Interest in disinterestedness in the epidemiology of health systems and services
This article intends to critique of the cultural authority of the medical sciences, opening up a discussion on its publicization from a political standpoint. At the same time, from a more technical standpoint, it proposes the implementation of an epidemiology of health systems and services. Based o...
| Main Author: | |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Instituto de Salud Colectiva, Universidad Nacional de Lanús
2023-03-01
|
| Series: | Salud Colectiva |
| Subjects: | |
| Online Access: | https://revistas.unla.edu.ar/saludcolectiva/article/view/4365 |
| _version_ | 1827691671706402816 |
|---|---|
| author | Hugo Spinelli |
| author_facet | Hugo Spinelli |
| author_sort | Hugo Spinelli |
| collection | DOAJ |
| description |
This article intends to critique of the cultural authority of the medical sciences, opening up a discussion on its publicization from a political standpoint. At the same time, from a more technical standpoint, it proposes the implementation of an epidemiology of health systems and services. Based on Pierre Bourdieu’s concept of interest in disinterestedness and Joseph Gusfield’s notion of the cultural authority of public problems, it analyzes why epidemiological information is so rarely used in the evaluation and monitoring of clinical, population, institutional, and territorial practices. That is, why does the dominant culture of decision making eschew epidemiological information? Within this conceptual framework, a body of documental evidence is analyzed that sheds light on the weak scientific basis that upholds or that has underpinned certain practices in the health field at different historical moments. The discussion is organized around three major themes: assistentialist professional practice, medication, and biomedical technologies.
|
| first_indexed | 2024-03-10T11:05:56Z |
| format | Article |
| id | doaj.art-f6f49145475442cf8e1a60c3d8d3672b |
| institution | Directory Open Access Journal |
| issn | 1669-2381 1851-8265 |
| language | English |
| last_indexed | 2024-03-10T11:05:56Z |
| publishDate | 2023-03-01 |
| publisher | Instituto de Salud Colectiva, Universidad Nacional de Lanús |
| record_format | Article |
| series | Salud Colectiva |
| spelling | doaj.art-f6f49145475442cf8e1a60c3d8d3672b2023-11-21T21:11:11ZengInstituto de Salud Colectiva, Universidad Nacional de LanúsSalud Colectiva1669-23811851-82652023-03-011910.18294/sc.2023.4365Interest in disinterestedness in the epidemiology of health systems and servicesHugo Spinelli0https://orcid.org/0000-0001-5021-6377Universidad Nacional de Lanús This article intends to critique of the cultural authority of the medical sciences, opening up a discussion on its publicization from a political standpoint. At the same time, from a more technical standpoint, it proposes the implementation of an epidemiology of health systems and services. Based on Pierre Bourdieu’s concept of interest in disinterestedness and Joseph Gusfield’s notion of the cultural authority of public problems, it analyzes why epidemiological information is so rarely used in the evaluation and monitoring of clinical, population, institutional, and territorial practices. That is, why does the dominant culture of decision making eschew epidemiological information? Within this conceptual framework, a body of documental evidence is analyzed that sheds light on the weak scientific basis that upholds or that has underpinned certain practices in the health field at different historical moments. The discussion is organized around three major themes: assistentialist professional practice, medication, and biomedical technologies. https://revistas.unla.edu.ar/saludcolectiva/article/view/4365EpidemiologyProfessional PracticeDrugsBiomedical TechnologyIatrogenic DiseaseHealth Administration |
| spellingShingle | Hugo Spinelli Interest in disinterestedness in the epidemiology of health systems and services Salud Colectiva Epidemiology Professional Practice Drugs Biomedical Technology Iatrogenic Disease Health Administration |
| title | Interest in disinterestedness in the epidemiology of health systems and services |
| title_full | Interest in disinterestedness in the epidemiology of health systems and services |
| title_fullStr | Interest in disinterestedness in the epidemiology of health systems and services |
| title_full_unstemmed | Interest in disinterestedness in the epidemiology of health systems and services |
| title_short | Interest in disinterestedness in the epidemiology of health systems and services |
| title_sort | interest in disinterestedness in the epidemiology of health systems and services |
| topic | Epidemiology Professional Practice Drugs Biomedical Technology Iatrogenic Disease Health Administration |
| url | https://revistas.unla.edu.ar/saludcolectiva/article/view/4365 |
| work_keys_str_mv | AT hugospinelli interestindisinterestednessintheepidemiologyofhealthsystemsandservices |