Universidade de Santiago de Compostela. Facultad de Ciencias Políticas y Sociales. Departamento de Ciencia Política e Sociología. Santiago de Compostela, Galicia, España.
Rev Saude Publica. 2021 May 28;55:31. doi: 10.11606/s1518-8787.2021055002560. eCollection 2021.
To examine the approach adopted by the health plans of the autonomous communities 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.
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.
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.
The results obtained coincide with previous studies on the contents and orientation of health plans, revealing a discrete presence of the concept of equity in the approaches adopted, although this does not undermine the alignment of health policies with the visions emanating from transnational organizations. It is detected the existence of a group to which special attention is given from the accessibility approach, the population with functional diversity.
考察西班牙自治区卫生计划所采用的方法，验证公平概念的权重；发现所参考的社区或情况，并从可及性、公平性或均等化的角度来区分处理它的观点。
这是一项 2020 年开展的、使用 Nvivo12 进行的定性内容分析研究，对西班牙不同地区（自治区）自 2019 年起生效的卫生计划进行了研究。编制了 16 项现行的区域卫生计划，以确定基本类别（公平、可及性和均等化），并使用 Nvivo12 确定相关术语，然后对其进行内容分析。
公平概念在区域卫生计划中没有得到强调，其重要性被可及性和均等化的概念所超越。这三个概念的使用与各种类别相关联，这些类别表明了计划更关注的情况、条件或群体。
所获得的结果与之前关于卫生计划内容和方向的研究一致，揭示了所采用方法中公平概念的离散存在，尽管这并没有破坏卫生政策与跨国组织提出的愿景的一致性。从可及性方法的角度发现了一个特别关注的群体，即具有功能多样性的人群。
