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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p class="elsevierStyleSimplePara elsevierViewall">Analizar la sensibilidad a las desigualdades de nivel socioecon&#243;mico &#40;NSE&#41; en los planes de salud en vigor de las comunidades aut&#243;nomas &#40;CCAA&#41; del Estado espa&#241;ol&#46;</p> <span class="elsevierStyleSectionTitle">M&#233;todos</span><p class="elsevierStyleSimplePara elsevierViewall">Revisi&#243;n sistem&#225;tica de 14 planes de salud&#46; Los contenidos introductorios se denominaron &#171;contenidos simb&#243;licos&#187; y las propuestas de acci&#243;n &#171;contenidos operativos&#187;&#46; En los contenidos simb&#243;licos se valora la presencia de desagregaci&#243;n por NSE del an&#225;lisis de la situaci&#243;n de salud&#44; de principios y valores para reducir las desigualdades y de objetivos generales enunciados con este fin &#40;&#237;ndice de sensibilidad simb&#243;lica&#44; rango 0-3&#41;&#46; En los contenidos operatives se eval&#250;a la consideraci&#243;n del NSE en el an&#225;lisis de situaci&#243;n y en las intervenciones propuestas&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">El Pa&#237;s Vasco y Extremadura obtuvieron el m&#225;ximo &#237;ndice de sensibilidad simb&#243;lica &#40;ISS &#61; 3&#41;&#46; Otras 6 CCAA &#40;Canarias&#44; Catalu&#241;a&#44; Castilla y Le&#243;n&#44; Galicia&#44; Murcia y Navarra&#41; presentan ISS &#61; 0&#46; En cuanto a los contenidos operativos destacan el Pa&#237;s Vasco&#44; Galicia y Canarias por ser las CCAA que m&#225;s tienen en cuenta las desigualdades de NSE&#46; El alcohol&#44; las drogas y la salud reproductiva son las &#225;reas relacionadas con la salud en las que con mayor frecuencia se analiza la situaci&#243;n teniendo en cuenta el NSE&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">Se pone de manifiesto la escasa atenci&#243;n que se presta al NSE en los planes de salud&#44; con excepci&#243;n del Pa&#237;s Vasco&#46; Es necesario que el Gobierno del Estado espa&#241;ol y los de las comunidades aut&#243;nomas sit&#250;en las desigualdades en salud por NSE m&#225;s claramente en la agenda pol&#237;tica&#44; lo que se traducir&#237;a tambi&#233;n en su presencia en los planes de salud&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p class="elsevierStyleSimplePara elsevierViewall">To systematically examine sensitivity to socio-economic &#40;SE&#41; inequalities in the policies formulated in the health plans of the Autonomous Communities of Spain&#46;</p> <span class="elsevierStyleSectionTitle">Methods</span><p class="elsevierStyleSimplePara elsevierViewall">We performed a systematic review of 14 health plans&#46; The introductory content of the health plans was called the &#171;symbolic content&#187; and was separated from specific interventions&#44; or &#171;operative content&#187;&#46; The symbolic content was analyzed through the presence or absence of SE description of the health areas&#44; the principles and values to reduce SE inequalities in health&#44; and the general objectives for this topic &#40;sensitivity index&#44; range 0-3&#41;&#46; To review the operative content&#44; consideration of SE inequalities in the description of health areas and proposed interventions were evaluated&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">The Basque Country and Extremadura had a sensitivity index of 3 for symbolic content&#46; Six Autonomous Communities had an index of 0 &#40;Canary Islands&#44; Catalonia&#44; Castilla-Le&#243;n&#44; Galicia&#44; Murcia and Navarre&#41;&#46; Regarding operative content&#44; the Autonomous Communities that most clearly took SE inequalities into account were the Basque Country&#44; Galicia and the Canary Islands&#46; The specific healthrelated areas most frequently analyzed according to SE inequalities were alcohol and drug consumption and reproductive health&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">This study shows that little attention is paid to SE inequalities in the health plans of the various Autonomous Communities&#44; with the exception of the Basque Country&#46; The national and regional governments of Spain should prioritize inequalities in health in the political agenda&#44; which would translate into their presence in the health plans&#46;</p>"
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Originales
Desigualdades socioeconómicas y planes de salud en las comunidades autónomas del Estado español
Socioeconomic inequalities and health plans in the Autonomous Communities of Spain
Carme Borrella,b,c,
Autor para correspondencia
cborrell@aspb.es

Correspondencia: Dra. Carme Borrell. Agencia de Salud Pública de Barcelona. Pça Lesseps, 1. 08023 Barcelona. España.
, Rosana Peiróc,d, Nieves Ramónd, M. Isabel Pasarína,b,c, Concha Colomerc,e, Eduardo Zafraf, Carlos Álvarez-Dardetc,g
a Agencia de Salud Pública de Barcelona, Barcelona, España
b Red de Centros de Epidemiología y Salud Pública, Instituto de Salud Carlos III, Madrid, España
c Red de temática de Investigación de Salud y Género, Instituto de Salud Carlos III, Madrid, España
d Centro de Salud Pública de Alzira, Consejería de Sanidad, Generalitat Valenciana, Alzira, Valencia, España
e Escuela Valenciana de Estudios para la Salud. Consejería de Sanidad, Generalitat Valenciana, Valencia, España
f Servicio de Asistencia sociosanitaria, Consejería de Sanidad, Generalitat Valenciana, Valencia, España
g Observatorio de Políticas Públicas de Salud (OPPS). Universidad de Alicante, Alicante, España
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p class="elsevierStyleSimplePara elsevierViewall">Analizar la sensibilidad a las desigualdades de nivel socioecon&#243;mico &#40;NSE&#41; en los planes de salud en vigor de las comunidades aut&#243;nomas &#40;CCAA&#41; del Estado espa&#241;ol&#46;</p> <span class="elsevierStyleSectionTitle">M&#233;todos</span><p class="elsevierStyleSimplePara elsevierViewall">Revisi&#243;n sistem&#225;tica de 14 planes de salud&#46; Los contenidos introductorios se denominaron &#171;contenidos simb&#243;licos&#187; y las propuestas de acci&#243;n &#171;contenidos operativos&#187;&#46; En los contenidos simb&#243;licos se valora la presencia de desagregaci&#243;n por NSE del an&#225;lisis de la situaci&#243;n de salud&#44; de principios y valores para reducir las desigualdades y de objetivos generales enunciados con este fin &#40;&#237;ndice de sensibilidad simb&#243;lica&#44; rango 0-3&#41;&#46; En los contenidos operatives se eval&#250;a la consideraci&#243;n del NSE en el an&#225;lisis de situaci&#243;n y en las intervenciones propuestas&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">El Pa&#237;s Vasco y Extremadura obtuvieron el m&#225;ximo &#237;ndice de sensibilidad simb&#243;lica &#40;ISS &#61; 3&#41;&#46; Otras 6 CCAA &#40;Canarias&#44; Catalu&#241;a&#44; Castilla y Le&#243;n&#44; Galicia&#44; Murcia y Navarra&#41; presentan ISS &#61; 0&#46; En cuanto a los contenidos operativos destacan el Pa&#237;s Vasco&#44; Galicia y Canarias por ser las CCAA que m&#225;s tienen en cuenta las desigualdades de NSE&#46; El alcohol&#44; las drogas y la salud reproductiva son las &#225;reas relacionadas con la salud en las que con mayor frecuencia se analiza la situaci&#243;n teniendo en cuenta el NSE&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">Se pone de manifiesto la escasa atenci&#243;n que se presta al NSE en los planes de salud&#44; con excepci&#243;n del Pa&#237;s Vasco&#46; Es necesario que el Gobierno del Estado espa&#241;ol y los de las comunidades aut&#243;nomas sit&#250;en las desigualdades en salud por NSE m&#225;s claramente en la agenda pol&#237;tica&#44; lo que se traducir&#237;a tambi&#233;n en su presencia en los planes de salud&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p class="elsevierStyleSimplePara elsevierViewall">To systematically examine sensitivity to socio-economic &#40;SE&#41; inequalities in the policies formulated in the health plans of the Autonomous Communities of Spain&#46;</p> <span class="elsevierStyleSectionTitle">Methods</span><p class="elsevierStyleSimplePara elsevierViewall">We performed a systematic review of 14 health plans&#46; The introductory content of the health plans was called the &#171;symbolic content&#187; and was separated from specific interventions&#44; or &#171;operative content&#187;&#46; The symbolic content was analyzed through the presence or absence of SE description of the health areas&#44; the principles and values to reduce SE inequalities in health&#44; and the general objectives for this topic &#40;sensitivity index&#44; range 0-3&#41;&#46; To review the operative content&#44; consideration of SE inequalities in the description of health areas and proposed interventions were evaluated&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">The Basque Country and Extremadura had a sensitivity index of 3 for symbolic content&#46; Six Autonomous Communities had an index of 0 &#40;Canary Islands&#44; Catalonia&#44; Castilla-Le&#243;n&#44; Galicia&#44; Murcia and Navarre&#41;&#46; Regarding operative content&#44; the Autonomous Communities that most clearly took SE inequalities into account were the Basque Country&#44; Galicia and the Canary Islands&#46; The specific healthrelated areas most frequently analyzed according to SE inequalities were alcohol and drug consumption and reproductive health&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">This study shows that little attention is paid to SE inequalities in the health plans of the various Autonomous Communities&#44; with the exception of the Basque Country&#46; The national and regional governments of Spain should prioritize inequalities in health in the political agenda&#44; which would translate into their presence in the health plans&#46;</p>"
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Información del artículo
ISSN: 02139111
Idioma original: Español
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