Assuntos
Centros Comunitários de Saúde/economia , Financiamento Governamental/tendências , Administração em Saúde Pública/tendências , Saúde Pública/tendências , Orçamentos/legislação & jurisprudência , Defesa do Consumidor , Financiamento Governamental/legislação & jurisprudência , Humanos , Internato e Residência , Medicina Preventiva/educação , Saúde Pública/economia , Saúde Pública/educação , Administração em Saúde Pública/economia , Cuidados de Saúde não Remunerados/economia , Estados Unidos , United States Health Resources and Services Administration/economiaRESUMO
Disentangling the myriad determinants of disease, within the context of urban health or health disparities, requires a transdisciplinary approach. Transdisciplinary approaches draw on concepts from multiple scientific disciplines to develop a novel, integrated perspective from which to conduct scientific investigation. Most historic and contemporary conceptual models of health were derived either from the sociobehavioral sciences or the biomolecular sciences. Those models deriving from the sociobehavioral sciences generally lack detail on involved biological mechanisms whereas those derived from the biomolecular sciences largely do not consider socioenvironmental determinants. As such, advances in transdisciplinary characterizations of health in complex systems like the urban environment or health disparities may be impeded. This paper suggests a sociobiologic organizing model that encourages a multilevel, integrative perspective in the study of urban health and health disparities.