The production of critical theories in Health Systems Research and Education. An epistemological approach to emancipating public research and education from private interests

Authors

  • Jean-Pierre Unger Institute of Tropical Medicine Antwerp Department of Public Health Nationalestraat 155 B-2000 Antwerp
  • Pierre De Paepe Institute of Tropical Medicine Antwerp Department of Public Health Nationalestraat 155 B-2000 Antwerp
  • Patrick Van Dessel Institute of Tropical Medicine Antwerp Department of Public Health Nationalestraat 155 B-2000 Antwerp
  • Alicia Stolkiner Universidad de Buenos Aires Hipólito Yrigoyen 3238/46 AR- Ciudad de Buenos Aires

DOI:

https://doi.org/10.5195/hcs.2011.50

Keywords:

Health systems research, Qualitative research, Research methodology, Human sciences

Abstract

This paper aims at offering alternative methodological perspectives in health systems research, to produce critical, theoretical knowledge in domains such as health policy and management of health care, organization of disease control, political economy of health and medical practice.We first examined the reasons to believe that worldwide economic agents have driven publicly funded schools of public health to adopt their preferred policies and to orient their priority research topics.

We then studied whether this hidden leadership has also contributed to shape research methodologies, which we contrasted with the epistemological consequences of a quest for intellectual independence, that is, the researcher’s quest to critically understand the state of health systems and generalize results of related action-research. To do so, we applied concepts of what could be named the ‘French School of Critical Sociology’ to qualitative research methodologies in descriptive health systems research. To do so, we applied concepts of what could be named the ‘French School of Critical Sociology’ to qualitative research methodologies in descriptive health systems research.

Author Biographies

Jean-Pierre Unger, Institute of Tropical Medicine Antwerp Department of Public Health Nationalestraat 155 B-2000 Antwerp

Jean-Pierre Unger, born 1954, has been with the Institute of Tropical Medicine since 1981. MD in 1979 at ULB, Brussels, MPH in 1983 from Harvard University, School of Public Health and PhD at ULB, Brussels, in 1992. With extensive field experience in Africa, Asia and Latin America, he is dedicated to documenting international aid and health policies’ impact on public services and systems in developing countries, to contributing to the development of a know how relevant for the management of publicly oriented services and to promoting publicly oriented health policies and management (e-mail: jpunger@itg.be).

Role:Researcher, Senior Lecturer, Master of Public Health course director

Main areas of research: Public Health, Health Policy, Health Systems Research

Most significant publications:

- Unger JP, De Paepe P, Ghilbert P, Soors W, Green A. Disintegrated care: the Achilles heel of international health policies in low and middle-income countries. International Journal of Integrated Care 2006; 6(14):1-13.

- Unger JP, De Paepe P, Ghilbert P, Soors W, Green A. Integrated care: a fresh perspective for international health policies in low and middle-income countries. International Journal of Integrated Care 2006; 6()15:1-10.

Pierre De Paepe, Institute of Tropical Medicine Antwerp Department of Public Health Nationalestraat 155 B-2000 Antwerp

Pierre De Paepe was born in 1951. MD in 1977, Antwerp Belgium, MPH in Buenos Aires 1985, certificate of health economics of York in 2005. 25 years in Latin America: Haiti, Peru, Argentina, Ecuador. From 2003 he is with the Institute of Tropical Medicine in Antwerp. Professional experience mainly in PHC implementation, health systems analysis, country case studies in Latin America, health systems funding and financing. Now working in Equity-LA project, a consortium with Barcelona, Institute of Tropical Medicine, Colombia and Brazil (e-mail: pdpaepe@itg.be).

Role: Research Assistant

 

Main areas of research: Public Health, Health Policy, Health Systems Research

Most significant publications:

- De Paepe P, Soors W, Unger JP. International aid policy: public disease control and private curative care? Cad Saúde Pública 2007; 23(Suppl. 2):S273-S281.

- Unger JP, De Paepe P, Solimano Cantuarias G, Arteaga Herrera O. Chile's Neoliberal Health Reform: an Assessment and a Critique. PLoS Medicine 2008; 5(4):542-547 [e79].

Patrick Van Dessel, Institute of Tropical Medicine Antwerp Department of Public Health Nationalestraat 155 B-2000 Antwerp

Patrick Van Dessel, MD, MPH, has an extensive experience in health services organization (in Belgium, Malawi and Bolivia), where he worked with local governments and bilateral cooperation agencies. He also has a consistent experience as researcher and in academic teaching at the Institute of Tropical Medicine, where he has been working for close to 5 years and at the Scientific Institute of Public Health (a government institution in Brussels) (e-mail: pvandessel@itg.be).

Role: Research Assistant

Main areas of research: Public Health, Health Policy, Health Systems Research

Most significant publications:

- De Paepe P, Rojas E, Abad L, Van Dessel P, Unger J-P. Improving access to care. In: Unger J-P, De Paepe P, Sen K, Soors W, editors. International Health and Aid Policies. The Need for Alternatives. Cambridge University Press Medicine ed. Cambridge: Cambridge University Press; 2010. p. 210-24.

- Tejerina Silva H, De Paepe P, Soors W, Lanza OV, Closon M-C, Van Dessel P, et al. Revisiting health policy and the World Bank in Bolivia. Glob Soc Policy 2011 Apr 1;11(1):22-44.

Alicia Stolkiner, Universidad de Buenos Aires Hipólito Yrigoyen 3238/46 AR- Ciudad de Buenos Aires

Alicia Stolkiner, Lecturer and researcher in public health and mental health, Universidad de Buenos Aires. Coordinator of the Auxiliary Justice Team, CONADI, Human Rights Secretariat, Ministry of Justice and Human Rights, Argentina (Email: astolkiner@fibertel.com.ar).

Role: Lecturer and researcher in public health and mental health

Main areas of research: Public Health and mental health

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