The aim of the article is to analyse a long-standing challenge in the field of social work related to its historical struggle to be taken seriously as a scientific discipline. The paper identifies a tripartite conceptual framework to guide the discussion of the science of social work. The first part describes debates in contemporary social work about the nature of knowledge, considering that social work has experienced researchers who bring critically important perspectives to bear in national and international venues. The second part focuses on the social work's subordinate academic status within the social sciences and its historical positioning as an applied rather than research-oriented discipline and the impacts relating its power and interdisciplinary asymmetric relations experienced in social work. Finally, the article raises questions about the anonymity of women in the profession's history. In that sense, expertise in care, social help and service to the other, are feminized components of the socio-professional identity of social work and a crucial issue to consider in understanding the discipline's standing among other social sciences. The article argues there is evidence of a large variety of positions within the history of social work concerning issues of scientific production within the field.
específica en CP antes de la implementación del LCP/PAMPA (91%) Conclusión: Este estudio pretendió explorar por primera vez en un contexto de habla hispana, tanto en España como en América latina, las condiciones subjetivas de profesionales de la salud que pueden implementar una secuencia de cuidado integral sistemática muy utilizada en el contexto cultural anglosajón.
El artículo indaga en los modos en que el personal sanitario en contextos institucionales de atención en el final de vida se apropia de los discursos sobre las “diferencias culturales” de las poblaciones que atienden para basar sus intervenciones, interpretando qué es lo que los pacientes y sus familias necesitan. Sostiene que la apelación a discursos en clave culturalista aparece cuando los pacientes pertenecen a minorías étnicas, atravesando la comunicación de la enfermedad; la gestión de la atención y el cuidado y la espiritualidad, la religiosidad y los sistemas de creencias. Se trata de un análisis secundario basado en datos propios recabados en investigaciones realizadas en Servicios de Cuidados Paliativos, Oncología y Hospices de Argentina. Este fundamento “culturalista” de las intervenciones es atravesado por estereotipos y prenociones sobre las identidades culturales de poblaciones que ya tienen una alta carga de estigmatización en la sociedad y reproduce actitudes paternalistas y condescendientes. Concluye que negar o ignorar otras cosmovisiones es tan nocivo como reificarlas.
In this article we approach socioeconomic inequities in cancer by examining a particular dimension of health care: how health services attending patients with cancer set priorities for their daily activities. By using qualitative ethnographic data, we explore logics underlying how practitioners make priority-setting decisions regarding cancer prevention and care. We found four main types of accounts: accounts based on macro social inequalities, accounts based on patients' social and cultural features, accounts based on characteristics of health services, and accounts based on personal voluntarism. These blurred logics shape the everyday decisions which have an impact not only on the quality of health care in general but on the increasing socioeconomic inequities in cancer care attention.
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