Abstract

MENDEZ CASTILLO, JAIME ALBERTO. Reflections on access to audiology services in the Colombian health system: a view from the social Determinants of health. Salud, Barranquilla [online]. 2022, vol.38, n.3, pp.932-945.  Epub May 29, 2023. ISSN 0120-5552.  https://doi.org/10.14482/sun.38.3.610.23.

Audiology, as a recent professional field, has been deeply rooted in the positivist paradigm and the logic of biomedicine that does not allow us to overcome the healthcare, clinical, therapeutic and individualistic vision of health. This has made it difficult to attempt theoretical, epistemological and ethical-political shifts that allow hearing health to be understood from perspectives that are concerned with transcending the individual and its biological essence, as well as entering contemporary health debates. The Social Determinants of Health as a current of thought based on classical epidemiology, proposes a social interpretive framework that advances the study of unfair and avoidable inequalities, including those that occur in access to and use of health services, which operate unequally in health systems. Colombia is no exception, the issue is that these realities are little studied in the health system from audiology, which highlights the debts in this field that requires urgent attention in the face of the recommendations of the Determinants Commission Social Health of the World Health Organization, confront, improve living conditions, and fight for the unequal distribution of money, resources and power. Joint efforts are needed to transform realities that pass through the health system every day.

Keywords : health services; audiology; health systems; health services accessibility.

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