RESUMEN
The discussion on the determinants is extremely prolific in the area of health. However, we still have to think about the way in which the determination is defined and understood as a category that allows to question reality, from an overall and complex view, and the extent that they can have their application in public health. This article discusses the concepts of causality, which is dominant in the positivist vision as well as determination and historicity, used by some alternative views on health. Some arguments are exposed on the ontological and epistemological approach to address the study of health-disease process, from considerations of phenomenology.
Asunto(s)
Causalidad , Salud Pública , Humanos , ConocimientoRESUMEN
La discusión sobre los determinantes es muy prolífica en el campo de la salud, no obstante todavía hace falta reflexionar sobre la manera en que ésta es definida y entendida como una categoría que permite problematizar la realidad desde una mirada totalizadora y compleja y sobre los alcances que puede tener su aplicación en la salud colectiva. Este trabajo discute los conceptos de causalidad, que predomina en la visión positivista, y determinación utilizado por algunas visiones alternativas en el campo de la salud. Se exponen algunos argumentos en torno al tratamiento ontológico y epistemológico en el estudio del proceso salud-enfermedad a partir de algunos planteamientos de la fenomenología.
The discussion on the determinants is extremely prolific in the area of health. However, we still have to think about the way in which the determination is defined and understood as a category that allows to question reality, from an overall and complex view, and the extent that they can have their application in public health. This article discusses the concepts of causality, which is dominant in the positivist vision as well as determination and historicity, used by some alternative views on health. Some arguments are exposed on the ontological and epistemological approach to address the study of health-disease process, from considerations of phenomenology.