La pérdida de "confianza en salud pública" : un problema ético social complejo

Detalles Bibliográficos
Publicado en:	Revista derechos en acción. Vol. 1 No. 2 (2017),142-156 1. La Plata : Universidad Nacional de La Plata. Facultad de Ciencias Jurídicas y Sociales, 2017
Autor Principal:	De Ortúzar, María Graciela
Formato:	Artículo
Temas:	Acceso a la información Confianza Gobernanza en salud Equidad Desigualdades sociales Determinantes sico sociales Asimetrías de poder Relaciones horizontales Participación Comercialización de la salud Etica Desigualdad social Justicia social Pérdida de confianza Salud pública
Acceso en línea:	https://www.memoria.fahce.unlp.edu.ar/art_revistas/pr.8646/pr.8646.pdf https://revistas.unlp.edu.ar/ReDeA/article/view/2910 https://ri.conicet.gov.ar/handle/11336/85424
Resumen:	En las últimas décadas, y en el contexto de una sociedad cada vez más compleja, la salud pública se enfrenta a un nuevo problema: la "pérdida de confianza" en la relación profesional-paciente; comunidad-sistema de salud. El análisis tradicional del citado problema, desde los "modelos de gobernanza en salud", se centra exclusivamente en el "manejo de la información" y en los "derechos individuales de los pacientes". Dicho enfoque no contribuye a identificar la raíz del problema. En el presente trabajo proponemos aplicar un abordaje basado en problemas complejos y una metodología interdisciplinaria (filosófica, sicológica, antropología y epidemiológica). Analizaremos las razones históricas del quiebre de la confianza en salud pública a través de casos paradigmáticos en atención en salud, y del estudio de la lógica de la sospecha. Propondremos el "enfoque de los determinantes sociales de la salud" para explicar por qué las relaciones entre desigualdades y pérdida de confianza no pueden reducirse sólo a confidencialidad. Nuestra hipótesis general se centra en afirmar que la "desconfianza en salud" es un problema ético social complejo, y demanda, para su superación, cambios "no estéticos ni burocráticos" en las relaciones sanitarias hospitalarias; sino cambios en el nivel macro de justicia distributiva (actuar sobre las "desigualdades sociales" que inciden en las "desigualdades en salud") para garantizar el derecho igualitario a la salud.
Notas:	Documento incorporado en 2018 en el marco del "Programa de becas de experiencia laboral" de la Biblioteca Profesor Guillermo Obiols para estudiantes de Bibliotecología, a partir de un procedimiento técnico de captura de datos desarrollado por el personal del IdIHCS.
Descripción Física:	p.142-156
ISSN:	ISSN 2525-1678

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La pérdida de "confianza en salud pública" : un problema ético social complejo

https://www.memoria.fahce.unlp.edu.ar/art_revistas/pr.8646/pr.8646.pdf

https://revistas.unlp.edu.ar/ReDeA/article/view/2910

https://ri.conicet.gov.ar/handle/11336/85424

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