Chronic Disease and Family Coping: a Study in Urban Portugal

Total Page:16

File Type:pdf, Size:1020Kb

Chronic Disease and Family Coping: a Study in Urban Portugal Jose Man uel Cal h «si mos CHRONIC DISEASE AND FAMILY COPING: A STUDY IN URBAN PORTUGAL The University of Connecticut 1 986 Jose IVIianuel CZskX Kiei ros CHRONIC DISEASE AND FAMILY COPING: A STUDY IN URBAN PORTUGAL The University of Connecticut 1 986 y y *0 CHRONIC DISEASE AND FAMILY COPING: A STUDY IN URBAN PORTUGAL Jose Manuel Calheiros, M.D., M.P.H., Ph.D. The University of Connecticut, 1986 Cerebrovascular Disease (CVD) is extremely frequent in Portugal, where it has been the leading cause of death for several decades. In 1979, CVD accounted for 23.4 percent of all deaths. Nevertheless, information describing sociocultural and epidemiological aspects of CVD is very limited in the Portuguese health and/or social sciences literatures. These disorders, which present themselves under a wide severity range, often require multidisciplinary, organized, and integrated forms of care , aiming at minimizing its impact on the individual, the family and the community. In Portugal, despiste the importance of these disorders, an explicit national policy has never been formulated. Currently there are no organized programs for the support of CVD patients and their families. This research was conducted in Porto - a large urban area in Northern Portugal - on patients with several forms of CVD. Quantitative and qualitative methods are used to describe the current patterns of disease in Porto, and the approaches of Jose Manuel Calheiros -- The University of Connecticut, 1986 the contemporary Portuguese social and health care systems that attempt to meet the broad needs of these patients and their families. Family coping abilities and strategies are studied here under the process of adaptation, using the ecological model of illness. Family variations are accounted for in terms of a set of sociocultural and economic variables . The data show that: (1) the frequency of CVD in Porto is high when compared with equivalent studies in other communities. Particularly high frequencies were found for hemorrhagic stroke, especially in males aged 64 or less; (2) the contemporary Portuguese health care system heavily relies on families as a major source of care during both acute and non-acute phases; (3) although most families were identified as coping satisfactorily, a small number of families is particularly vulnerable to the social consequences of stroke and have major difficulties in providing the family component of care implicit in the present health system. Education (patient and maximum family level) was identified as the major determinant of successful adaptation; (4) current rehabilitative approaches have major limitations both in terms of the type of services available and in patient selection. CHRONIC DISEASE AND FAMILY COPING: A STUDY IN URBAN PORTUGAL Jose Manuel Lage Campelo Calheiros M.D., University of Porto, 1972 M.P.H., University of Connecticut, 1985 A Dissertation Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Philosophy at The University of Connecticut 1986 Copyright by Jose Manuel Calheiros 1986 APPROVAL PAGE Doctor of Philosophy Dissertation CHRONIC DISEASE AND FAMILY COPING: A STUDY IN URBAN PORTUGAL Presented by Jose Manuel Lage Campelo Calheiros, M.D., M.P.H Major Adviser: Pertti j(_^Pelto ~T~ Associate Adviser ' SVe p h a n , D / jjy6h e n s u 1 Associate Adviser DavidTK G r e^go r i o The University of Connecticut 1986 11 PREFACE AND ACKNOWLEDGMENTS Cerebrovascular Disease (CVD) is extremely frequent in Portugal, where it has been the leading cause of death for several decades. In 1979, CVD accounted for 23.4 percent of all deaths. Nevertheless, information describing socio- ;ultural and epidemiological aspects of CVD is very limited in the Portuguese health and/or social sciences literatures. These disorders, which present themselves under a wide severity range, often require multidiscipliaary, organized, and integrate.. forms of care, aiming at minimizing its impact on the individual, the family, and the community. In Portugal, despite the importance of these disorders, an explicit national policy has never been formulated. Currently there are no organized programs for the support of CVD patients and their families. This research conducted in Porto — a large urban area in Northern Portugal -- focus on patients with several forms of CVD. It also describes the current disease patterns in Porto, and examines the approaches of the contemporary 111 Portuguese social and health care systems that attempt to meet the broad needs of these patients and their families. This research views the sum of the current individual management strategies as the implicit policy and/or programs and, accordingly, analyses the implications in a family perspective. Family coping abilities and strategies are studied here under the process of adaptation, using the ecological model of illness. Family variations are accounted for in terms of a set of sociocultural and economic variables . Although this project is based in a major health institution, it should be emphasized that the research herein presented and the problems identified are not limited to the research institutional base. My previous experience in other areas and settings in Portugal, and the reported experiences of colleagues working in other health institutions throughout the country, clearly suggest that the problems associated with the care of CVD patients are of national character and constitute reason for a national concern . I am therefore grateful to all institutions and individuals that made this research possible. My deepest gratitude is due to the members of the Clinical and Administrative Boards of the Hospital Geral de Santo Antonio, Porto, for their understanding of the need to develop this research from inside the hospital into the IV community. I am particularly indebted to Dr. Castro Lopes (Director of Clinical Services) and Dr. Mario Pereira (Hospital Director) for their support and confidence, which was also crucial in obtaining the required permissions from the Portuguese authorities in order for me to attend the present academic program at the University of Connecticut. I believe this research will help develop further activities and programs involving the community, the Hospital Geral de Santo Antonio, and the Instituto de Ciências Biomédicas, "Abel Salazar". I also wish to convey my deepest gratitude to the Calouste Gulbenkian Foundation for the generous fellowship support which made possible this academic program, and to the University of Connecticut for the scholarship that covered tuition during this period. This research was also supported in part by a grant from the University of Connecticut Research Foundation. To my major supervisor, Pertti J. Pelto, I owe special thanks. His vision of the relationships between Anthropology and Health Sciences deeply contributed to improve my understanding of the complexities of this multidisciplinar y area. I am particularly grateful for his understanding of my identity as a health professional to which social sciences have added new roles and responsibilities. Stephen Schensul and David Gregório, associate advisors in this project, have been colleagues and friends as well. v Together with Holger Hansen, who was associated advisor till is sabbatical leave, they immensely contributed to the stimulating academic environment I encountered at the University of Connecticut. My deepest gratitude also goes to Professors Corino de Andrade (Instituto de Ciências Biomédicas "Abel Salazar", University of Porto), Aloisio Coelho (Director, National Institute of Health, Lisbon, and Chairman, Department of Community Health, Instituto de Ciências Biomédicas "Abel Salazar", University of Porto) and James E. C. Walker (former Chairman, Department of Community Medicine and Health Care, University of Connecticut Health Center). Professors Corino de Andrade and Aloisio Coelho have honored me with their support and confidence since the very beginning of my career in Community Health, while Professor's James Walker vision of international community health created the opportunity for this program. This research is dedicated to them. I also wish to thank my colleagues and friends Antonio Leite Carneiro, M.D. (Department of Neurology, Hospital Geral de Santo Antonio), and Benjamin Crabtree (Doctoral Candidate, Department of Anthropology, University of Connec• ticut) for their professional help and support, especially for caring to take time from their busy schedules to provide answers to my requests. Antonio Carneiro reviewed neurologic information, particularly CT scans, and Benjamin vi Crabtree provided statistical and computer expertise. My gratitude also goes to three groups of people without whom this research was not possible. I thank Belarmino Gomes and his colleagues of the "Serviço de Doentes" (Hospital Geral de Santo Antonio) for their patience and support, and the group of students from the Department of Community Health lead by Teresa Oliva, with whom I shared'the joys and hardships of field research. Last and above all, I wish to convey my deepest gratitude to the patients and their families for accepting to participate in one more research that did not offer immediate solutions .to their often dramatic problems. The main intention of this research was to identify these problems and special vulnerable groups. I hope that, in the near future, the information gather this way will make possible the development of appropriate mechanisms which, through the involvement of patients and their families, local
Recommended publications
  • C U L T U R a , E S P a Ç O & M E M Ó R Ia
    5 0 - 7 9 5 0 1 - 2 8 1 2 : N S S I a N.º 5 | 2014 i r ó m CEM e cultura, espaço & memória m Revista do CITCEM & – CENTRO DE INVESTIGAÇÃO TRANSDISCIPLINAR o CULTURA, ESPAÇO & MEMÓRIA ç « » a p s e Neste Número: , a DOSSIER TEMÁTICO r «População e Saúde» u (eds. Jorge Fernandes Alves t e Carlota Santos) l u RECENSÕES c NOTÍCIAS M E C CITCEM centro de investigação transdisciplinar CITCEM cultura, espaço e memória CEM N.º 5 cultura, espaço & memória CEM N.º 5 CULTURA, ESPAÇO & MEMÓRIA Edição: CITCEM – Centro de Investigação Transdisci- plinar «Cultura, Espaço & Memória» (Faculdade de Letras da Universidade do Porto/Universidade do Minho)/Edições Afrontamento Directora: Maria Cristina Almeida e Cunha Editores do dossier temático: Jorge Fernandes Alves | Carlota Santos Foto da capa: Paisagem minhota, 2013. Foto de Arlindo Alves. Colecção particular.. Design gráfico: www.hldesign.pt Composição, impressão e acabamento: Rainho & Neves, Lda. Distribuição: Companhia das Artes N.º de edição: 1604 Tiragem: 500 exemplares Depósito Legal: 321463/11 ISSN: 2182-1097-05 Periodicidade: Anual Esta revista tem edição online que respeita os critérios do OA (open access). Outubro de 2014 Este trabalho é financiado por Fundos Nacionais através da FCT – Fundação para a Ciência e Tecnologia no âmbito do projecto PEst-OE/HIS/UI4059/2014 EDITORIAL pág. 5 «EM PROL DO BEM COMUM»: O VARIA CONTRIBUTO DA LIGA PORTUGUESA DE SOB O OLHAR DA CONSTRUÇÃO DA APRESENTAÇÃO PROFILAXIA SOCIAL PARA A EDUCAÇÃO MEMÓRIA:RICARDO JORGE NA TRIBUNA HIGIÉNICA NO PORTO (1924-1960) DA HISTÓRIA POPULAÇÃO E SAÚDE I Ismael Cerqueira Vieira pág.
    [Show full text]
  • 001 224 ING Final LM.Indd 1 15/01/15 09:18 Editor Published by Lord Nigel Crisp Calouste Gulbenkian Foundation Av
    The Future for Health everyone has a role to play 001_224 ING Final_LM.indd 1 15/01/15 09:18 Editor PublishEd by Lord Nigel Crisp Calouste Gulbenkian Foundation Av. de Berna 45 A Editing Coordinator 1067-001 Lisbon Cristina Monteiro Portugal Tel. (+351 21 782 3000) Design TVM Designers Email: [email protected] http://www.gulbenkian.pt Printing Gráfica Maiadouro, S.A. ©Calouste Gulbenkian Foundation 2014 For further information on the Print run Future for Health Gulbenkian Platform, 300 copies or to download the original report, please visit: www.gulbenkian.pt Or contact: ISBN 978-989-8380-17-3 Gulbenkian Programme for Innovation in Health LegaL DepoSIt 379 935/14 [email protected] 001_224 ING Final_LM.indd 2 15/01/15 09:18 The Future for Health everyone has a role to play Lord Nigel Crisp (Chair) Donald Berwick Ilona Kickbusch Wouter Bos João Lobo Antunes Pedro Pita Barros Jorge Soares COLLABORATION: 001_224 ING Final_LM.indd 3 15/01/15 09:18 Foreword from the President of the Calouste Gulbenkian Foundation the heaLth of the portugueSe popuLatIoN has made a remarkable progress in the last few decades, a fact that was recognized internationally and is the most positive achievement of our forty-year democratic regime. However we cannot ignore the limitations of our resources and how it affects our options. We are well aware of the need to prioritize our problems and the allocation of our resources. We must decide wisely, with boldness and courage. The progress achieved in the health system is due to enlightened policies but also to scientific advances and technological innovation.
    [Show full text]
  • 2010-Portugueses-Em-Dic3a1spora
    POPULAÇÃO E SOCIEDADE Dinâmicas e Perspectivas Demográficas do Portugal Contemporâneo CEPESE Título Adriano Moreira – Academia das Ciências de Lisboa POPULAÇÃO E SOCIEDADE – n.º 18 / 2010 Amadeu Carvalho Homem – Universidade de Coimbra Ramon Villares – Universidade de Santiago de Compostela Edição Ismênia Martins – Universidade Federal Fluminense CEPESE – Centro de Estudos da População, Economia e Sociedade / Lorenzo Lopez Trigal – Universidade de Leon Edições Afrontamento Lená Medeiros de Menezes – Universidade do Estado do Rio de Janeiro Rua do Campo Alegre, 1055 – 4169-004 PORTO Gladys Ribeiro – Universidade Federal Fluminense Telef.: 22 609 53 47 Haluk Gunugur – Universidade Bilkent Fax: 22 543 23 68 Maria del Mar Lousano Bartolozzi – Universidade de Extremadura E-mail: [email protected] David Reher – Universidade Complutense de Madrid http://cepese.pt Philippe Poirrier – Universidade de Borgonha Hipolito de la Tórre Gomez – UNED – Universidade Nacional Edições Afrontamento de Educação à Distância Rua de Costa Cabral, 859 – 4200-225 PORTO Patrícia Alejandra Fogelman – Instituto Ravingani, UBA Telef.: 22 507 42 20 Angelo Trento – Universidade de Napoli Fax: 22 507 42 29 Matteo Sanfilippo – Universidade de Tuscia – Viterbo E-mail: [email protected] Jan Sundin – Universidade de Linköping www.edicoesafrontamento.pt Jonathan Riley-Smith – Universidade de Cambridge Manuel Gonzalez Jimenez – Universidade de Sevilha Fundadores Jean-Philippe Genet – Universidade Sorbonne Nouvelle – Paris 3 Universidade do Porto Neil Gilbert – Universidade de Berkeley, California Fundação Eng. António de Almeida James Newell – Universidade de Salford Fernando de Sousa – Universidade do Porto, Universidade Lusíada Renato Flores – Fundação Getúlio Vargas do Porto J. Manuel Nazareth – Universidade Nova de Lisboa Coordenadora do Dossier Temático Jorge Arroteia – Universidade de Aveiro Maria João Guardado Directora Design Maria da Conceição Meireles Pereira João Machado Comissão Editorial Execução Gráfica Rainho & Neves, Lda.
    [Show full text]
  • Anglo Saxonica III N. 3
    REVISTA ANGLO SAXONICA SER. III N. 3 2012 A NNGLO SAXO ICA ANGLO SAXONICA SER. III N. 3 2012 DIRECÇÃO / GENERAL EDITORS Isabel Fernandes (ULICES) João Almeida Flor (ULICES) Mª Helena Paiva Correia (ULICES) COORDENAÇÃO / EXECUTIVE EDITOR Teresa Malafaia (ULICES) EDITOR ADJUNTO / ASSISTANT EDITOR Ana Raquel Lourenço Fernandes (ULICES) CO-EDITOR ADJUNTO / CO-EDITORIAL ASSISTANT Sara Paiva Henriques (ULICES) REVISÃO DE TEXTO / COPY EDITORS Inês Morais (ULICES) Madalena Palmeirim (ULICES) Ana Luísa Valdeira (ULICES) EDIÇÃO Centro de Estudos Anglísticos da Universidade de Lisboa DESIGN, PAGINAÇÃO E ARTE FINAL Inês Mateus IMPRESSÃO E ACABAMENTO Várzea da Rainha Impressores, S.A. - Óbidos, Portugal TIRAGEM 150 exemplares ISSN 0873-0628 DEPÓSITO LEGAL 86 102/95 PUBLICAÇÃO APOIADA PELA FUNDAÇÃO PARA A CIÊNCIA E A TECNOLOGIA New Directions in Translation Studies Special Issue of Anglo Saxonica 3.3 Guest Editors: Anthony Pym and Alexandra Assis Rosa Novos Rumos nos Estudos de Tradução Número Especial da Anglo Saxonica 3.3 Editores convidados: Anthony Pym e Alexandra Assis Rosa CONTENTS/ÍNDICE NEW DIRECTIONS IN TRANSLATION INTRODUCTION Anthony Pym and Alexandra Assis Rosa . 11 LITERARY TRANSLATION TRUSTING TRANSLATION João Ferreira Duarte . 17 ANTHOLOGIZING LATIN AMERICAN LITERATURE: SWEDISH TRANSLATIVE RE-IMAGININGS OF LATIN AMERICA 1954-1998 AND LINKS TO TRAVEL WRITING Cecilia Alvstad . 39 THE INTERSECTION OF TRANSLATION STUDIES AND ANTHOLOGY STUDIES Patricia Anne Odber de Baubeta . 69 JOSÉ PAULO PAES — A PIONEERING BRAZILIAN THEORETICIAN John Milton . 85 TRANSLATION AND LITERATURE AGAIN: RECENT APPROACHES TO AN OLD ISSUE Maria Eduarda Keating . 101 UNDER THE SIGN OF JANUS: REFLECTIONS ON AUTHORSHIP AS LIMINALITY IN . TRANSLATED LITERATURE Alexandra Lopes . 127 TRANSLATED AND NON-TRANSLATED SPANISH PICARESQUE NOVELS IN DEFENSE OF .
    [Show full text]
  • Annual Report 2013
    Annual Report 2013 Modern Art Centre – 30 YEARS Annual Report 2013 Contents I. Activities Report 7 17 Education Board of Trustees of the Office of the President Calouste Gulbenkian 141 Foundation Ia. Portugal Gulbenkian Empowering New Generations Programme Internal Audit Committee Charity 35 161 9 Gulbenkian Innovation in Scholarships Department Message from the President Health Programme 171 39 Art Library Gulbenkian Human Development Programme 185 Gulbenkian Portuguese 55 Language and Culture Cidadania Ativa Programme – EEA Grants Programme 195 Art Gulbenkian Education for Culture and Science 67 Programme Calouste Gulbenkian Museum Science 85 Music Department 205 Gulbenkian Institute of Science 103 Modern Art Centre – CAM 129 Gulbenkian Next Future Programme II. Economic and Financial Situation Ib. Overseas Financial Statements 225 293 Delegation in France Economic and Financial Situation 231 Armenian Communities 298 Department Budget implementation and the Foundation’s activities 241 United Kingdom Branch 305 Analysis of the Consolidated 257 Financial Statements Gulbenkian Development Aid Programme 370 Auditors’ Reports Ic. Gulbenkian Initiatives 261 III. Internal Audit Gulbenkian Oceans Initiative Committee 267 374 Gulbenkian Cities Initiative Report 271 Gulbenkian Knowledge Transfer 375 Initiative Opinion Id. Support Departments 376 Heads of Department and 275 Gulbenkian Programmes Central Services Department 379 281 Useful Information Budget, Planning and Control Department 287 Communication Department BOARD OF TRUSTEES 9 Board of
    [Show full text]
  • CHAPTER I: (Prelude) EAST TIMOR 1973
    2 East Timor: The Secret File 1973-1975 2 3 East Timor: The Secret File 1973-1975 CHAPTER I: (Prelude) EAST TIMOR 1973 1. UPON ARRIVAL Timor has always been enveloped in legends that only the distance can create. In Portugal, Timor was but a dream, quietness, the one thousand and one nights of the exotic Orient, the tropical sortilege. Upon arrival, the European could only feel disillusioned. Without forewarning one is flying over a sterile island, filled with mountains and rocks, the rustic scenery intersected by dried riverbeds, rocky and abrupt cliffs facing the sea, a ravaged land, without any signs of life or the trademark of humanity. Timor is indeed this land, sparsely arranged bamboo huts unveiled under the plane. The visitor questions: “How is this possible? - Timor, is it this? The light plane draws concentric circles. Unsettled passengers search in vain for the airport. Suddenly, behind an unanticipated hill, halfway through a daring tilt there it is, the small ‘T’ of the runway. The control tower of the tourist leaflets is nowhere to be seen the dusty building with the straw ceiling is the bar, customs and the boarding room. This is the International airport of a Vila Salazar, otherwise known as Baucau. It only exists in the geography texts of the Portuguese high schools. A strange crowd piles up outside. This is the ever-baffling spectacle of the arrival of “cockatoo-bote” (big cockatoo) or the “steely paws,” 1 the ceremony of a foreign God, coming down from skies. The people attend this sacred manifestation as if it was the very start of yet another religion.
    [Show full text]
  • Portugal Incoming Portuguese Network Intercultural Cities 01
    WELCOME GUIDE . PORTUGAL INCOMING PORTUGUESE NETWORK INTERCULTURAL CITIES 01 Olá! WELCOME GUIDE Portugal Incoming PORTUGUEE NETWOR O INTERCULTURAL CITIE WELCOME GUIDE . PORTUGAL INCOMING PORTUGUESE NETWORK INTERCULTURAL CITIES TABLE OF CONTENTS 01 02 INTRODUCTION LEGALIATION EMPLOMENT p. 03 p. 11 p. 15 03 04 05 OCIAL EALT EDUCATION ECURIT p. 19 p. 22 p. 25 06 07 08 ERITAGE UTICE LANGUAGE RELIGION AND ITOR p. 29 p. 32 p. 35 09 10 11 ACILITATOR UEUL GUIDE OR ATTACMENT ERICE WELCOMING EION p. 40 p. 42 p. 56 WELCOME GUIDE . PORTUGAL INCOMING PORTUGUESE NETWORK INTERCULTURAL CITIES 03 Bem-vindo/a! WELCOME GUIDE . PORTUGAL INCOMING PORTUGUESE NETWORK INTERCULTURAL CITIES 04 INTRODUCTION First of all, we would like to welcome you! When arriving in Portugal with the intention of settling down, sometimes it can be hard to access all the information you need to become part of the Portuguese society. Portugal is a country with laws and institutions that are open and favourable to immigration, as well as a country with a high number of emigrants. The cultural and religious diversity is protected by the law on religious freedom and the anti-discrimination law, and assisted by the existing support from the Portuguese State to the migrant and minority associations. Currently in Portugal, with a residence permit there are, according to 600.000 official statistics, around 600,000 people with foreign origin (between 4 to people 5% of the population), mainly from Brazil (22%), Cape Verde (7%), Romania with foreign (6%), Ukraine (6%), United Kingdom (5.5%), China (5.3%), France (4%), Italy origin (3.9%), Angola (3.8%), and Guinea-Bissau (3.4%) (in numerical order).
    [Show full text]
  • Portugal : Health System Review
    Health Systems in Transition Vol. 13 No. 4 2011 Portugal Health system review Pedro Pita Barros Sara Ribeirinho Machado Jorge de Almeida Simões Sara Allin (Editor) and Elias Mossialos (Editor in chief) were responsible for this HiT Editorial Board Editor in chief Elias Mossialos, London School of Economics and Political Science, United Kingdom Series editors Reinhard Busse, Berlin University of Technology, Germany Josep Figueras, European Observatory on Health Systems and Policies Martin McKee, London School of Hygiene & Tropical Medicine, United Kingdom Richard Saltman, Emory University, United States Editorial team Sara Allin, University of Toronto, Canada Matthew Gaskins, Berlin University of Technology, Germany Cristina Hernández-Quevedo, European Observatory on Health Systems and Policies Anna Maresso, European Observatory on Health Systems and Policies David McDaid, European Observatory on Health Systems and Policies Sherry Merkur, European Observatory on Health Systems and Policies Philipa Mladovsky, European Observatory on Health Systems and Policies Bernd Rechel, European Observatory on Health Systems and Policies Erica Richardson, European Observatory on Health Systems and Policies Sarah Thomson, European Observatory on Health Systems and Policies Ewout van Ginneken, Berlin University of Technology, Germany International advisory board Tit Albreht, Institute of Public Health, Slovenia Carlos Alvarez-Dardet Díaz, University of Alicante, Spain Rifat Atun, Global Fund, Switzerland Johan Calltorp, Nordic School of Public Health,
    [Show full text]
  • Portugal and the End of the «Golden Age» Of
    Trend, scale and limit: Portugal and the end of the «golden age» of welfare state Autor(es): Martins, Carlos Miguel Jorge Publicado por: Imprensa da Universidade de Coimbra URL persistente: URI:http://hdl.handle.net/10316.2/43303 DOI: DOI:https://doi.org/10.14195/2183-8925_35_4 Accessed : 23-Sep-2021 22:49:29 A navegação consulta e descarregamento dos títulos inseridos nas Bibliotecas Digitais UC Digitalis, UC Pombalina e UC Impactum, pressupõem a aceitação plena e sem reservas dos Termos e Condições de Uso destas Bibliotecas Digitais, disponíveis em https://digitalis.uc.pt/pt-pt/termos. Conforme exposto nos referidos Termos e Condições de Uso, o descarregamento de títulos de acesso restrito requer uma licença válida de autorização devendo o utilizador aceder ao(s) documento(s) a partir de um endereço de IP da instituição detentora da supramencionada licença. Ao utilizador é apenas permitido o descarregamento para uso pessoal, pelo que o emprego do(s) título(s) descarregado(s) para outro fim, designadamente comercial, carece de autorização do respetivo autor ou editor da obra. Na medida em que todas as obras da UC Digitalis se encontram protegidas pelo Código do Direito de Autor e Direitos Conexos e demais legislação aplicável, toda a cópia, parcial ou total, deste documento, nos casos em que é legalmente admitida, deverá conter ou fazer-se acompanhar por este aviso. impactum.uc.pt digitalis.uc.pt Revista de História das Ideias Vol. 35. 2ª série (2017) 71-110 TREND, SCALE AND LIMIT. PORTUGAL AND THE END OF THE «GOLDEN AGE» OF WELFARE STATE TENDÊNCIA, ESCALA E LIMITE.
    [Show full text]
  • Health and Migration in the European Union: Better Health for All in an Inclusive Society
    FFrontront CCover.aiover.ai 220/5/090/5/09 110:06:320:06:32 Health and Migration in the European Union: Better Health for All in an Inclusive Society Foreword by António Correia de Campos Editors: Ana Fernandes and José Pereira Miguel C M Y CM MY CY CMY K 00-96 1st section:updated - portugal 1 19/5/09 16:29 Page 1 Health and Migration in the European Union: Better Health for All in an Inclusive Society 00-96 1st section:updated - portugal 1 19/5/09 16:29 Page 2 00-96 1st section:updated - portugal 1 19/5/09 16:29 Page 3 Health and Migration in the European Union Health and Migration in the European Union: Better Health for All in an Inclusive Society Foreword by António Correia de Campos Edited by Ana Fernandes and José Pereira Miguel 00-96 1st section:updated - portugal 1 19/5/09 16:29 Page 4 Instituto Nacional de Saúde Doutor Ricardo Jorge Avenida Padre Cruz, 1649-016 Lisboa, Portugal Copyright © Instituto Nacional de Saúde Doutor Ricardo Jorge 2009 All rights reserved. First published: 2009 Title: Health and migration in European Union: better health for all in an inclusive society Authors: General editors: Ana Fernandes and José Pereira Miguel; Associate editors: Jorge Malheiros, Manuel Carballo, Beatriz Padilla, Rui Portugal Editor/Publisher: Instituto Nacional de Saúde Doutor Ricardo Jorge Date of publication: 2009 ISBN: 978-972-8643-41-6 Legal Deposit: 291173/09 This report was commissioned by the DG SANCO for giving insights to the Conference “Health and Migration in the EU: Better health for all in an inclusive society” to be held in Lisbon on the 27th and 28th of September, 2007, under the Portuguese Presidency of the EU Council.
    [Show full text]
  • PORTUGAL Índice General
    PORTUGAL Índice general 1 Portugal 1 1.1 Etimología .............................................. 1 1.2 Historia ................................................ 2 1.2.1 Primeros pobladores ..................................... 2 1.2.2 Formación y consolidación del reino ............................. 3 1.2.3 La Era de los Descubrimientos y la dinastía felipina ..................... 3 1.2.4 Restauración, absolutismo y liberalismo ........................... 4 1.2.5 República, Estado Nuevo y democracia ........................... 4 1.3 Gobierno y política .......................................... 5 1.3.1 Relaciones exteriores ..................................... 7 1.3.2 Fuerzas armadas y seguridad ................................. 7 1.3.3 Derechos humanos ...................................... 8 1.4 Organización territorial ........................................ 8 1.4.1 Áreas urbanas ........................................ 8 1.5 Geografía ............................................... 9 1.5.1 Clima ............................................. 10 1.5.2 Flora y fauna ......................................... 10 1.6 Economía ............................................... 11 1.6.1 Empleo ............................................ 12 1.6.2 Turismo ........................................... 13 1.7 Infraestructura ............................................ 13 1.7.1 Transportes .......................................... 13 1.7.2 Medios de comunicación ................................... 14 1.7.3 Energía ...........................................
    [Show full text]
  • Special Issue, Public Health in Portugal
    HYGIEA INTERNATIONALIS An Interdisciplinary Journal for the History of Public Health Volume 12, No. 1, 2016 Special Issue Public Health in Portugal: Past and Future Editor Jan Sundin ISSN, Print: 1403-8668; Electronic: 1404-4013 URL: http://www.ep.liu.se/ej/hygiea/ Editorial Board Giovanni Berlinguer, University of Rome “La Sapienza”, Italy Virginia Berridge, London School of Hygiene and Tropical Medicine, U.K. Patrice Bourdelais, École des Hautes Études en Sciences Sociales, France Linda Bryder, University of Auckland, New Zealand Marcos Cueto, Instituto de Estudios Peruanos, Peru Christopher Hamlin, University of Notre Dame, U.S.A. Robert Jütte, Robert Bosch Stiftung, Germany Øivind Larsen, University of Oslo, Norway Marie C. Nelson, Linköping University, Sweden Dorothy E. Porter, University of California, U.S.A. Günter B. Risse, University of California, U.S.A. Esteban Rodriguez-Ocaña, University of Granada, Spain John Rogers, Uppsala University, Sweden Jan Sundin, Linköping University, Sweden Lars-Göran Tedebrand, Umeå University, Sweden John H. Woodward, The University of Sheffield, U.K. Editorial Committee Laurinda Abreu, Patrice Bourdelais, Jan Sundin and Sam Willner Copyright This journal is published under the auspices of Linköping University Electronic Press. All Authors retain the copyright of their articles. © The Authors Table of Contents Volume 12, No. 1, 2016 Sam Willner Preface 5 Jan Sundin Introduction: Public Heath in Portugal – 7 Past and Future Maria Guardado Moreira, Demographic and Health Changes in Filipa Castro
    [Show full text]