Social participation and community orientation in health services

Abstract

The community participation in the sanitary systems is a concept that develops from the offers of health policy that has led the World Organization of the Health and that they highlight the fundamental role of the promotion of the health and of the Primary care to answer to the sanitary challenges from the middle of the XXth century. Your development has hit with big obstacles that have become major from the increasing trend of introduction of market of the services of health. What explains partly your scanty advance in the developed countries, though there exist very interesting experiences that are based especially on the effort of professionals and social organizations. The fundamental dilemma this one in the option among the assumption of the role like consumers or clients that it supports a relation subordinated of the patients with a major dependence of the consumption, or on the contrary to give voice and vote for the citizens incorporating them into the productive process and turning them into producers of health. There are analyzed also the existing practices of community participation in Spain and offers are realized for your impulse and development.