<?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>1692-7273</journal-id>
<journal-title><![CDATA[Revista Ciencias de la Salud]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Cienc. Salud]]></abbrev-journal-title>
<issn>1692-7273</issn>
<publisher>
<publisher-name><![CDATA[Editorial Universidad del Rosario]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1692-72732020000400066</article-id>
<article-id pub-id-type="doi">10.12804/revistas.urosario.edu.co/revsalud/a.9135</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[La determinación social, una visión epistemológica para comprender el proceso salud-enfermedad]]></article-title>
<article-title xml:lang="en"><![CDATA[Social Determination an Epistemological Vision to Understand the Health-Disease Process]]></article-title>
<article-title xml:lang="pt"><![CDATA[A determinação social, uma visão epistemológica para compreender o processo saúde-doença]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Carmona-Moreno]]></surname>
<given-names><![CDATA[Luz Dary]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Andina Simón Bolívar  ]]></institution>
<addr-line><![CDATA[Quito ]]></addr-line>
<country>Ecuador</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2020</year>
</pub-date>
<volume>18</volume>
<numero>spe</numero>
<fpage>66</fpage>
<lpage>82</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S1692-72732020000400066&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S1692-72732020000400066&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S1692-72732020000400066&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción:  la investigación en salud ha sido dominada por el paradigma positivista y, en menor escala, por la tendencia fenomenológica. El artículo presenta, de manera general, las tesis y las características de esas interpretaciones, sus implicaciones para el conocimiento de la salud y su determinación, así como las contribuciones y los aspectos que contiene la perspectiva de la determinación social latinoamericana frente a la comprensión de la complejidad y el movimiento de la salud.  Desarrollo:  el artículo aborda la discusión teórica sobre el proceso salud-enfermedad en el marco de la determinación social: sus dimensiones y relaciones, en la interfase entre salud, ambiente y sociedad, y el papel que ha cumplido el pensamiento crítico para superar las limitaciones del positivismo, replanteando la construcción de la salud como objeto de conocimiento y acción, en disputa para rebasar el marco funcionalista y avanzar en la construcción de una visión emancipadora de las ciencias de la salud y el ambiente.  Conclusiones:  la perspectiva latinoamericana ha contribuido de manera sistemática con la construcción de una propuesta de salud compleja que se disputa en diversos campos: en la investigación, la acción colectiva, la política y el Estado.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction:  Health research has been dominated by the positivist paradigm and, on a smaller scale, by the phenomenological tendency. The article presents the theses and characteristics of these interpretations, its implications for health knowledge and its diagnosis, as well as the contributions and aspects that the perspective of the Latin American social determination contains toward the understanding of health complexity and movement.  Development:  The theoretical discussion about the health-disease process, within the framework of social determination: its dimensions and relationships, at the interface between health, environment and society, and the role played by critical thinking in overcoming the limitations of positivism, reconsidering the construction of health as an object of knowledge and action, in a dispute to go beyond the functionalist framework towards the construction of an emancipatory vision of the health and environmental sciences.  Conclusions:  The Latin American perspective has systematically contributed to the construction of a complex and emancipatory health proposal disputed in various fields: research, action, politics and the state.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Introdução:  a pesquisa em saúde tem sido dominada pelo paradigma positivista e em menor escala pela tendência fenomenológica. O artigo apresenta de maneira geral, a tese e características dessas interpretações; suas implicações para o conhecimento da saúde e sua determinação; assim como as contribuições e aspetos que contém a perspectiva da determinação social latino-americana frente à compreensão da complexidade e movimento da saúde.  Desenvolvimento:  o artigo aborda a discussão teórica sobre o processo de saúde-doença (s-e), no marco da determinação social: suas dimensões e relações, na interface entre saúde, ambiente e sociedade e o papel que tem cumprido o pensamento crítico para superar as limitações do positivismo reformulando a construção da saúde como objeto de conhecimento e ação, em disputa para ultrapassar o marco funcionalista e avançar na construção de uma visão emancipadora das ciências da saúde e o ambiente.  Conclusões:  a perspectiva latino-americana tem contribuído de maneira sistemática a construir uma proposta de saúde complexa que se disputa em diversos campos: na investigação, a ação coletiva, a política e no Estado.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[determinación social de la salud]]></kwd>
<kwd lng="es"><![CDATA[epidemiologia crítica]]></kwd>
<kwd lng="es"><![CDATA[subsunción]]></kwd>
<kwd lng="es"><![CDATA[complejidad]]></kwd>
<kwd lng="en"><![CDATA[Social determination of health]]></kwd>
<kwd lng="en"><![CDATA[critical epidemiology]]></kwd>
<kwd lng="en"><![CDATA[subsumption]]></kwd>
<kwd lng="en"><![CDATA[complexity]]></kwd>
<kwd lng="pt"><![CDATA[determinação social da saúde]]></kwd>
<kwd lng="pt"><![CDATA[epidemiologia crítica]]></kwd>
<kwd lng="pt"><![CDATA[subsunção]]></kwd>
<kwd lng="pt"><![CDATA[complexidade]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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