{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,12]],"date-time":"2025-10-12T01:47:33Z","timestamp":1760233653057,"version":"build-2065373602"},"reference-count":31,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2021,2,1]],"date-time":"2021-02-01T00:00:00Z","timestamp":1612137600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Sustainability"],"abstract":"<jats:p>The article presents concepts and the Public Health Policy University of Lisbon Lab project to answer questions about the macro-environment of cancer and loneliness. Although the biomedical model has considered the disease\u2019s general symptoms, it takes a holistic approach to incorporate several other circumstances that influence health. Emotional, social, psychological, and economic factors mirror influencing layers that affect wellness. Portugal follows Europe\u2019s tendency and simultaneously reflects its reality. Governmental internal policies, amplified by regulations, improve disease prevention and treatment. Nevertheless, it focuses on the general population instead of on the individual. Once cancer, one of the leading causes of global death, is perceived as an isolated incident, we believe macro-environmental circumstances, and not only biological ones, must be considered. Furthermore, cancer in the elderly intensifies solicitude, and expanded policies and actions demand individual health determinants. In the Portuguese Public Health Policy, we started a collaborative Oncology, Human Kinetics, and Public Health Policy project. This is the first project of the Public Health Policy Lab from the Institute of Social and Political Sciences of the University of Lisbon. Based on a brief review of two research projects on improving cancer patients\u2019 health, we promote micro-organisational projects to deal with the social phenomena of loneliness, physical activity, and lifestyle. As a sequence of the well-known social determinants, we endorse political determinants as the basis for public health. The latest worldwide governmental trend is to create public labs as an innovation of political policymaking. Throughout this reflection, the need for a new rational approach specially designed for a social model is considered.<\/jats:p>","DOI":"10.3390\/su13031544","type":"journal-article","created":{"date-parts":[[2021,2,1]],"date-time":"2021-02-01T22:18:36Z","timestamp":1612217916000},"page":"1544","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Social Model\u2014Innovation and Behavioural Intervention as a Public Policy of Action within an Oncology and Loneliness Scope"],"prefix":"10.3390","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3504-1991","authenticated-orcid":false,"given":"Vasco","family":"Fonseca","sequence":"first","affiliation":[{"name":"Centre for Public Administration and Public Politics, Institute of Social and Political Sciences, University of Lisbon, 1300-663 Lisbon, Portugal"},{"name":"Centro Hospitalar de Lisboa Ocidental, E.P.E.\u2014Hospital de S\u00e3o Francisco Xavier, 1449-005 Lisbon, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6378-6325","authenticated-orcid":false,"given":"Joaquim","family":"Caeiro","sequence":"additional","affiliation":[{"name":"Centre for Public Administration and Public Politics, Institute of Social and Political Sciences, University of Lisbon, 1300-663 Lisbon, Portugal"}]},{"given":"Fernanda","family":"Nogueira","sequence":"additional","affiliation":[{"name":"Centre for Public Administration and Public Politics, Institute of Social and Political Sciences, University of Lisbon, 1300-663 Lisbon, Portugal"}]}],"member":"1968","published-online":{"date-parts":[[2021,2,1]]},"reference":[{"key":"ref_1","first-page":"117","article-title":"A crise do modelo biom\u00e9dico e a resposta da promo\u00e7\u00e3o da sa\u00fade","volume":"28","author":"Justo","year":"2010","journal-title":"Rev. Port. Sal. Pub."},{"key":"ref_2","unstructured":"WHO-World Health Organization (2017). Global Strategy and Action Plan on Ageing and Health, WHO. Available online: https:\/\/www.who.int\/ageing\/global-strategy\/en\/."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"668","DOI":"10.1093\/ije\/30.4.668","article-title":"Theories for social epidemiology in the twenty-first century: An ecosocial perspective","volume":"30","author":"Krieger","year":"2001","journal-title":"Int. J. Epidemiol."},{"key":"ref_4","unstructured":"WHO-World Health Organization (2020). World Report on Ageing and Health, WHO. Available online: https:\/\/www.who.int\/life-course\/news\/world-report-on-ageing\/en\/."},{"key":"ref_5","doi-asserted-by":"crossref","unstructured":"Detels, R. (2015). Oxford Textbook of Global Public Health, Oxford University Press. Available online: https:\/\/oxfordmedicine.com\/view\/10.1093\/med\/9780199661756.001.0001\/med-9780199661756.","DOI":"10.1093\/med\/9780199661756.001.0001"},{"key":"ref_6","unstructured":"Dahlgren, G., and Whitehead, M. (2007). Policies and Strategies to Promote Social Equity in Health. Background Document to WHO\u2013Strategy Paper for Europe, Ideas\u2013Institute for Future Studies. Available online: https:\/\/ideas.repec.org\/p\/hhs\/ifswps\/2007_014.html."},{"key":"ref_7","first-page":"1","article-title":"Bioethics and healthcare policies. The benefit of using genetic tests of BRCA 1 and BRCA 2 in elderly patients","volume":"25","author":"Fonseca","year":"2020","journal-title":"Int. J. Health Plan. Manag."},{"key":"ref_8","unstructured":"Caeiro, J. (2015). Estado Social, Pol\u00edticas P\u00fablicas e Pol\u00edtica Social, Instituto Superior de Ci\u00eancias Sociais e Pol\u00edtica."},{"key":"ref_9","unstructured":"WHO-World Health Organization (2002). Constitution of the World Health Organization: 1946. Bull. World Health Organ., 80, 983\u2013984. Available online: https:\/\/apps.who.int\/iris\/handle\/10665\/268688."},{"key":"ref_10","unstructured":"Zurn, M. (2012). Global Governance as Multi-Level Governance. Oxford Handbook of Governance, Oxford University Press. Available online: https:\/\/www.oxfordhandbooks.com\/view\/10.1093\/oxfordhb\/9780199560530.001.0001\/oxfordhb-9780199560530-e-51."},{"key":"ref_11","unstructured":"Devita, V., Helmman, S., and Rosenberg, S. (2018). Cancer: Principles & Practice of Oncology, Williams & Wilkins Publishers."},{"key":"ref_12","unstructured":"ESMO\u2013European Society for Medical Oncology (2014). The current and future role of the medical oncologist in the professional care of cancer patients: A position paper by the European Society for Medical Oncology. Ann. Oncol., 25, 9\u201315. Available online: https:\/\/www.annalsofoncology.org\/article\/S0923-7534(19)35972-1\/pdf."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"578","DOI":"10.1073\/pnas.1511085112","article-title":"Social relationships and physiological determinants of longevity across the human life span","volume":"113","author":"Yang","year":"2016","journal-title":"Proc. Natl. Acad. Sci. USA"},{"key":"ref_14","unstructured":"Buettner, D. (2008). The Blue Zones: Lessons for Living Longer from the People Who\u2019ve Lived the Longest, National Geographic."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"907","DOI":"10.1016\/j.socscimed.2011.11.028","article-title":"Loneliness, Health, and Mortality in Old Age: A National Longitudinal Study","volume":"74","author":"Luo","year":"2012","journal-title":"Soc. Sci. Med."},{"key":"ref_16","unstructured":"Mineo, L. (2020, October 15). Health and Medicine: Good Genes are Nice But Joy is Better, The Harvard Gazette, Available online: https:\/\/news.harvard.edu\/gazette\/story\/2017\/04\/over-nearly-80-years-harvard-study-has-been-showing-how-to-live-a-healthy-and-happy-life."},{"key":"ref_17","unstructured":"Cox, J. (2017). Combatting Loneliness One Conversation at A Time, Age Action Alliance Organization. Available online: https:\/\/www.ageuk.org.uk\/globalassets\/age-uk\/documents\/reports-and-publications\/reports-and-briefings\/active-communities\/rb_dec17_jocox_commission_finalreport.pdf."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"15142","DOI":"10.1073\/pnas.1514249112","article-title":"Myeloid differentiation architecture of leukocyte transcriptome dynamics in perceived social isolation","volume":"112","author":"Cole","year":"2015","journal-title":"Proc. Natl. Acad. Sci. USA"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"383","DOI":"10.1504\/IJIL.2013.056234","article-title":"Knowledge and satisfaction-two premises for healthcare service innovation and development: The perspective of UCSPVR users","volume":"14","author":"Nogueira","year":"2013","journal-title":"Int. J. Innov. Learn."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"116","DOI":"10.1093\/heapro\/dav076","article-title":"Social innovation for the promotion of health equity","volume":"30","author":"Mason","year":"2015","journal-title":"Health Promot. Int."},{"key":"ref_21","unstructured":"Thaler, R., and Sunstein, C. (2009). Nudge: Improving Decisions about Health, Wealth, and Happiness, Yale University Press."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"1604","DOI":"10.1111\/j.1532-5415.2007.01367.x","article-title":"Identifying Vulnerable Older Adults with Cancer: Integrating Geriatric Assessment into Oncology Practice","volume":"55","author":"Hurria","year":"2007","journal-title":"J. Am. Geriatics Soc."},{"key":"ref_23","unstructured":"Sarmento, P. (2020). Desporto e Desenvolvimento Humano. Desporto, Inova\u00e7\u00e3o e Forma\u00e7\u00e3o de Treinadores, Edi\u00e7\u00f5es CIEQV; Instituto Polit\u00e9cnico de Santar\u00e9m, Rio Maior. Available online: https:\/\/www.cieqv.pt\/wp-content\/uploads\/2020\/11\/desporto-inovacao-e-formacao-de-treinadores.pdf."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"14005","DOI":"10.18632\/oncotarget.24456","article-title":"Impact of physical exercise in cancer survivors during and after antineoplastic treatments","volume":"9","author":"Ferioli","year":"2018","journal-title":"Oncotarget"},{"key":"ref_25","first-page":"1","article-title":"Sport Medicine in the prevention and management of cancer","volume":"18","author":"Luo","year":"2019","journal-title":"SAGE J. Integr. Cancer Ther."},{"key":"ref_26","doi-asserted-by":"crossref","unstructured":"Goiana-Da-Silva, F., Cruz-E-Silva, D., Bartlett, O., Vasconcelos, J., Nunes, A.M., Ashrafian, H., Miraldo, M., Machado, M.D.C., Ara\u00fajo, F., and Darzi, A. (2020). The Ethics of Taxing Sugar-Sweetened Beverages to Improve Public Health. Front. Public Health, 8.","DOI":"10.3389\/fpubh.2020.00110"},{"key":"ref_27","unstructured":"Fonseca, V. (2019). Evaluating and Following Breast Cancer Patients in a Better Way (EFB Cancer), Centro Hospitalar Lisboa Ocidental-University of Lisbon. Available online: https:\/\/clinicaltrials.gov\/ct2\/show\/NCT03831308."},{"key":"ref_28","unstructured":"Fonseca, I. (2001). Da Luz \u00e0s Luzes\u2013Cultura e Na\u00e7\u00e3o, Instituto Superior de Ci\u00eancias Sociais e Pol\u00edticas."},{"key":"ref_29","unstructured":"Almond, G. (1987). Harold Dwight Lawssell 1902\u20131978: A Biographical Memoir, National Academy of Sciences. Available online: http:\/\/www.nasonline.org\/publications\/biographical-memoirs\/memoir-pdfs\/lasswell-harold.pdf."},{"key":"ref_30","doi-asserted-by":"crossref","unstructured":"Dawes, D. (2020). The Political Determinants of Health, Johns Hopkins University Press.","DOI":"10.56021\/9781421437903"},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"249","DOI":"10.1007\/s11077-018-9315-7","article-title":"The rise of public sector innovation labs: Experiments in design thinking for policy","volume":"51","author":"McGann","year":"2018","journal-title":"Policy Sci."}],"container-title":["Sustainability"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2071-1050\/13\/3\/1544\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T05:18:31Z","timestamp":1760159911000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2071-1050\/13\/3\/1544"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,2,1]]},"references-count":31,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2021,2]]}},"alternative-id":["su13031544"],"URL":"https:\/\/doi.org\/10.3390\/su13031544","relation":{},"ISSN":["2071-1050"],"issn-type":[{"type":"electronic","value":"2071-1050"}],"subject":[],"published":{"date-parts":[[2021,2,1]]}}}