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At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
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Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
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Health is a condition of the body, mind, and spirit where an individual remains free from illness. Similarly, wellness is an active state, including living a lifestyle that promotes physical, mental, and emotional health. Physical health is critical for the overall well-being and can be affected by lifestyle, activity level, diet, and behavior. The highest attainable standard of health is a fundamental and universal human right. Consider Lisa, a fifteen-year-old born with congenital...
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Watershed Planning within a Quantitative Scenario Analysis Framework
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Designing a Health Strategy at Local Level: A Conceptual Framework for Local Governments.

Gonçalo Santinha1, Alexandre Fernandes1, Rafaela Oliveira1

  • 1GOVCOPP, Department of Social, Political and Territorial Sciences, University of Aveiro, 3810-193 Aveiro, Portugal.

International Journal of Environmental Research and Public Health
|July 14, 2023
PubMed
Summary

Local governments can improve public health strategies by involving stakeholders and communities. This framework enhances health governance, particularly during crises like the COVID-19 pandemic, promoting better well-being outcomes.

Keywords:
decentralizationhealth strategyhealth systemhealthcare governancelocal government

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Area of Science:

  • Public Health
  • Health Governance
  • Local Government Studies

Background:

  • Local governments are crucial for public health, especially during crises like the COVID-19 pandemic.
  • There's a need for structured approaches to integrate health and well-being into local government priorities.
  • Decentralization trends emphasize the role of local authorities in health governance.

Purpose of the Study:

  • To present a conceptual framework for designing and implementing local health and well-being strategies.
  • To promote the inclusion of health and well-being in local political agendas.
  • To highlight the importance of stakeholder and community participation in public health initiatives.

Main Methods:

  • Development of a conceptual framework for local health strategy implementation.
  • Case study analysis of Arouca's Health Strategy planning process in Portugal.
  • Focus on decentralization and its impact on local health governance.

Main Results:

  • The conceptual framework facilitates the integration of health and well-being into local government priorities.
  • Meaningful community participation is key to successful local health strategies.
  • Arouca's case demonstrates the practical application of the framework in an inland municipality.

Conclusions:

  • Local governments play a vital role in advancing public health and well-being.
  • New multi-stakeholder governance models are needed to build institutional capacity for future health strategies.
  • Continuous improvement in health and well-being strategies requires sustained effort and collaboration.