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• W3022730069 abstract "The field of public health has increasingly promoted a ecological approach to health, shifting from an individual, biomedical paradigm to a recognition of and structural determinants of health and health equity. Yet despite this shift, public health research and practice continue to privilege individual- and interpersonal-level measurements and interventions. Rather than adapting public health practice to ecological theory, the field has layered new concepts (root causes, social determinants) onto a biomedical paradigm-attempting to answer questions presented by the ecological schema with practices developed in response to biomedicine. This stymies health equity work before it begins-limiting the field's ability to broaden conceptions of well-being, redress histories of inequitable knowledge valuation, and advance systems-level change. To respond effectively to our knowledge of determinants, public health must resolve the ongoing disconnect between ecological theory and biomedically-driven practice. To that end, this article issues a clarion call to complete the shift from a biomedical to a ecological paradigm, and provides a basis for moving theory into practice. It examines biomedicine's foundations and limitations, glosses existing critiques of the paradigm, and describes health equity challenges presented by over-reliance on conventional practices. It then offers theoretical and epistemological direction for developing innovative ecological strategies that advance health equity." @default.
• W3022730069 created "2020-05-13" @default.
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• W3022730069 date "2020-05-07" @default.
• W3022730069 modified "2023-10-12" @default.
• W3022730069 title "Public Health's Next Step in Advancing Equity: Re-evaluating Epistemological Assumptions to Move Social Determinants From Theory to Practice" @default.
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• W3022730069 doi "https://doi.org/10.3389/fpubh.2020.00131" @default.
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