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Previous issue date: 2013-01-29 / The study examines the theoretical and conceptual approach of the social determination of the health-disease process and the focus of the social determinants of health, looking beyond the elucidation of them, enjoying them in the light of their contributions and implications for strengthening the Brazilian Health Reform Project. The concept of social determinants of health was one of the main pillars of critical thinking which founded the collective health and scientifically substantiated the Brazilian Health Reform Project. However, it suffered from theoretical investments in the structuring years of the United Health System (SUS). The issue returned to the agenda of discussions with the constitutions of the Social Determinants of Health from the World Health Organization (OMS) and the subsequent publication of this report. Despite the similarities, the two constructs can be distinguished. Understanding that the option for various approaches implies in the clarity of its fundamentals, reference horizons, underlying ideologies, scope and purposes, it is necessary to clarify the benchmarks adopted, since the parameters are supported on philosophical, theoretical and ethical-political. Far from being a purely conceptual debate, the claim rests on the search for the essence of the approaches, as well as its transformative potential in face of colossal challenges of a reality that defies and enforces the critical reading skills to develop responses that have as a goal the radicalization of democracy, one of the flags of the Brazilian Health Reform. Therefore, we sought to answer the following questions: how the theoretical approaches on social determinants of health understand the phenomenon health - disease and the relationship between health/society? In which historical context develop the distinct constructs about social determinants of health? What corporate projects are underlying to the approaches about the social determinants of health? Under what theoretical, methodological, ethical and political fundamentals the constructions are based on the social determinants of health? How to present a political viewpoint and methodological proposals for health work-based conception of social determinants of health? This is a theoretical investigation, aimed at studying theories and uncovers theoretical frameworks. Thus, consisted of a literature review, an exploratory and descriptive, with qualitative approach in order to seek and to understand the explanations, the concepts, the theoretical and methodological frameworks and the ethical-political reference, besides the operational propositions underlying the theoretical perspectives studied. Resorted to the technique of content analysis to the data treatment. Composed the study theoretical treatises written by thinkers recognized in the field of community health by their notorious contribution on the subject and specific institutional publications on the topic. / O estudo analisa a abordagem te?rico-conceitual da determina??o social do processo sa?de-doen?a e o enfoque dos determinantes sociais da sa?de, buscando, para al?m da elucida??o dos mesmos, apreci?-los ? luz de suas contribui??es e implica??es para o fortalecimento do Projeto da Reforma Sanit?ria Brasileira. O conceito de determina??o social da sa?de foi um dos principais pilares do pensamento cr?tico que fundou a sa?de coletiva e fundamentou cientificamente o Projeto da Reforma Sanit?ria Brasileira. Entretanto, padeceu de investimentos te?ricos nos anos de estrutura??o do Sistema ?nico de Sa?de (SUS). O tema retornou ? pauta de discuss?es com a constitui??o da Comiss?o para os Determinantes Sociais da Sa?de da Organiza??o Mundial da Sa?de (OMS) e a subsequente publica??o de seu relat?rio. N?o obstante as semelhan?as, as constru??es distinguem-se. Entendendo que a op??o pelas mais variadas abordagens implica na clareza de seus fundamentos, horizontes de refer?ncia, ideologias subjacentes, alcance e prop?sitos, faz-se necess?rio o esclarecimento dos referenciais adotados, visto que se sustentam em par?metros filos?ficos, te?ricos e ?tico-pol?ticos. Longe de ser um debate puramente conceitual, a pretens?o repousa na busca pela ess?ncia das abordagens, bem como seu potencial transformador frente aos colossais desafios de uma realidade que desafia e imp?e capacidade de leitura cr?tica para elabora??o de respostas que tenham como horizonte a radicaliza??o da democracia, uma das bandeiras da Reforma Sanit?ria Brasileira. Para tanto, procurou-se responder as seguintes quest?es: como as abordagens te?ricas sobre determina??o social da sa?de entendem o fen?meno sa?de-doen?a e a rela??o sa?de/sociedade? Em que contexto hist?rico se desenvolveram as distintas constru??es sobre determina??o social da sa?de? Que projetos societ?rios s?o subjacentes ?s abordagens sobre determina??o social da sa?de? Sob quais fundamentos te?ricos, metodol?gicos, ?ticos e pol?ticos est?o embasadas as constru??es te?ricas sobre determina??o social da sa?de? Como se apresentam do ponto de vista pol?tico e metodol?gico as propostas de trabalho em sa?de baseadas na concep??o da determina??o social da sa?de? Trata-se de uma investiga??o te?rica, ou seja, voltada a estudar teorias e desvendar quadros te?ricos de refer?ncia. Assim, consistiu em uma pesquisa bibliogr?fica, de natureza explorat?ria e descritiva, com abordagem qualitativa, tendo em vista que se buscou a compreens?o de explica??es, concep??es, quadros te?rico- metodol?gicos e ?tico-pol?ticos de refer?ncia, al?m das proposi??es operacionais subjacentes ?s perspectivas te?ricas estudadas. Recorreu-se ? t?cnica de an?lise de conte?do para o tratamento dos dados. Compuseram o estudo produ??es te?ricas de autoria de pensadores reconhecidos no campo da sa?de coletiva por sua not?ria contribui??o sobre o assunto e publica??es institucionais espec?ficas sobre o tema.
| Identifer | oai:union.ndltd.org:IBICT/oai:tede2.pucrs.br:tede/555 |
| Date | 29 January 2013 |
| Creators | Moreira, M?rcia Chaves |
| Contributors | Fernandes, Idilia |
| Publisher | Pontif?cia Universidade Cat?lica do Rio Grande do Sul, Programa de P?s-Gradua??o em Servi?o Social, PUCRS, BR, Faculdade de Servi?o Social |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis |
| Format | application/pdf |
| Source | reponame:Biblioteca Digital de Teses e Dissertações da PUC_RS, instname:Pontifícia Universidade Católica do Rio Grande do Sul, instacron:PUC_RS |
| Rights | info:eu-repo/semantics/openAccess |
| Relation | -5042336829439580540, 500, 600, 1550256503942391725 |
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