Reflections on access to audiology services in the Colombian health system: a view from the social Determinants of health

Authors

  • Jaime Alberto Mendez Castillo Corporación Universitaria Iberoamericana, Colombia

DOI:

https://doi.org/10.14482/sun.38.3.610.23

Keywords:

health services, audiology, health systems, health services accessibility

Abstract

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.

Author Biography

Jaime Alberto Mendez Castillo, Corporación Universitaria Iberoamericana, Colombia

Fonoaudiólogo, magíster en Salud Pública, candidato a doctor en Salud Pública, Universidad
Nacional de Colombia. Docente de la Especialización en Audiología de
la Corporación Universitaria Iberoamericana. jamcun2604@hotmail.com. Orcid:
https://orcid.org/0000-0002-5034-021X

Published

2022-12-01

How to Cite

Mendez Castillo, J. A. (2022). Reflections on access to audiology services in the Colombian health system: a view from the social Determinants of health. Salud Uninorte, 38(3), 932–945. https://doi.org/10.14482/sun.38.3.610.23

Issue

Section

Reflexion Article