RT Journal Article
T1 Equity policies in health plans: accessibility and something more?
T2 Políticas de equidad en los planes de salud: accesibilidad ¿y algo más?
A1 Cernadas Ramos, Andrés
A1 Barral Buceta, Bran
A1 Bouzas Lorenzo, Ramón
A1 Fernández Da Silva, Ángela
K1 Health Systems Plans
K1 Equity in Access to Health Services
K1 Health Equity
K1 Strategies for Universal Health Coverage
K1 Public Nondiscrimination Policies
K1 Qualitative Research
AB OBJECTIVE: To examine the approach adopted by the health plans of the autonomouscommunities of Spain, verifying the weight given to the concept of equity; to detect referenced communities or situations, as well as to distinguish the perspective of approaching it, from access, equity or equalization.METHODS: Qualitative study, of content analysis using Nvivo12, carried out in 2020 on health plans in force since 2019 in the different regions (autonomous communities) of Spain. Sixteen current regional health plans were compiled to establish base categories (equity, accessibility and equality) and determine associated terms using Nvivo12, from which a content analysis was performed.RESULTS: The concept of equity is not emphasized in the regional health plans and its relevance is surpassed by the concepts of accessibility and equality. The use of these three concepts is associated with various categories indicating circumstances, conditions or groups to which the plans give greater attention.CONCLUSIONS: The results obtained coincide with previous studies on the contents andorientation of health plans, revealing a discrete presence of the concept of equity in theapproaches adopted, although this does not undermine the alignment of health policies withthe visions emanating from transnational organizations. It is detected the existence of agroup to which special attention is given from the accessibility approach, the population withfunctional diversity.
PB Faculdade de Saúde Pública da Universidade de São Paulo
SN 0034-8910
YR 2021
FD 2021-05-28
LK http://hdl.handle.net/10347/32308
UL http://hdl.handle.net/10347/32308
LA eng
NO Buceta, B. B., Lorenzo, R. B., Ramos, A. C., & Silva, Ángela F. da. (2021). Equity policies in health plans: accessibility and something more?. Revista De Saúde Pública, 55, 31. https://doi.org/10.11606/s1518-8787.2021055002560
NO Funding: This publication is part of the activities of the research project “Brecha digital e inhibidores en laimplementación del e-Gobierno: Especial impacto en el ámbito de la salud” (CSO2014-53014-R) (2015–2018), funded by the Ministry of Economics and Competitiveness (Programa Estatal de Investigación, Desarrollo e Innovación Orientada a los Retos de la Sociedad, Call 2014). This fact does not imply the existence of any type of conflict of interest either due to such funding or for other reasons.
DS Minerva
RD 24 abr 2026