Morales-Borrero Carolina, Borde Elis, Eslava-Castañeda Juan C, Concha-Sánchez Sonia C
Departamento de Salud Colectiva, Universidad Nacional de Colombia, Bogotá, Colombia.
Rev Salud Publica (Bogota). 2013 Nov-Dec;15(6):797-808.
The differences between the social determination of health approach adopted by the Latin-American Social Medicine and Collective Health movement and the WHO's social determinants of health approach are not merely conceptual but involve ethical and political considerations. Different notions of causality and risk are implied in the aforementioned approaches and shape how concepts regarding health-illness and health inequity are understood and how they may be confronted. This article attempts to clarify the praxiological implications of such approaches and contextualise the approaches' socio-historical construction, address epistemological, methodological and ontological differences and propose some considerations regarding the praxiological implications.
拉丁美洲社会医学与集体健康运动所采用的健康社会决定因素方法与世界卫生组织的健康社会决定因素方法之间的差异不仅体现在概念上，还涉及伦理和政治考量。上述方法隐含着不同的因果关系和风险观念，这些观念塑造了人们对健康-疾病和健康不平等概念的理解方式以及应对这些概念的方式。本文试图阐明这些方法的实践学意义，并将这些方法的社会历史建构置于具体情境中，探讨认识论、方法论和本体论上的差异，并就实践学意义提出一些思考。
