Resumo

ALMEIDA-FILHO, Naomar de. Health inequalities: new theoretical perspectives. Salud colect. [online]. 2020, vol.16, e2751. ISSN 1669-2381.  http://dx.doi.org/10.18294/sc.2020.2751.

This article, I intend to articulate the theoretical problem of economic and social inequalities with the issue of the social determination of health. Initially, I provide a summary of Rawls’ and Sen’s theories of justice and equity as an illustration of the dominant perspective in Northern epistemologies. Second, I discuss applications of this theoretical framework in the literature on social inequalities and the social determination of health-illness-care. Thirdly, I present a semantic matrix proposed for the difference-distinction-inequality-inequity-iniquity series to help reduce the existing terminological confusion. Next, I introduce a synthetic theoretical model about the poverty-inequality dyad, referring to the concepts of social resources, health practices, health services, and health situation/conditions. Finally, oriented by an epistemological perspective from the global South, and taking the current Brazilian situation as a case study, I discuss political implications of the complex contemporary conjuncture, pertinent to the hypothesis that a process of transformation of economic inequalities into new forms of social inequities and health iniquities is currently underway.

Palavras-chave : Socioeconomic Factors; Social Determinants of Health; Health Equity.

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