Prevention in Health

Prevention in health: a necessary task” is to try to define central and highlight the importance and necessity of implementing prevention practices in health institutions themselves, within themselves and with the same staff , work to date has not been prioritized. After several trying to develop concepts such as healthy institution, institutional indicators of poor health and prevention institutions, and responses to what prevention in health institutions, why and how, is to systematize a number of ideas initial approach of this new field of work that constitutes a challenge for multidisciplinary work in the area of health.

Introduction
Health policies in recent years have granted some special value to prevention practices, defined in terms of necessary changes in life styles, modes and models of social functioning and, therefore, also institutional. It is hard to think without thinking about preventing essential changes in structure, but mainly on changes in our ways of thinking, starting our theoretical models, our epistemologies, philosophies and even belief systems as deeply rooted. Prevention is defined as protection against risks, environmental threats, which means, inevitably, the joint action of the health institutions, communities and people that comprise the institutions (Calvino M, 1996) .

At the First International Conference on Health Promotion held in Ottawa in 1986 under the auspices of WHO, noted the need to facilitate the process by which one can “mobilize people to increase control over and improve health … to reach a state of complete physical, mental and social … to be able to identify and realize their aspirations, their needs and to change or adapt to the environment. ” To achieve this it is essential to truly understand that health development can not be reduced to combat the disease, traditional clinical practices. Prevention is a practical challenge, a social challenge, but to the internal practices of psychologist is an epistemological challenge. Health is everyone’s task, but also work in all areas where it is encouraged or difficult, is promoted or destroyed. Prevention is not only a way of doing it is a way of thinking.

From these considerations it is not difficult to understand why “the Pan American Health Organization has defined health promotion as a result of all actions undertaken by different social sectors for the development of better health for all personal and collective the population in the context of their everyday life “(PAHO. 1992. p. 1). This is directly related to health policy, environmental measures, health institutions, community organizations and, of course, with individuals, their attitudes and personal skills, their beliefs, their subjectivity. “Health promotion is social action for health”
Prevention is linked to several professional performances. The best known are the calls made PROMOTION AND EDUCATION (Calvin M., 1996). However, they have maintained a behavioral pattern that we define as “me out”. As noted Bleger J.: “… apply them properly or absolutely do not apply our knowledge and techniques to the administration … we make of our resources” (1985. P.105). Following the dominant paradigm in the frames of professional practices, professional institution membership and remain “intact.” (Not in place health promotion programs aimed at the elimination of harmful behaviors for physicians in a hospital, even though we know that many doctors and health personnel possess (smoking, drug and alcohol consumption , etc.), and when they have tried to develop have not been successful, as is the familiar case of smoking). We have every reason to believe that a good part of our promotion and education activities would have to “begin at home”, should start from within.

Just when we think of “begin at home” we have to stop to think: PREVENTION is not required of those who prevented? If our answer is yes then we have to ask ourselves PREVENT WHAT, WHAT, and logic and in the institution?

Trying to get closer to answering these questions puts us above all to assume a problem of conceptualization required since we are referring to the execution of a particular kind of prevention would INSTITUTIONAL PREVENTION. Moreover, if we talk about institutional prevention because there is an imaginary base existing which would be a HEALTHY INSTITUTION we aspire to have and maintain. Try to reflect on these two concepts.


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