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[Thinking about health once again: programs and territories].

Hugo Spinelli1

  • 1Doctor en Salud Colectiva. Director del Instituto de Salud Colectiva, Universidad Nacional de Lanús, Buenos Aires, Argentina. hugospinelli09@gmail.com.

Salud Colectiva
|April 18, 2017
PubMed
Summary

This conceptual article critiques programmatic logic in the sociosanitary field, questioning its role as a technical solution. It examines how this public health planning legacy shapes actions and knowledge, potentially hindering emancipatory projects.

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Area of Science:

  • Sociology
  • Public Health
  • Critical Theory

Background:

  • Programmatic logic in the sociosanitary field often acts as a predetermined technical solution.
  • This logic stems from public health planning and instrumental reason, shaping interventions.
  • There's a need to question how this logic addresses complex social realities and diverse knowledge systems.

Purpose of the Study:

  • To critically examine the programmatic logic within the sociosanitary field.
  • To deconstruct the ideological underpinnings of health programs and their scientific basis.
  • To explore alternative temporal-spatial conceptions for understanding and acting within social complexity.

Main Methods:

  • Conceptual analysis using critical theory.
  • Deconstruction of the epistemological component of technical approaches in health programs.

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  • Examination of the ideological project represented by health programs.

    • Main Results:

    • Programmatic logic functions as an unexamined technical answer, overlooking contextual questions.
    • The legacy of public health planning, rooted in instrumental reason, influences actions and spatial-temporal conceptions.
    • The scientific basis of health programs can be antagonistic to emancipatory goals.

    Conclusions:

    • Rethinking programmatic logic is essential for addressing the complexity of the sociosanitary field.
    • Recognizing diverse knowledge and practices is crucial for more emancipatory approaches.
    • Critical analysis of the epistemological foundations of health programs is necessary.