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On health needs: the concept labyrinth.

Kenneth Rochel de Camargo1

  • 1Centro Biomédico, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brasil.

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|June 28, 2018
PubMed
Summary

This study examines health, disease, and medicalization within the biomedical model. It proposes a new framework for understanding health needs by analyzing expert roles in political discourse.

Area of Science:

  • Philosophy of Medicine
  • Sociology of Health
  • Bioethics

Background:

  • The hegemonic biomedical paradigm defines health, disease, and health needs.
  • Conceptual fluidity in these terms leads to significant challenges in healthcare discourse.

Purpose of the Study:

  • To critically analyze key concepts within the biomedical paradigm: health, disease, health needs, medicalization, and the medical-industrial complex.
  • To propose a new framework for understanding health needs, drawing on philosophical and sociological theories.

Main Methods:

  • Philosophical analysis of concepts related to needs (Heller, Wiggins) and health/illness (Canguilhem).
  • Sociological examination of expertise (Collins) and its role in political arguments.
  • Critical reflection on the medicalization of society and the influence of the medical-industrial complex.

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Main Results:

  • Identified conceptual ambiguities and conundrums surrounding health, disease, and health needs.
  • Highlighted the influence of the medical-industrial complex and medicalization on defining health.
  • Established a theoretical foundation for reframing discussions on health needs.

Conclusions:

  • The current biomedical paradigm presents challenges due to conceptual fluidity.
  • Expertise and political arguments significantly shape the discourse on health needs.
  • A revised understanding of health needs is crucial for a more equitable healthcare system.