De los determinantes sociales a la interdependencia social: teoría, reflexión y aplicación
Palabras clave:
bioética, actitudes de los profesionales de la salud, cultura, desigualdad en salud, salud pública, determinantes sociales de la salud, responsabilidad social, población vulnerableResumen
Marco Teórico: Los académicos y profesionales de la medicina y la salud pública han dedicado mucho tiempo y esfuerzo para definir lo que significa los determinantes sociales de la salud e identificar las desigualdades en los efectos. Desafortunadamente, los profesionales de la salud pueden creer erróneamente que el origen de los malos resultados de la salud no están relacionados con las formas por los cuales los factores sociales, económicos, políticos y ambientales se establecen y se mantienen. Razonamiento: Introducimos el concepto de interdependencia social de la salud y la enfermedad para (1) reforzar la necesidad de considerar las causas fundamentales de los determinantes sociales, y (2) ser consciente de la responsabilidad comunal y personal para ayudar a reducir sus efectos. El desarrollo de una comprensión profunda de la interdependencia social en la práctica clínica, en la investigación de la salud pública y en la promoción de salud implica un proceso repetitivo de observación, reflexión y acción. Efectuar este cambio positivo dentro de esas áreas es una obligación compartida. Conclusión: Desarrollando y aplicando un abordaje de interdependencia social significa ser consciente de nuestra interconexión humana. Este abordaje demuestra cómo vivimos en un mundo en el que no estamos tan separados unos de los otros para que no podamos beneficiarnos solo con imaginarnos y desear para los demás lo que deseamos para nosotros mismos, lo cual puede motivarnos a considerar nuestro trabajo como profesionales de la salud como una fuerza positiva, no solamente para atender a las enfermedades, si no también para promover la buena salud.
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