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Subject:	Re: Social science concepts in public health
From:	"Khatri, Rosemary" <[log in to unmask]>
Reply To:	Social Determinants of Health <[log in to unmask]>
Date:	Fri, 24 Sep 2004 09:28:46 +0100
Content-Type:	text/plain
Parts/Attachments:	text/plain (187 lines)
it is not epidemiology that does it surely? international health development since the World Bank took the lead and dominant role has increasingly led to reductionism. health globally is predominantly viewed as an economic determinant, something that should be enhanced in populations to improve economic growth. This combined with a disease model is a narrow take on the broader notion of health as put forward by WHO in the 1978 Alma Ata Declaration. Neo-liberalism and the obsession of markets, privitization and public management only exagerates this posistion.For a really brilliant analysis of these impacts read either David Werner or Koivusalo and Ollila.
Rose

> -----Original Message-----
> From: Social Determinants of Health [mailto:[log in to unmask]]On Behalf Of
> Maria Inês Reinert Azambuja
> Sent: 23 September 2004 17:00
> To: [log in to unmask]
> Subject: Re: [SDOH] Social science concepts in public health
>
>
> Interesting comment...
> Does epidemiology do this to people? Or has the dominant (industry
> supported) health policiy of providing public "health"
> through extension of
> health care to all - focusing mostly in risk factors driven
> chronic diseases
> "prevention" - been the main responsible for a retraction in
> the social
> determinants approach during the last 10 years?
> Brazil had a rich discussion on social determinants in the
> 1980s... Now that
> is all gone... The main and only issue today seems to be the SUS - The
> national public health care system...
> Maria Inês Reinert Azambuja
> Dep. Social Medicine
> School of Medicine
> Federal University of Rio GRande do Sul
> Brazil
> ----- Original Message -----
> From: "Mel Bartley" <[log in to unmask]>
> To: <[log in to unmask]>
> Sent: Thursday, September 23, 2004 8:24 AM
> Subject: Re: [SDOH] Social science concepts in public health
>
>
> > Dear colleagues
> >
> > I am honoured to have my book included in this list
> > of recommendations. However, I suspect that what you are
> > all after is a far more critical approach. My book was
> > intended merely to describe some epi. ideas to social
> > scientists and social science ideas to fledgling
> > public health and health policy students or interested
> > 'lay' people rather than to reflect on them in the way
> > that others have. I look forward very much to reading or
> > re-reading many of the useful references in this exchange.
> > But after over 8 years in a department of epidemiology
> > dare I say that my critical edge is long ago blunted.
> >
> > best regards
> >
> > Mel
> >
> > [log in to unmask]
> > [log in to unmask]
> >
> > 07746 823099
> >
> >
> > > -----Original Message-----
> > > From: Social Determinants of Health [mailto:[log in to unmask]] On
> > > Behalf Of Dennis Raphael
> > > Sent: 22 September 2004 22:02
> > > To: [log in to unmask]
> > > Subject: Re: [SDOH] Social science concepts in public health
> > >
> > >
> > > and Mel Bartley's "health inequalities"
> > >
> > > dr
> > >
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