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Quatro tensões na saúde pública

Abstract : This paper examines the interplay of ethics, social anthropology and epistemology in public health. In a first section of the paper, we introduce to the large range of existing approaches looking at public health as a field of policies, as a science and as a anthropological global project raising ethical questions. In a second section of this paper, we propose an more detailed account of the main issues raised by public health through a network of four fundamental dialectical tensions. The first tension concerns the overall finalities and the double definitions of health. The second tension concerns the legitimacy of the means to reach public health aims. The third tension concerns the regime of evidence and the framing of the public health approaches. The fourth is about the power relations built into these public health practices. We suggest that these tensions, in which the polarization present a variety of shapes, are closely related one to each other. This lead to the conclusion that in public health, ethical, anthropological and epistemological considerations need to go hand to hand. To understand critically public health issues, we thus need to take into account the close interactions of sciences, values and practices.
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https://hal.archives-ouvertes.fr/hal-00992426
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Nicolas Lechopier. Quatro tensões na saúde pública. Estudos Avançados, Universidade de São Paulo, 2015, 29 (83), pp.209-231. ⟨10.1590/S0103-40142015000100011⟩. ⟨hal-00992426⟩

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