<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0121-0793</journal-id>
<journal-title><![CDATA[Iatreia]]></journal-title>
<abbrev-journal-title><![CDATA[Iatreia]]></abbrev-journal-title>
<issn>0121-0793</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Antioquia]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0121-07932016000400470</article-id>
<article-id pub-id-type="doi">10.17533/udea.iatreia.v29n4a08</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Epidemiología social y economía política: la UCI como punto de encuentro]]></article-title>
<article-title xml:lang="en"><![CDATA[Social epidemiology and political economy: ICU as point of convergence]]></article-title>
<article-title xml:lang="pt"><![CDATA[Epidemiologia social e economia política: a UTI como ponto de encontró]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Segura]]></surname>
<given-names><![CDATA[Omar]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Santo Tomás  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>10</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>10</month>
<year>2016</year>
</pub-date>
<volume>29</volume>
<numero>4</numero>
<fpage>470</fpage>
<lpage>477</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0121-07932016000400470&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0121-07932016000400470&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0121-07932016000400470&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN Las interrogantes acerca de epidemiología, economía y cuidado crítico suelen estar en la mente de casi cualquier profesional de la salud. Sin embargo, casi nunca se tiene presente que la epidemiología y la economía pueden converger -a pesar de ser campos de estudio aparentemente separados- y que lo pueden hacer para explicar la situación actual o las tendencias futuras de un servicio hospitalario o de salud pública. Este ensayo presenta brevemente el devenir de la epidemiología social y de la economía política y cómo ambas actividades académicas pueden encontrar intereses comunes a propósito de la Unidad de Cuidado Intensivo (UCI), en particular para generar interrogantes, posibles áreas de investigación y alternativas hacia el desarrollo de servicios de salud más eficientes, más efectivos y más humanos.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[SUMMARY Questions around epidemiology, economics and critical care are often in the mind of almost any healthcare professional. However, it is seldom realized that epidemiology and economy may converge -in spite of being apparently separated fields of study- in order to explain the present situation or future trends of a hospital or public health service. This essay briefly depicts how social epidemiology and political economy have developed and how both academic activities may find a common ground about the Intensive Care Unit (ICU), particularly to pose questions, to create possible research lines and feasible alternatives towards more efficient, effective and humane health services.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[RESUMO As interrogantes sobre de epidemiologia, economia e cuidado crítico acostumam estar na mente de quase qualquer professional da saúde. Porém, quase nunca se tem presente que a epidemiologia e a economia podem convergir -apesar de ser campos de estudo aparentemente separados- e que o podem fazer para explicar a situação atual ou as tendências futuras de um serviço hospitalar ou de saúde pública. Este ensaio apresenta brevemente o devir da epidemiologia social e da economia política e como ambas atividades acadêmicas podem encontrar interesses comuns a propósito da Unidade de Tratamento Intensivo (UTI), em particular para gerar interrogantes, possíveis áreas de investigação e alternativas para o desenvolvimento de serviços de saúde mais eficientes, mais efetivos e mais humanos.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Epidemiología de los Servicios de Salud]]></kwd>
<kwd lng="es"><![CDATA[Economía de la Salud]]></kwd>
<kwd lng="es"><![CDATA[Salud Pública]]></kwd>
<kwd lng="es"><![CDATA[Unidad de Cuidados Intensivos]]></kwd>
<kwd lng="en"><![CDATA[Health Services Epidemiology]]></kwd>
<kwd lng="en"><![CDATA[Health Economics]]></kwd>
<kwd lng="en"><![CDATA[Intensive Care Unit]]></kwd>
<kwd lng="en"><![CDATA[Public Health]]></kwd>
<kwd lng="pt"><![CDATA[Economia da Saúde]]></kwd>
<kwd lng="pt"><![CDATA[Epidemiologia dos Serviços de Saúde]]></kwd>
<kwd lng="pt"><![CDATA[Saúde Pública]]></kwd>
<kwd lng="pt"><![CDATA[Unidade de Tratamentos Intensivos]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Porta]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<source><![CDATA[A dictionary of Epidemiology]]></source>
<year>2008</year>
<edition>5</edition>
<publisher-loc><![CDATA[New York ]]></publisher-loc>
<publisher-name><![CDATA[Oxford University Press]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B2">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Causation and causal inference in epidemiology]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rothman]]></surname>
<given-names><![CDATA[KJ]]></given-names>
</name>
<name>
<surname><![CDATA[Greenland]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<source><![CDATA[Am J. Public Health]]></source>
<year>2005</year>
<volume>1</volume>
<numero>^s95</numero>
<issue>^s95</issue>
<supplement>95</supplement>
<page-range>S144-50</page-range></nlm-citation>
</ref>
<ref id="B3">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Epidemiology and the web of causation: has anyone seen the spider?]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Krieger]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
</person-group>
<source><![CDATA[Soc Sci Med]]></source>
<year>1994</year>
<volume>39</volume>
<numero>7</numero>
<issue>7</issue>
<page-range>887-903</page-range></nlm-citation>
</ref>
<ref id="B4">
<nlm-citation citation-type="book">
<article-title xml:lang=""><![CDATA[Epidemiology: An epistemological perspective.]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Morabia]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<source><![CDATA[A history of epidemiologic methods and concepts]]></source>
<year>2004</year>
<page-range>3-6</page-range><publisher-loc><![CDATA[Basel ]]></publisher-loc>
<publisher-name><![CDATA[Springer]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B5">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[La Salud-Enfermedad como proceso social]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Laurell]]></surname>
<given-names><![CDATA[AC]]></given-names>
</name>
</person-group>
<source><![CDATA[Cuad Méd Soc]]></source>
<year>1982</year>
<numero>19</numero>
<issue>19</issue>
<page-range>1-11</page-range></nlm-citation>
</ref>
<ref id="B6">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Epidemiología de campo y epidemiología social]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Segura del Pozo]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<source><![CDATA[Gac Sanit]]></source>
<year>2006</year>
<volume>20</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>153-8</page-range></nlm-citation>
</ref>
<ref id="B7">
<nlm-citation citation-type="">
<article-title xml:lang=""><![CDATA[A historical framework for social epidemiology]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Berkman]]></surname>
<given-names><![CDATA[LF]]></given-names>
</name>
<name>
<surname><![CDATA[Kawachi]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
</person-group>
<source><![CDATA[Social Epidemiology]]></source>
<year>2000</year>
<page-range>3-12</page-range><publisher-loc><![CDATA[New York ]]></publisher-loc>
</nlm-citation>
</ref>
<ref id="B8">
<nlm-citation citation-type="book">
<article-title xml:lang=""><![CDATA[Introduction: advancing methods in social epidemiology]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Oakes]]></surname>
<given-names><![CDATA[JM]]></given-names>
</name>
<name>
<surname><![CDATA[Kaufman]]></surname>
<given-names><![CDATA[JS]]></given-names>
</name>
</person-group>
<source><![CDATA[Methods in Social Epidemiology]]></source>
<year>2006</year>
<page-range>320</page-range><publisher-loc><![CDATA[San Francisco ]]></publisher-loc>
<publisher-name><![CDATA[John Wiley &Sons]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B9">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Social Epidemiologic Alternative: Sociopolitical and Psychosocial Framework]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Krieger]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
</person-group>
<source><![CDATA[Epidemiology and the people's health: Theory and context]]></source>
<year>2011</year>
<page-range>163-201</page-range><publisher-loc><![CDATA[New York ]]></publisher-loc>
<publisher-name><![CDATA[Oxford University Press]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B10">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Cuatro cuestiones axiológicas de la epidemiología social para el monitoreo de la desigualdad en salud]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Mujica]]></surname>
<given-names><![CDATA[OJ]]></given-names>
</name>
</person-group>
<source><![CDATA[Rev Panam Salud Publica]]></source>
<year>2015</year>
<volume>38</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>433-41</page-range></nlm-citation>
</ref>
<ref id="B11">
<nlm-citation citation-type="book">
<article-title xml:lang=""><![CDATA[La economía política, una ''ciencia extraña'': objeto, naturaleza y fundamentos del análisis económico]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Arrizabalo]]></surname>
<given-names><![CDATA[X]]></given-names>
</name>
</person-group>
<source><![CDATA[Capitalismo y Economía Mundial]]></source>
<year>2014</year>
<page-range>13-52</page-range><publisher-loc><![CDATA[Madrid ]]></publisher-loc>
<publisher-name><![CDATA[Instituto Marxista de Economía]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B12">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Comment: epidemiology and the new political economy of medicine]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Fox]]></surname>
<given-names><![CDATA[DM]]></given-names>
</name>
</person-group>
<source><![CDATA[Am J Public Health]]></source>
<year>1999</year>
<volume>89</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>493-6</page-range></nlm-citation>
</ref>
<ref id="B13">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Papel de la economía en la política sanitaria, gestión sanitaria y la práctica clínica]]></article-title>
<collab>Asociación de Economía de la Salud</collab>
<source><![CDATA[Educ Med]]></source>
<year>2007</year>
<volume>10</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>26-9</page-range></nlm-citation>
</ref>
<ref id="B14">
<nlm-citation citation-type="book">
<article-title xml:lang=""><![CDATA[Introducción. La epidemiología social está de moda]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Segura]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<source><![CDATA[Desigualdades sociales en salud: conceptos, estudios e intervenciones (1980-2010)]]></source>
<year>2011</year>
<page-range>9-10</page-range><publisher-loc><![CDATA[Bogotá ]]></publisher-loc>
<publisher-name><![CDATA[Universidad Nacional de Colombia]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B15">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Economia política da saúde : Introduzindo o debate]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[d'Ávila]]></surname>
<given-names><![CDATA[AL]]></given-names>
</name>
<name>
<surname><![CDATA[da Silva]]></surname>
<given-names><![CDATA[HP]]></given-names>
</name>
<name>
<surname><![CDATA[Elias]]></surname>
<given-names><![CDATA[PE]]></given-names>
</name>
</person-group>
<source><![CDATA[Divulg Saúde Debate]]></source>
<year>2007</year>
<volume>37</volume>
<page-range>7-20</page-range></nlm-citation>
</ref>
<ref id="B16">
<nlm-citation citation-type="book">
<article-title xml:lang=""><![CDATA[Conceptos básicos de evaluación económica]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Drummond]]></surname>
<given-names><![CDATA[MF]]></given-names>
</name>
<name>
<surname><![CDATA[O'Brien]]></surname>
<given-names><![CDATA[BJ]]></given-names>
</name>
<name>
<surname><![CDATA[Stoddart]]></surname>
<given-names><![CDATA[GL]]></given-names>
</name>
<name>
<surname><![CDATA[Torrance]]></surname>
<given-names><![CDATA[GW]]></given-names>
</name>
</person-group>
<source><![CDATA[Métodos para la evaluación económica de los programas de asistencia sanitaria]]></source>
<year>2007</year>
<page-range>7-30</page-range><publisher-loc><![CDATA[Madrid ]]></publisher-loc>
<publisher-name><![CDATA[Díaz de Santos]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B17">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[The political economy of health]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ginzberg]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<source><![CDATA[Bull N Y Acad Med]]></source>
<year>1965</year>
<volume>41</volume>
<numero>10</numero>
<issue>10</issue>
<page-range>1015-36</page-range></nlm-citation>
</ref>
<ref id="B18">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Social epidemiology and health economics: the need to find common grounds]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Mielck]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<source><![CDATA[Eur J Public Health]]></source>
<year>2013</year>
<volume>23</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>2</page-range></nlm-citation>
</ref>
<ref id="B19">
<nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ocampo]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Apuntes para la historia del cuidado intensivo en Colombia]]></article-title>
<person-group person-group-type="editor">
<name>
<surname><![CDATA[Eslava Schmalbach]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Navarro Vargas]]></surname>
<given-names><![CDATA[JR]]></given-names>
</name>
<name>
<surname><![CDATA[Cruz]]></surname>
<given-names><![CDATA[LE]]></given-names>
</name>
</person-group>
<source><![CDATA[Semiología del paciente crítico: La clínica y la monitoria invasiva ¿Son excluyentes o se complementan?]]></source>
<year>2009</year>
<page-range>9-58</page-range><publisher-loc><![CDATA[Bogotá ]]></publisher-loc>
<publisher-name><![CDATA[Sociedad Cundinamarquesa de Anestesiología]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B20">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Especialidad o subespecialidad: un dilema para la unidad de cuidado intensivo en Colombia]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Segura]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
<name>
<surname><![CDATA[Leal]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<source><![CDATA[ACCI]]></source>
<year>2014</year>
<volume>14</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>247-9</page-range></nlm-citation>
</ref>
<ref id="B21">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Economics and the intensive care unit: a conflict of interests?]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Wilson]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Cook]]></surname>
<given-names><![CDATA[DJ]]></given-names>
</name>
</person-group>
<source><![CDATA[J Crit Care]]></source>
<year>1997</year>
<volume>12</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>147-51</page-range></nlm-citation>
</ref>
<ref id="B22">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Economics and outcome in the intensive care unit]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Pittoni]]></surname>
<given-names><![CDATA[GM]]></given-names>
</name>
<name>
<surname><![CDATA[Scatto]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<source><![CDATA[Curr Opin Anaesthesiol]]></source>
<year>2009</year>
<volume>22</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>232-6</page-range></nlm-citation>
</ref>
<ref id="B23">
<nlm-citation citation-type="book">
<article-title xml:lang=""><![CDATA[¿Cuál podría ser la reforma ideal?]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Vélez]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<source><![CDATA[La salud en Colombia]]></source>
<year>2016</year>
<page-range>177-88</page-range><publisher-loc><![CDATA[Bogotá ]]></publisher-loc>
<publisher-name><![CDATA[Penguin Random House]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B24">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[La unidad de cuidado intensivo, un lugar para quedarse solo]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Beltrán Salazar]]></surname>
<given-names><![CDATA[OA]]></given-names>
</name>
</person-group>
<source><![CDATA[Invest Educ Enferm]]></source>
<year>2009</year>
<volume>27</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>34-45</page-range></nlm-citation>
</ref>
<ref id="B25">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Agotamiento profesional: concepciones e implicaciones en la salud pública]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Segura]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
</person-group>
<source><![CDATA[Biomédica]]></source>
<year>2014</year>
<volume>34</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>535-45</page-range></nlm-citation>
</ref>
<ref id="B26">
<nlm-citation citation-type="book">
<article-title xml:lang=""><![CDATA[La historia de la ciencia y sus reconstrucciones racionales]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lakatos]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
</person-group>
<source><![CDATA[La metodología de los programas de investigación científica]]></source>
<year>1989</year>
<page-range>144-53</page-range><publisher-loc><![CDATA[Madrid ]]></publisher-loc>
<publisher-name><![CDATA[Alianza Editorial]]></publisher-name>
</nlm-citation>
</ref>
</ref-list>
</back>
</article>
