ABSTRACT
Equity has been recognized as one of the driving principles of many health systems in the world. In Latin America, Chile has led the explicit inclusion of equity in their health policies, which is reflected in its recent health reform. On the other hand, Chile faces the challenge of defining and implementing a policy for health technology assessment (HTA), which should be consistent with the equity principles that underlie the Chilean national health system. This paper reviews the equity concept emphasizing the relevance of socioeconomic inequalities. Furthermore, it examines how international HTA agencies have explicitly included this element in the evaluation and decision processes. It presents the English case, which highlights the elements of procedural justice rather than adopting a normative position regarding equity. Finally, it examines the methods that have been developed aiming to make explicit consideration of equity in HTA. It concludes that the methodological development to incorporate equity elements with empirical basis is recent and limited. The consideration of equity is, in most of the cases, left to the instances of deliberative participation.
Subject(s)
Humans , Health Services Accessibility , Technology Assessment, Biomedical/methods , Chile , Decision Making , England , Health Policy , Social Justice/economics , Socioeconomic FactorsSubject(s)
Health Personnel/economics , Health Personnel/history , Health Services/economics , Health Services/history , Health Services Accessibility/economics , Health Services Accessibility/history , History, 20th Century , Human Rights/economics , Human Rights/history , Humans , India , Internationality , Social Justice/economics , Social Justice/historyABSTRACT
O artigo discute a desiguldade social no município de São Paulo como um produto histórico-social. Ressalta-se o desenvolvimento da cidade de São Paulo em torno do setor econômico e financeiro, conformando-se como o centro-líder do conjunto metropolitano brasileiro e onde são intensas as desigualdades sociais na epidemia de aids, no município de São Paulo. Considera-se que, para além do próprio enfrentamento da epidemia de HIV/aids, necessariamente as ações devem buscar corrigir as desigualdades sociais existentes.
Subject(s)
Economic Development/statistics & numerical data , Social Justice/economics , Urban Health/statistics & numerical data , Acquired Immunodeficiency Syndrome/economicsSubject(s)
Humans , Adult , Middle Aged , Social Justice/economics , Social Security , Social Work , Education/statistics & numerical data , Gross Domestic Product , Housing/statistics & numerical data , Investments/statistics & numerical data , Pensions/history , Poverty/economics , Poverty/prevention & control , Private Management , Public Administration , Social Security , Social PlanningABSTRACT
Aborda o desenvolvimento sustentável como a preservaçäo dos recursos e serviços ecossistêmicos, permitindo que o desenvolvimento sustentável, no quadro de referência da ecologia e orientado para a promoçäo do bem estar humano, da qualidade de vida e da justiça social, seja integrado à formulaçäo de políticas públicas.
Subject(s)
Environment , Public Policy , Sustainable Development , Ecosystem , Environmental Health Education , Social Justice/economics , Policy Making , Public PolicyABSTRACT
Traça perfil da situaçäo de pobreza dos domicílios urbanos em que vivem as crianças de 0 a 14 anos no Brasil. Säo utilizadas as informacoes da Pesquisa Nacional por Amostra de Domicílios - PNDA de 1995
Subject(s)
Humans , Child , Social Justice/economics , Per Capita Income , Poverty AreasABSTRACT
Trata dos aspectos conceituais dos fundamentos e das relaçöes entre economia e saude, a temática macroeconomica, o normativismo e incentivos, a equidade, a experiência de Portugal, e aspectos microeconômicos.
Subject(s)
Health Care Economics and Organizations , Health Services/economics , Health Policy, Planning and Management/economics , Cost-Benefit Analysis/economics , Healthcare Financing , Social Justice/economics , Health Services Needs and Demand/economicsABSTRACT
Analisa as açöes coletivas de vigilância sanitária quanto a cidadania, espaço e política, classe social, medicamentos, patentes, imunobiológicos, avaliaçäo tecnológica, recursos humanos, legislaçäo, seguridade social e assistência médica (AMSB)