[Public health and public health systems sustainability].
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.
Repullo Labrador
José R
JR
Escuela Nacional de Sanidad, Sinesio Delgado 8, 28029 Madrid. jrepullo@isciii.es
Segura Benedicto
Andreu
A
D006801:Humans; D008483:Medical Assistance; D011634:Public Health; D015980:Public Health Practice; D011640:Public Policy; D014944:World Health Organization