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THE REFORMATION HEALTH AND
ARCHITECTURE. "Today; commercial buildings, centers, supermarkets,
airports, hospitals; beautiful children without feelings. They have sense ".
(anonymous Author). The countries developing are happening through a time of
transformations, with changes of articles of incorporation in which the
population I know this making conscious of its rights between which the one does
not escape to enjoy a high degree of health. This together with the demographic
changes, epidemiologists and technological; the presence of inequidad in the
conditions and access to the services; inefficiency in the allocation of
resources and the management; the deficiency in the quality and the difficulties
to maintain some services has created, as opposed to a conscious demand of the
population, the necessity to respond with effective, reasonable and sustainable
proposals in the field of the design of services of health. There is neither
space nor no time for the rhetorical proposals -that abounds on the other hand
-. In the middle of the decade of 90 many of the countries of America and the
Caribbean had initiated or was considering initiating reforms in the sector
health. A summoned international meeting to the effect defined the reforms in
health like "a oriented process to introduce changes nouns in the different
instances and functions from the sector in order to increase the fairness in its
benefits, the efficiency of its management, and the effectiveness of its
performances and with it to obtain the satisfaction of the necessities of health
of the population. One is an intensified phase of transformation of the systems
of Health made during a determined period of time and from conjunctures that
justify it and viabilizan ".
The enunciated reform has in the remodeling, extension and/or
construction of hospitable buildings social consequences as much in immediate
form as in the long term. The building surpasses in time to the program that
generates it. All architectonic work is founding of future. The answer in the
field of the hospitable architecture in you complete decades - in the majority
of the cases it has been "the unique solution" constructing customized projects
without considering his participation in an urban or rural, in an organism of
state or deprived space system, in a transformable space. We say - with certain
load of irony that has been programmed, projected, constructed and qualified
services like "spontaneous creations". The governments like authorities
responsible for the programs of development in great long term scale and, are
the indicated ones for develops to the norms and guides for the functional
programming, design and construction of the facilities on a rational and ample
base of way to give the lineaments on which to mount the architectonic
proposals. The future this to a large extent in its decisions. This requires
constructing fundamental conjectures on him. We rose as it indicates to Clement
Bezold two fundamental conjectures to it on the future that they agree with the
architectonic fact: First. "The future he is uncertain. A unique and safe
projection of the future of the health and the attention of the health does not
exist (...)
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