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Revista Española de Salud Pública

On-line version ISSN 2173-9110Print version ISSN 1135-5727


REPULLO LABRADOR, José R.  and  SEGURA BENEDICTO, Andreu. Public Health and Public Health System Sustainability. Rev. Esp. Salud Publica [online]. 2006, vol.80, n.5, pp.475-482. ISSN 2173-9110.

Public health and healthcare originally started out separately from one another in the past, having later further developed taking different paths in modern times. The major development the health systems underwent in the last half of the 20th century entailed a heightening of the individual standpoint and a division of these two approaches despite the attempts made to bring them together as of the WHO Alma-Ata Conference in 1978. The waning of rationalism and other social phenomena had a hand the collective or population-oriented focus being focused on to a lesser degree in Public Health, but these trends also gave rise to a growing problem of rationality in individual healthcare and sustainability in the public health systems. The debate on the current scene stands to set out the sustainability-related problems mediated by internal and external agents and to revise Public Health's possible contribution to the improvement thereof by advocating yet a further attempt at bringing together and integrating these two diverging standpoints.

Keywords : Public health; Medical assistance; Public Policies.

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