Trabalho, Educação e Saúde - TES (Work, Education and Health) is an open access scientific journal, edited by the Joaquim Venâncio Polytechnic School of Health, from Oswaldo Cruz Foundation.

Social conditionants and determinants: forms of use in the national and state health plans

  • André Luis Alves de Quevedo
  • Carmen Luisa Teixeira Bagatini
  • Maria Isabel Barros Bellini
  • Rebel Zambrano Machado
  • Camila Guaranha
  • Camila Guaranha
  • André Luis Alves de Quevedo

    Secretaria Estadual de Saúde do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brasil.

    Carmen Luisa Teixeira Bagatini

    Secretaria Estadual de Saúde do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brasil.

    Maria Isabel Barros Bellini

    Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brasil.

    Rebel Zambrano Machado

    Secretaria Estadual de Saúde do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brasil.

    Camila Guaranha

    Secretaria Estadual de Saúde do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brasil.

    Camila Guaranha

    Secretaria Estadual de Saúde do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brasil.



Abstract

The study aimed to describe how the health conditionants and determinants topic was covered in the national and state health plans drafted for the period ranging from 2012 to 2015. It was a qualitative, documentary analysis-type study focusing on the health conditionants and determinants topic. These documents were queried on the websites of the Ministry of Health and of the state health departments of the 27 Brazilian states. Research was also carried out in the Management Report Construction Support System, on Google, and by e-mail. It was noted that the health conditionants and determinants issue is not present in Brazilian health plans. Most of the documents used the health planning framework in a normative perspective, as proposed in the Ministry of Health’s technical documents. The discussion on health conditionant and determinant models was not featured among the documents that were analyzed, and there was a mixed description of the topic through disaggregated data and composite indices. The study indicated the need for more attention and review of the health conditionant and determinant models used to prepare these technical documents.

Keywords

social determinants of health,
government health plans,
health planning,
Unified Health System

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