Capital social y promoción de la salud en América Latina

Abstract

The paper presents a theoretical exercise regarding health care evaluation in an effort to define several concepts. The multi-dimensional aspects of quality in health are emphasized in addition to the differences between quality evaluation and qualitative evaluation. The implications of not distinguishing between these two concepts are also discussed. Health care is analyzed as a material expression of interpersonal relations in this field and as an object of evaluation, highlighting its intricate relation with integrality and humanization. It is affirmed that quality evaluation and qualitative evaluation are not interchangeable labels, but rather political choices connected to health policies that can not be juxtaposed. Therefore, understanding this distinction is necessary for constructing evaluation proposals that surpass traditional and exclusionary perspectives.

Solidariedade, aliança e comprometimento do profissional da saúde nas práticas do Sistema Único de Saúde (SUS): um debate bioético

“…A social capital that is structured as a lasting network of knowledge and mutual recognition, and as ethical values and attitudes centered on confidence, generating reciprocity and cooperation, would seem to resist hyper-individualism 21 , facilitating joint projects, civic virtues and interest in public affairs.…”

Participación colectiva como salud mental: Cuestionamientos y alternativas a las políticas públicas en salud mental en Chile

“…Por otra parte, se tiene que las condiciones psicoso-ciales se verían también afectadas por situaciones de vulneración generadoras de estrés o percepción de poco control de la vida, tales como el estrés financiero, estrés vital, percepción de riesgo, violencia e inseguridad que a su vez muestran estar asociados a los niveles de capital social (Barra et al 2006;MINSAL 2004MINSAL , 2011a 4 . Así, las condiciones psicosociales pueden configurarse conceptualmente como la dinámica de aquellos recursos sociales disponiblescapital social-que se actualizan frente a situaciones sociales (Sapag & Kawachi 2007). Su expresión patente obtiene rendimiento empírico al manifestarse frecuentemente en el contexto de situaciones de vulneración que favorecen o dificultan su ejercicio, tales como la percepción de poco control, inseguridad, estrés financiero y otros , Lo anterior, desde una perspectiva de Salud Mental Comunitaria, puede comprenderse como una relación directa entre estas condiciones y los niveles de salud mental de las poblaciones, lo que se traduciría en que la promoción de acciones colectivas incidirían en la forma en la que se le ha entendido clásicamente a la Salud Mental, es decir, en la expresión sintomatológica de la misma (Desviat 2001).…”

Condições socioeconômicas em saúde: discussão de dois paradigmas

“…21 A historical synthesis of the concept, its capacity to infer health differentials and measurement tools were recently presented to the professional fi eld of public health in Brazil. 15,18 Exemplifying the application of this concept, Pattussi et al 14 studied dental injuries among adolescents residing in two satellite cities of Brasilia. An extensive questionnaire and a complex statistical procedure were used to characterize social capital as an attribute of residential areas.…”