[Alma Ata 30 years on. Evolution and perspectives of primary health care].
The Alma Ata Declaration (September 1978) was a turning point in the definition of "Primary Health Care". The traditional bio-medical model was based on a paternalistic approach and on the treatment of the individual episodes of disease. The new bio-psycho-social model was based on prevention, continuity of care, integrated health care teams and on a direct role of patients in managing their health. Thirty years on, this approach is still relevant. Actually, it is the only adequate one to answer effectively to the current challenges: epidemiological changes (increasing prevalence of chronic diseases), social changes (increased social inequalities in health), cultural changes (increased patients demand for information and autonomy).
Maciocco
G
G
Dipartimento di Sanità Pubblica, Università degli Studi di Firenze. gavino.maciocco@unifi.it
D003226:Congresses as Topic; D049673:History, 20th Century; D011320:Primary Health Care / Q000266:history*