of individuals and communities welfare at all stages of the life cycle, in activities performance and in social participation, promoting quality of life and autonomy for the full exercise of citizenship. Early detection should be the first step for the actions of functional health, beyond the lines of promotion and care to give visibility to the professional actions of health recovery and prevention of disabilities, seen here in a much broader sense, seeking an outstanding performance of human activities and the most possibly complete participation in society. It becomes evident, then, the need to ensure actions in the promotion of functional health, prevention of structural changes and dysfunctions / disabilities, with or without an underlying disease, and effective recovery of dysfunction, to overcome the limitations and / or restrictions imposed by such condition that affects the functional health. A policy like this brings, among all the advantages of its results, a reduction of damages to social security, arising from these disabilities, as well as an improvement in quality of life, with a low aggregate cost, since the actions require basically the performance of specific professionals, light technology inputs and the utmost possibility of its emphasis on primary care. Based on what has been written in this editorial is that in the Brazilian Journal in Health Promotion (RBPs), supported by its articles focused on education and health promotion, highlights the need for the adoption of measures aiming the elaboration of public policies for human functionality, through epidemiological identification of risk groups, based on CIF, with the aim of optimizing the actions and the offer of services to users of the Unified Health System (Sistema Único de Saúde - SUS), the Unified Welfare System (Sistema de Assistência Social - SUAS) and Social Security that are have as their reference the paradigm of functional health, generating an important factor of promotion, prevention and recovery of functional health, and promoting the development and social reintegration, which constitutionally must be ensured to the Brazilian populationPara a elaboração de políticas públicas de saúde no Brasil, dois aspectos devem ser levados em consideração, a saber, a transição demográfica e a transição epidemiológica. Cada vez mais, observa-se um aumento no número de pessoas idosas convivendo com inúmeras incapacidades e, ainda, um perfil epidemiológico. A Pesquisa Nacional por Amostra de Domicílios (PNAD) 1998-2003 indica uma distribuição de doenças crônicas que, consequentemente, tem gerado um número expressivo de incapacidades. Essas pessoas com incapacidades necessitam dos serviços de saúde, e os utilizam quando conseguem ter acesso a eles. Contudo, os modelos vigentes de atenção à saúde do idoso ou à saúde das pessoas com deficiência são de alto custo e, em alguns aspectos, não se apresentam eficientes, demandando estratégias de prevenção e equipamentos de saúde destinados à manutenção ou recuperação da saúde de uma população mais envelhecida. Desse modo, a agenda de política pública do Brasil deveria priorizar a manutenção da funcionalidade dos idosos, com monitoramento das condições de saúde, ações preventivas específicas de saúde e educação, e cuidados buscando uma atenção multidimensional e integral, não necessariamente centrada na doença(1). A necessidade de se elaborar políticas e estratégias, em especial de promoção de saúde, com um olhar descentralizado da doença se justifica porque os problemas de saúde advêm não somente de doenças, mas de qualquer outra condição ou circunstância de saúde, tais como agravos, gravidez, envelhecimento, estresse, predisposição genética – todas classificadas pela CID-10, contudo, sem poder mensurar as mudanças de estado relativas à condição de saúde, e muito menos classificar para descrever o contexto em que esses problemas acontecem, o que dificulta e compromete o planejamento e a resolubilidade das ações e dos serviços em saúde, diferentemente dos dados por meio de qualificadores que a Classificação Internacional de Funcionalidade, Incapacidade e Saúde (CIF) tem possibilidade de gerar(2). O Brasil é um país-membro da Organização Mundial de Saúde, signatário da Resolução WHA54.21-OMS54.21, que recomenda o uso da Classificação Internacional de Funcionalidade, Incapacidade e Saúde (CIF), traduzida para o português em 2003. O principal paradigma que a CIF traz é a mudança de um olhar centrado na doença para um olhar centrado na funcionalidade humana(3). Somente em maio de 2012 o Conselho Nacional de Saúde aprovou a resolução 452 para que o Ministério da Saúde faça uso da CIF, entre outros usos, como geradora de indicadores da funcionalidade humana(4). Funcionalidade humana, de acordo com a Classificação Internacional de Funcionalidade, Incapacidade e Saúde (CIF) da Organização Mundial de Saúde, é um termo macro que designa os elementos do corpo, sua funções e estruturas, as atividades humanas e a participação do ser humano nos processos sociais, indicando os aspectos positivos da interação dos indivíduos com determinada condição de saúde e o contexto em que ele vive no que diz respeito aos fatores pessoais e ambientais (estruturais e atitudinais)(3). Contudo, a informação em saúde se apresenta incompleta, uma vez que os dados acerca da funcionalidade humana ainda são insignificantes para que as politicas desenvolvidas de modo intersetorial possam apresentar os resultados esperados frente às incapacidades representadas pelas deficiências, limitações nas atividades e restrições da participação(5). Diante do exposto, é necessária uma mudança de direção nos caminhos das politicas públicas de saúde no Brasil, deixando de ver a doença apenas como aspecto biológico, e sim como problema de saúde produzido pela sociedade. Portanto, é preciso desenvolver informações que registrem não só a doença, mas também os demais aspectos da situação de saúde dos indivíduos. A funcionalidade humana sofre direta influência tanto na presença de doenças, em especial, das crônicas (representando a mudança provocada pela transição epidemiológica), quanto na presença de fatores contextuais negativos, como as barreiras ambientais de diferentes aspectos, sejam elas físicas, geográficas, culturais, tecnológicas, legais, entre outras(5). Esses problemas de saúde que geraram as referidas incapacidades acarretam prejuízos não só aos cidadãos, mas também ao Estado, porque onera a seguridade social (saúde, assistência social e previdência), gerando a diminuição da qualidade de vida, principalmente dos acometidos pelos referidos problemas. Apesar da constatação de fatos como os grandes gastos com média e alta complexidade na saúde, auxíliodoença e aposentadorias precoces que poderiam ter sido evitadas, nota-se uma ausência de ações específicas e corretamente planejadas, cuja implementação depende de vontade político-administrativa e mudança de paradigma no que tange ao foco ampliado na etiologia de todos esses problemas de saúde. Contudo, não se tem conhecimento, no Brasil, de políticas públicas que acompanhem, de modo transversal e integral, todas as fases do ciclo de vida ou delineiem o perfil da funcionalidade e o acompanhamento da incidência de incapacidades, como também, em especial, de ações sobre as futuras gerações, com base no conceito ampliado de saúde proposto pela OMS e defendido nos princípios e diretrizes do SUS. Muito mais necessário do que simplesmente criar serviços de reintegração é evitar/prevenir a restrição social. Para tanto, são necessárias políticas desenhadas com um novo olhar sobre o ser humano, que respeite os princípios e as diretrizes constitucionais do SUS e atendam às consequências das transições demográficas e epidemiológicas, a fim de promover saúde para que as pessoas vivam sem grandes incapacidades numa expectativa de vida aumentada que já começou no Brasil. Na 13ª Conferência Nacional de Saúde, foi aprovada a proposta inédita no 144 no Eixo II - Políticas Públicas para a Saúde e Qualidade de Vida: o SUS na Seguridade Social e o Pacto pela Saúde; e a moção no 84, para se elaborar e implantar uma política nacional de saúde funcional, transversal a todas as políticas de saúde em seus diversos níveis, em especial, nas áreas que envolvem a saúde do trabalhador, da pessoa idosa, da pessoa com deficiência, do escolar, da mulher, do homem e dos demais ciclos de vida, garantindo a interdisciplinaridade e a atuação multiprofissional(6). A partir de uma discussão técnica, é possível considerar a saúde funcional como o estado de funcionalidade e bemestar individual e das coletividades em todas as fases do ciclo de vida, no desempenho das atividades e na participação social, promovendo qualidade de vida e autonomia para o pleno exercício da cidadania. A detecção precoce deve ser o primeiro passo para as ações de saúde funcional, além das linhas de promoção e cuidado para dar visibilidade às ações profissionais de recuperação da saúde e prevenção de incapacidades, entendida, aqui, num sentido muito mais amplo, na busca de um excelente desempenho das atividades humanas e da mais completa possível participação social. Fica evidente, então, a necessidade de garantir ações de promoção de saúde funcional, prevenção de alterações estruturais e disfunções/incapacidades com ou sem doença de base, e recuperação efetiva das disfunções para a superação das limitações e/ou restrições impostas por esse tipo de transtorno que afeta a saúde funcional. Uma política dessa forma traz, entre todas as vantagens de seus resultados, uma redução dos prejuízos à seguridade social, advindos dessas incapacidades, assim como uma melhoria na qualidade de vida das pessoas, apresentando um baixo custo agregado, já que as ações demandam, basicamente, a atuação de profissionais específicos, insumos de tecnologia leve e a máxima possibilidade de sua ênfase na atenção básica. Com base no que foi escrito neste editorial é que a Revista Brasileira em Promoção da Saúde (RBPS), apoiada em seus artigos centrados em educação e promoção de saúde, mostra a necessidade da adoção de medidas visando a elaboração de políticas públicas voltadas para a funcionalidade humana, por meio da identificação epidemiológica de grupos de risco, baseada na CIF, com a finalidade de otimizar as ações e a oferta de serviços aos usuários do Sistema Único de Saúde (SUS), do Sistema Único de Assistência Social (SUAS) e da Previdência Social que tenham como referência o paradigma da saúde funcional, gerando um importante fator de promoção, prevenção e recuperação da saúde funcional, e propiciando o desenvolvimento e a reintegração social, que, constitucionalmente, devem ser garantidos à população brasileira.Universidade de Fortaleza2013-08-20info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion"Non-refereed Book Review""Artigo não avaliado pelos pares"application/pdfapplication/pdfhttps://ojs.unifor.br/RBPS/article/view/264610.5020/2646Brazilian Journal in Health Promotion; Vol. 26 No. 1 (2013); 1-4Revista Brasileña en Promoción de la Salud; Vol. 26 Núm. 1 (2013); 1-4Revista Brasileira em Promoção da Saúde; v. 26 n. 1 (2013); 1-41806-1230reponame:Revista Brasileira em Promoção da Saúdeinstname:Universidade de Fortaleza (Unifor)instacron:UFORporenghttps://ojs.unifor.br/RBPS/article/view/2646/pdfhttps://ojs.unifor.br/RBPS/article/view/2646/pdf_1Brasil, Ana Cristhina de Oliveirainfo:eu-repo/semantics/openAccess2022-02-16T11:27:01Zoai:ojs.ojs.unifor.br:article/2646Revistahttps://periodicos.unifor.br/RBPS/oai1806-12301806-1222opendoar:2022-02-16T11:27:01Revista Brasileira em Promoção da Saúde - Universidade de Fortaleza (Unifor)false
dc.title.none.fl_str_mv Promotion of health and human functionality
Promoção de saúde e a funcionalidade humana - doi:10.5020/18061230.2013.p1
title Promotion of health and human functionality
spellingShingle Promotion of health and human functionality
Brasil, Ana Cristhina de Oliveira
title_short Promotion of health and human functionality
title_full Promotion of health and human functionality
title_fullStr Promotion of health and human functionality
title_full_unstemmed Promotion of health and human functionality
title_sort Promotion of health and human functionality
author Brasil, Ana Cristhina de Oliveira
author_facet Brasil, Ana Cristhina de Oliveira
author_role author
dc.contributor.author.fl_str_mv Brasil, Ana Cristhina de Oliveira
description For the development of public health policies in Brazil, two aspects should be taken into consideration, namely, the demographic transition and the epidemiological transition. More and more, it is perceivable an increase in the number of elderly people living with numerous disabilities and also an epidemiological profile. National Household Sample Survey (Pesquisa Nacional por Amostra de Domicílios - PNAD) 1998-2003 indicates a distribution of chronic diseases that, consequently, has generated an expressive number of disabilities. These people with disabilities need health services, and use them when they manage to access them. However, the current models of healthcare for the elderly or people with disabilities are expensive and, in some aspects, are not efficient, requiring preventive strategies and health equipment for the maintenance or recovery of health of an aged population. Thus, the public policy agenda of Brazil should give priority to the maintenance of the functionality of the aged, with monitoring of health status, specific preventive actions on health and education, and care seeking an integral and multidimensional attention, not necessarily focused on disease(1). The need to develop policies and strategies, particularly on health promotion, with a look detached from the disease is justified because health problems come not only from the disease, but from any other circumstance or health condition, such as, pregnancy , aging, stress, genetic predisposition – all classified by D-10, nevertheless, not being able to measure the status alterations related to health, and much less to sort and describe the context in which these problems occur, which complicates and jeopardizes the planning and solvability of actions and services in health, unlike the data by means of qualifiers that the International Classification of Functioning, Disability and Health (ICF) has the potential to generate(2). Brazil is a member country of the World Health Organization, signatory of Resolution WHA54.21-OMS54.21, which recommends the use of the International Classification of Functioning, Disability and Health (ICF), translated into Portuguese in 2003. The main paradigm that ICF brings is the shift from an approach based on the disease to an approach focused on the human functionality (3). Only in May 2012 the National Health Council (Conselho nacioinal de Saúde – CNS) approved the resolution 452 for the Ministry of Health to adopt the ICF, among other uses, as a generator of indicators of human functionality (4). Human functionality, according to the International Classification of Functioning, Disability and Health (ICF) of the World Health Organization, is a comprehensive term that designates the elements of the body, its functions and structures, the human activities and participation in the social processes, indicating the positive aspects of the interaction of individuals with certain health conditions and thee context in which he lives with regard to personal and environmental factors (structural and attitudinal) (3). However, health information appears incomplete, since data regarding the human functionality is not yet meaningful enough to support the developed policies so that they could accomplish the expected results in the face of the disabilities posed by the deficiencies, limitations in activities and restrictions of participation(5). Given the above, a change in direction is required in the paths of public health policies in Brazil, disposing of the exclusively biological approach to the disease, and starting to see it as a problem produced by the society. Therefore, it is necessary to develop information that record not only the disease but the additional aspects of the individuals´ health status. The human functionality is directly influenced both by the presence of diseases, mainly the chronic ones (featuring the change induced by the epidemiologic transition), as by the occurance of negative context, like the diverse environmental barriers, whether they are physical, geographic, technological, legal, among others(5). Such health problems that generated those impairments are harmful not only to the citizens but also to the State, since they burden the social security system (health, welfare and social security), leading to decreased quality of life, especially of those affected by such problems. Despite the finding of facts as the major expenses with medium and high complexity services in health, sickness benefit and early retirements that could have been avoided, one can perceive the lack of specific and properly planned actions, the implementation of which depends on political and administrative will and on a paradigm shift regarding the expanded focus on the etiology of all these health problems. And yet, no public policies are known in Brazil, to follow up, in a transversal and integral way, all the stages of the life cycle or to delineate the profile of functionality and the monitoring of the incidence of disabilities, but also, in particular, actions focused on future generations, based on the expanded concept of health proposed by WHO and defended in the principles and guidelines of SUS. Far more required than simply creating reintegration services is to avoid / prevent social restriction. Therefore, policies must be drawned with a new perspective on the human being, that respects the constitutional principles and guidelines of the NHS and meet the consequences of demographic and epidemiological transitions in order to promote health so that people live without major disabilities an increased life expectancy that has already been settled in Brazil. At the 13th National Conference on Health, the unprecedented proposal n.144 has been approved on Axis II - Public Policies for Health and Quality of Life: SUS in Social Security and the Pact for Health, along with the motion n. 84, aiming to develop and implement a national health functional policy crossing all health policies at their different levels, particularly in areas involving the health of workers, of the elderly, the disabled person, the schoolar, the woman, the man and the other cycles of life, ensuring the interdisciplinary and multidisciplinary performance(6). As from a technical discussion, it is possible to conceive as functional health the status of functionality of individuals and communities welfare at all stages of the life cycle, in activities performance and in social participation, promoting quality of life and autonomy for the full exercise of citizenship. Early detection should be the first step for the actions of functional health, beyond the lines of promotion and care to give visibility to the professional actions of health recovery and prevention of disabilities, seen here in a much broader sense, seeking an outstanding performance of human activities and the most possibly complete participation in society. It becomes evident, then, the need to ensure actions in the promotion of functional health, prevention of structural changes and dysfunctions / disabilities, with or without an underlying disease, and effective recovery of dysfunction, to overcome the limitations and / or restrictions imposed by such condition that affects the functional health. A policy like this brings, among all the advantages of its results, a reduction of damages to social security, arising from these disabilities, as well as an improvement in quality of life, with a low aggregate cost, since the actions require basically the performance of specific professionals, light technology inputs and the utmost possibility of its emphasis on primary care. Based on what has been written in this editorial is that in the Brazilian Journal in Health Promotion (RBPs), supported by its articles focused on education and health promotion, highlights the need for the adoption of measures aiming the elaboration of public policies for human functionality, through epidemiological identification of risk groups, based on CIF, with the aim of optimizing the actions and the offer of services to users of the Unified Health System (Sistema Único de Saúde - SUS), the Unified Welfare System (Sistema de Assistência Social - SUAS) and Social Security that are have as their reference the paradigm of functional health, generating an important factor of promotion, prevention and recovery of functional health, and promoting the development and social reintegration, which constitutionally must be ensured to the Brazilian population
publishDate 2013
dc.date.none.fl_str_mv 2013-08-20
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
"Non-refereed Book Review"
"Artigo não avaliado pelos pares"
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://ojs.unifor.br/RBPS/article/view/2646
10.5020/2646
url https://ojs.unifor.br/RBPS/article/view/2646
identifier_str_mv 10.5020/2646
dc.language.iso.fl_str_mv por
eng
language por
eng
dc.relation.none.fl_str_mv https://ojs.unifor.br/RBPS/article/view/2646/pdf
https://ojs.unifor.br/RBPS/article/view/2646/pdf_1
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Universidade de Fortaleza
publisher.none.fl_str_mv Universidade de Fortaleza
dc.source.none.fl_str_mv Brazilian Journal in Health Promotion; Vol. 26 No. 1 (2013); 1-4
Revista Brasileña en Promoción de la Salud; Vol. 26 Núm. 1 (2013); 1-4
Revista Brasileira em Promoção da Saúde; v. 26 n. 1 (2013); 1-4
1806-1230
reponame:Revista Brasileira em Promoção da Saúde
instname:Universidade de Fortaleza (Unifor)
instacron:UFOR
instname_str Universidade de Fortaleza (Unifor)
instacron_str UFOR
institution UFOR
reponame_str Revista Brasileira em Promoção da Saúde
collection Revista Brasileira em Promoção da Saúde
repository.name.fl_str_mv Revista Brasileira em Promoção da Saúde - Universidade de Fortaleza (Unifor)
repository.mail.fl_str_mv
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