Hernández-Alvarez Mario
Universidad Nacional de Colombia, Bogotá.
Rev Salud Publica (Bogota). 2008 Dec;10 Suppl:72-82.
This work deals with understanding equity in health within the framework of an ethical-political discussion of justice; current debate on this issue is reviewed and the implications in defining public policy and organising health service systems are shown. The debates historicity and how it is carried out in contemporaneous societies is presented so that one or another positions predominance is a historical result depending on power relationships and correlating efforts within each society, within the framework of global interdependency. A process of democratic construction is thus suggested, based on the foregoing, for advancing towards a new configuration of equity in health for Latin-American countries.
这项工作致力于在关于正义的伦理政治讨论框架内理解健康公平；回顾了当前关于这一问题的辩论，并展示了其在界定公共政策和组织卫生服务体系方面的影响。阐述了辩论的历史性以及它在当代社会中的开展方式，以便在全球相互依存的框架内，一种或另一种立场的主导地位是取决于每个社会内部权力关系和相关努力的历史结果。基于上述内容，因此建议开展一个民主建设进程，以推动拉丁美洲国家实现健康公平的新布局。
