Uma análise da variação dos níveis de equidade de acesso e de igualdade horizontal nos resultados de saúde no Brasil entre 1998 e 2013: expressões da relação entre o estado de bem-estar social e os determinantes sociais de saúde
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2018-07-12
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Universidade Federal de Goiás
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This paper presents a discussion about the relationship between income distribution patterns, social determinants of health and the welfare state of the Brazilian population, considering the concepts of equality, equity and social justice. Its aim is to understand the dynamics between the changes in the Brazilian economic and social scenario and the guidelines for health and the changes in the level of equity of access to health and in the level of horizontal equality of the health outcomes of the population, among the social strata in Brazil between 1998, 2003, 2008 and 2013. To do this, as indicated in the methodology, a presentation was made of the changes in the demographic, socioeconomic and epidemiological profile of the population through the synthesis of historical data present in the National Health Plans and Research Reports of health performed between 1998 and 2013. In addition, a set of indicators was compiled which is composed of the Standard Gini Concentration Index and extended with parameters of aversion to inequality, by the Lorenz Concentration Curves, and by the Index decomposition by the Social Determinants of Health, to be able to measure variations in the level of equity of access and horizontal equality in health outcomes between 1998 and 2013. The results point to improvements both in the equity of access to health services and in the horizontal equality in health outcomes up to 2008, changes mainly associated with the expansion of primary health care strategies, but a decrease of this improvement in some indicators in 2013.
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SILVA, Jaqueline Damasceno.Uma análise da variação dos níveis de equidade de acesso e de igualdade horizontal nos resultados de saúde no Brasil entre 1998 e 2013: expressões da relação entre o estado de bem-estar social e os determinantes sociais de saúde. 2018. 298 f. Dissertação (Mestrado em Administração) - Universidade Federal de Goiás, Goiânia, 2018.