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Putting people first: a multidimensional approach to health socioeconomic determinants

2019-10-17Education resource Open access
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dc.contributor.authorBarreira, Maria Esmeralda
dc.contributor.authorCabeda, José Manuel
dc.contributor.authorVidal, Diogo Guedes
dc.contributor.authorPontes, Manuela
dc.contributor.authorMaia, Rui
dc.contributor.authorOliveira, Gisela
dc.contributor.authorFerraz, Maria Pia
dc.contributor.authorCalheiros, José
dc.date.accessioned2019-12-19T16:44:17Z
dc.date.available2019-12-19T16:44:17Z
dc.date.issued2019-10-17
dc.description.abstractPerson Centered Healthcare aims for the involvement of patients to provide quality healthcare services based on committed healthcare professionals. This paradigm implies shared decision-making between healthcare professionals and patients involving various aspects of the patient-healthcare relation. The present work focuses on the importance of analysing healthcare services distribution considering communities’ specificities. To develop appropriate healthcare solutions that fit people needs, public health policies should be designed in a manner that involves health stakeholders, experts and the civil society. The United Nations 2030 Agenda for Sustainable Development proposes the Sustainable Development Goal 3 in order to “ensure healthy lives and promote well-being for all at all ages” which is in alignment with the Person Centered Healthcare aims. The present work proposes a tailored made index SEHVI – Socioeconomic Health Vulnerability Index – applied to Portuguese mainland population. In the scope of the principle of patient-centered healthcare services, SEHVI aggregates seven health outcomes indicators – mortality variables – and twenty-eight health determinants indicators: healthcare resources, social protection, education, water and sanitation, employment and income, air pollution, waste, land use, housing, social participation and safety variables. Data was collected from official statistical databases – INE, PORDATA and APA – and disaggregated at the municipal scale, allowing a diagnose of people’s needs and specificities at a local level. Years 2009, 2015 and 2018 were chosen to evaluate population health status. The country national score was used as the benchmark enabling the identification of vulnerable communities. The majority (72 %) of the mainland population experiences more vulnerable health conditions than the country’s average. SEHVI scores reveal a deterioration of health determinants in the period of study. Populations’ socioeconomic and environmental conditions play an important role in health outcomes, stressing the need to provide adequate healthcare services in the context of a centered healthcare approach.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationBarreira, E., Cabeda, J. M., Vidal, D. G., Pontes, M., Maia, R. L., Oliveira, G. M., Ferraz, M. P. & Calheiros, J. M., (2019). Putting People First: a Multidimensional Approach to Health Socioeconomic Determinants. In International Conference on Person Centered Healthcare. Porto: Associação Para a Segurança dos Doentes& European Society for Person Centered Healthcare.pt_PT
dc.identifier.doi10.13140/RG.2.2.29828.27521pt_PT
dc.identifier.urihttp://hdl.handle.net/10284/8314
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.relationUFP Energy, Environment and Health Research Unit
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/pt_PT
dc.subjectSocioeconomic determinantspt_PT
dc.subjectEnvironmental determinantspt_PT
dc.subjectHealth indicatorpt_PT
dc.titlePutting people first: a multidimensional approach to health socioeconomic determinantspt_PT
dc.typelearning object
dspace.entity.typePublication
oaire.awardTitleUFP Energy, Environment and Health Research Unit
oaire.awardURIinfo:eu-repo/grantAgreement/FCT/6817 - DCRRNI ID/UID%2FMulti%2F04546%2F2019/PT
oaire.citation.conferencePlaceOrdem dos Médicospt_PT
oaire.citation.titleInternational Congress on Person Centered Healthcarept_PT
oaire.fundingStream6817 - DCRRNI ID
person.familyNameBarreira
person.familyNameManuel Baptista Cabeda
person.familyNameGuedes Vidal
person.familyNamePontes
person.familyNameMaia
person.familyNameOliveira
person.familyNameFerraz
person.familyNameCalheiros
person.givenNameMaria Esmeralda Reis
person.givenNameJosé
person.givenNameDiogo
person.givenNameManuela
person.givenNameRui
person.givenNameGisela Marta Teixeira de Sousa
person.givenNameMaria Pia
person.givenNameJosé
person.identifierU-1156-2017
person.identifierNgahlXIAAAAJ&hl
person.identifier.ciencia-id341E-D243-5BE3
person.identifier.ciencia-id3F17-D327-35C3
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person.identifier.ciencia-idD210-1090-2274
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person.identifier.ciencia-id7F16-B2FB-9AD4
person.identifier.orcid0000-0001-5880-1669
person.identifier.orcid0000-0002-5117-2326
person.identifier.orcid0000-0002-2777-2372
person.identifier.orcid0000-0002-3089-7475
person.identifier.orcid0000-0001-7006-5043
person.identifier.orcid0000-0003-1803-6098
person.identifier.orcid0000-0002-0274-106X
person.identifier.orcid0000-0002-0147-6655
person.identifier.ridM-6316-2013
person.identifier.scopus-author-id57205490753
person.identifier.scopus-author-id57197500114
person.identifier.scopus-author-id7102012951
project.funder.identifierhttp://doi.org/10.13039/501100001871
project.funder.nameFundação para a Ciência e a Tecnologia
rcaap.rightsopenAccesspt_PT
rcaap.typepedagogicalPublicationpt_PT
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