Salud ColectivaPub Date : 2025-07-11DOI: 10.18294/sc.2025.5782
Núria Homedes, Antonio Ugalde
{"title":"[Are we expecting too much from existing research ethics committees?]","authors":"Núria Homedes, Antonio Ugalde","doi":"10.18294/sc.2025.5782","DOIUrl":"10.18294/sc.2025.5782","url":null,"abstract":"","PeriodicalId":44640,"journal":{"name":"Salud Colectiva","volume":"21 ","pages":"e5782"},"PeriodicalIF":1.0,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12317762/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144754762","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Salud ColectivaPub Date : 2025-07-10DOI: 10.18294/sc.2025.5762
Lilia Blima Schraiber
{"title":"[The technological escalation of medical practice and the impacts on the physician's relationship with their work].","authors":"Lilia Blima Schraiber","doi":"10.18294/sc.2025.5762","DOIUrl":"10.18294/sc.2025.5762","url":null,"abstract":"<p><p>This essay aims to critically reflect on the impacts of the technological escalation in medical practice, with particular attention to the transformations of professional practice. From a historical-social perspective grounded in the critical thought of collective health - particularly the work of Ricardo Bruno Mendes-Gonçalves - technology is examined as both a material and immaterial form that reconfigures healthcare work and reproduces the social order. Based on the analysis of previous studies drawing on the work-life narratives of physicians from different generations, three central axes are addressed: the construction and progressive dismantling of medical autonomy, the crisis of trust-based relationships in professional practice, and the transformation of clinical judgment in favor of standardized protocols. The essay concludes that the growing technification has reduced the reflexivity of medical action and transformed the clinical encounter into a depersonalized practice. In the face of this crisis, it argues for the need to recover the ethical-political dimension of medicine by promoting shared decision-making and spaces of mutual recognition between professionals and patients.</p>","PeriodicalId":44640,"journal":{"name":"Salud Colectiva","volume":"21 ","pages":"e5762"},"PeriodicalIF":1.0,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12317761/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144745410","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Salud ColectivaPub Date : 2025-07-07DOI: 10.18294/sc.2025.5346
Pilar Galende Villavicencio
{"title":"[Access to Tubal Ligation: An analysis of women's trajectories and experiences in the public health subsector of Santa Rosa, La Pampa, Argentina].","authors":"Pilar Galende Villavicencio","doi":"10.18294/sc.2025.5346","DOIUrl":"10.18294/sc.2025.5346","url":null,"abstract":"<p><p>Tubal ligation access in the province of La Pampa is regulated by Provincial Law 2079 and National Law 26130. Although the only legal requirements are to be over 16 years of age and to sign an informed consent form, in practice there are barriers stemming from institutionalized heteronormativity. This normative framework privileges certain profiles of women while resisting the procedure for others, despite their status as rights-holders. This study aims to describe and analyze the trajectories and experiences of women who requested a tubal ligation - whether or not they ultimately obtained the procedure - in the public health subsector of the city of Santa Rosa, La Pampa. The research adopts a qualitative theoretical-methodological approach based on grounded theory. A total of 18 in-depth interviews were conducted between 2022 and 2023. The findings reveal the effects of the social valuation of motherhood within health services, which places women in a subordinate position regarding their autonomy and their right to make decisions about their reproductive functions in the face of medical authority.</p>","PeriodicalId":44640,"journal":{"name":"Salud Colectiva","volume":"21 ","pages":"e5346"},"PeriodicalIF":1.0,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12311172/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144733765","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Salud ColectivaPub Date : 2025-07-03DOI: 10.18294/sc.2025.5764
Mario Testa
{"title":"[\"Integration of health teams and the community\": Speech delivered at the Universidad Nacional y Popular de Buenos Aires].","authors":"Mario Testa","doi":"10.18294/sc.2025.5764","DOIUrl":"10.18294/sc.2025.5764","url":null,"abstract":"<p><p>In this speech, delivered at the inaugural class of the pre-medical course at the Faculty of Medicine of the Universidad Nacional y Popular de Buenos Aires, in 1973, Mario Testa presents a profound critique of the educational model inherited from the liberal oligarchic project, marked by individualism, superficiality, and detachment from the country's reality. He calls for a comprehensive transformation of the university, aimed at dismantling its feudal structure and building an institution committed to the social and political needs of the nation. Confronting the traditional medical model grounded in prestige, power, and competition, Testa advocates for a new conception of medicine as a collective and solidarity-based practice, embedded in a national and popular project. He emphasizes the need to form health teams integrated with the community, where physicians no longer occupy a central role but instead become one more worker in a collective process focused on solving the people's problems. Finally, he asserts that the Faculty of Medicine, transformed into a Faculty of Health Sciences, must be guided by social medicine, in order to train professionals committed to teamwork, critical thinking, and active participation in the construction of a more just country.</p>","PeriodicalId":44640,"journal":{"name":"Salud Colectiva","volume":"21 ","pages":"e5764"},"PeriodicalIF":1.0,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12311171/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144733764","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Salud ColectivaPub Date : 2025-05-13DOI: 10.18294/sc.2025.5349
María Malena Lenta, Roxana Gabriela Longo
{"title":"[Subjective implications for adult women who underwent an abortion in Argentina following the enactment of Law 27610].","authors":"María Malena Lenta, Roxana Gabriela Longo","doi":"10.18294/sc.2025.5349","DOIUrl":"10.18294/sc.2025.5349","url":null,"abstract":"<p><p>In Argentina, the so-called \"green tide\" fostered a process of politicization of women's and childbearing people's desire and sexuality, closely tied to the demand for the right to voluntary termination of pregnancy (VTP), which gave rise to new configurations of subjective meaning. This study aims to analyze the subjective implications for adult women who accessed a VTP in 2023. Drawing on a qualitative and interpretive approach, intersecting with feminist and affective epistemologies, seven in-depth interviews were conducted with cisgender women. The findings reveal the subjective impact of pregnancy as an unwanted experience and the persistence of affects such as guilt, fear, and shame. The women expressed a strong affirmative stance regarding their decision to have an abortion, grounded both in its legal status and in the support of peer-based sociability linked to feminist activism, as well as feelings of relief and happiness regarding the procedure. Barriers and facilitators within the healthcare system were also identified, in terms of ensuring access to VTP from a comprehensive care perspective.</p>","PeriodicalId":44640,"journal":{"name":"Salud Colectiva","volume":"21 ","pages":"e5349"},"PeriodicalIF":1.0,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12309471/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144718873","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Salud ColectivaPub Date : 2025-04-24DOI: 10.18294/sc.2025.5544
Paula Andrea Giraldo-López, Lorena Mancilla-López, Luz Adriana Muñoz-Duque
{"title":"[Subjectivities promoted by food and nutrition policies: The case of Comuna 1 Popular in Medellín, Colombia].","authors":"Paula Andrea Giraldo-López, Lorena Mancilla-López, Luz Adriana Muñoz-Duque","doi":"10.18294/sc.2025.5544","DOIUrl":"10.18294/sc.2025.5544","url":null,"abstract":"<p><p>The aim of this study was to understand the subjectivities promoted by food and nutrition policies in Comuna 1 Popular of Medellín. Based on a qualitative design grounded in constructivist grounded theory, 20 semi-structured interviews were conducted between 2022 and 2023 with program users, social leaders, and those who implement food and nutrition programs in the comuna. Among the main findings, it was identified that public food and nutrition policies shape precarious subjectivities through mechanisms such as the homogenization of food and nutrition care for users. The administrative aspects of the programs limit the development of effective actions, and participation has low political impact. It is concluded that the vision and alienation of individualized subjects restrict the possibilities for collective action; however, social leaders promote actions aimed at mobilizing adjustments in the functioning of these policies and programs.</p>","PeriodicalId":44640,"journal":{"name":"Salud Colectiva","volume":"21 ","pages":"e5544"},"PeriodicalIF":1.0,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12309472/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144715207","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Design and validation of a questionnaire to measure access to and quality of abortion services in Argentina.","authors":"Brianna Keefe-Oates, Mercedes Krause, Agustina Ramón Michel, Silvina Ramos, Mariana Romero","doi":"10.18294/sc.2025.5348","DOIUrl":"10.18294/sc.2025.5348","url":null,"abstract":"<p><p>In Argentina, Law 27610, which legalized voluntary termination of pregnancy, was the result of years of activism and political alliances. To monitor its implementation, between 2022 and 2024 an instrument was developed to assess the accessibility and quality of abortion services, considering users' experiences. We conducted a three-phase study that included expert panels, cognitive interviews, and a pilot test of the instrument with individuals who had undergone abortions. These efforts led to the creation of the questionnaire Measuring Accessibility and Quality in Abortion Services (MACA), which can be applied within the Argentine health system. This questionnaire can be used for monitoring purposes, to identify areas for improvement in health services, and to detect inequalities in access based on geographic and social characteristics.</p>","PeriodicalId":44640,"journal":{"name":"Salud Colectiva","volume":"21 ","pages":"e5348"},"PeriodicalIF":1.0,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12309473/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144715208","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Salud ColectivaPub Date : 2025-04-17DOI: 10.18294/sc.2025.5558
Roberto Castro, Irene Casique Rodríguez
{"title":"Intimate partner violence among sexual diversity couples and explanatory theoretical frameworks: A developing agenda.","authors":"Roberto Castro, Irene Casique Rodríguez","doi":"10.18294/sc.2025.5558","DOIUrl":"10.18294/sc.2025.5558","url":null,"abstract":"<p><p>The aim of this article is to explore existing sociological theories on intimate partner violence among sexual diversity couples in order to generate an explanatory framework and identify the challenges faced by theorization in these populations. We take as a point of reference the feminist approach and the family violence approach-traditionally applied to heterosexual partner violence-to critically analyze the new theoretical proposals that have emerged to explain violence in sexually diverse couples, particularly poststructuralist feminism and queer theories. A growing development of theoretical frameworks and empirical research specifically focused on explaining intimate partner violence among LGBTIQ+ couples is observed. This article reflects on key sociological-feminist elements that should be incorporated into theoretical proposals addressing violence in non-heterosexual couples, and discusses some of the unresolved challenges that remain.</p>","PeriodicalId":44640,"journal":{"name":"Salud Colectiva","volume":"21 ","pages":"e5558"},"PeriodicalIF":1.0,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12306901/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144052875","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Salud ColectivaPub Date : 2025-04-11DOI: 10.18294/sc.2025.5401
María Sol Bezzecchi, Carolina Guerrero, Melisa Scampini, Paula Marcela Albornoz, María Malena Lenta
{"title":"[On the meanings of care: Narratives of adolescents with lived experience of homelessness in the Autonomous City of Buenos Aires, Argentina.]","authors":"María Sol Bezzecchi, Carolina Guerrero, Melisa Scampini, Paula Marcela Albornoz, María Malena Lenta","doi":"10.18294/sc.2025.5401","DOIUrl":"10.18294/sc.2025.5401","url":null,"abstract":"<p><p>The micropolitics of care allows for an understanding of its construction as multifaceted, shaped through everyday interactions, negotiation of meanings, and the ways in which people organize themselves to sustain life, even in contexts where rights are being violated. The aim of this study is to explore the meanings of care constructed by institutionalized adolescents experiencing homelessness in the Autonomous City of Buenos Aires between October and December 2023. A qualitative study was conducted, incorporating elements of participatory action research, with eight male adolescents living in two residential care homes. Through in-depth interviews, focus groups, and participant observation, the study addressed the various meanings of care as related to their life experiences. Among their affective bonds, they mentioned family, residential institutions, and peers/friends. The identified care strategies include rescuing themselves, making use of institutions, and speaking to an \"other.\" In the conclusions, the centrality of the category of care is proposed, from which the meanings of affective bonds and care strategies emerge, and questions are raised to rethink how health professionals can support adolescents.</p>","PeriodicalId":44640,"journal":{"name":"Salud Colectiva","volume":"21 ","pages":"e5401"},"PeriodicalIF":1.0,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12306899/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143989976","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Salud ColectivaPub Date : 2025-04-03DOI: 10.18294/sc.2025.5347
Lucía Ariza, Natacha Salomé Lima
{"title":"[A singular relationship: the bonds between gestational carriers and intended parents in surrogacy between Ukraine and Argentina.]","authors":"Lucía Ariza, Natacha Salomé Lima","doi":"10.18294/sc.2025.5347","DOIUrl":"10.18294/sc.2025.5347","url":null,"abstract":"<p><p>Surrogacy is a practice that generates controversy, especially in contexts where regulation is scarce or nonexistent. In Argentina, although there is no specific legislation, this practice involves significant judicial mediation and various legal strategies for its implementation. Local legal uncertainties have led many Argentine families to pursue surrogacy procedures in other countries, with Ukraine standing out as a prominent destination due to its accessibility and specific characteristics. This study aims to analyze, from the perspective of intended parents, the relationships between married cisheterosexual women who seek or have become mothers (intended parents) through surrogacy and Ukrainian gestational carriers. Using a qualitative-exploratory design, between 2022 and 2024, 18 in-depth interviews were conducted with individuals who had undergone surrogacy and traveled internationally for the process. The results show that the established bonds transcend geographical boundaries and are enriched by a bidirectional exchange of objects (photos, gifts, songs, among others) and emotions, shaping singular relationships. These findings contribute to a more nuanced understanding of surrogacy, moving beyond simplistic views that reduce it to the instrumentalization of women's bodies and highlighting the relational and affective dimensions of these experiences.</p>","PeriodicalId":44640,"journal":{"name":"Salud Colectiva","volume":"21 ","pages":"e5347"},"PeriodicalIF":1.0,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12306900/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143990322","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}