Equity policies in health plans: accessibility and something more?

Buceta, Bran Barral; Lorenzo, Ramón Bouzas; Ramos, Andrés Cernadas; Silva, Ángela Fernández da

doi:10.11606/s1518-8787.2021055002560

Bran Barral Buceta Correspondence: Bran Barral Buceta, Universidade de Santiago de Compostela Facultad de Ciencias Políticas y Sociales Av. Dr. Ángel Echeverri, s/n, Campus sur. Santiago de Compostela, Espanha. CP 15782. E-mail: bran.barral.buceta@usc.es

Universidade de Santiago de Compostela. Facultad de Ciencias Políticas y Sociales. Departamento de Ciencia Política e Sociología. Santiago de Compostela, Galicia, España

http://orcid.org/0000-0003-3656-0846

Ramón Bouzas Lorenzo

Universidade de Santiago de Compostela. Facultad de Ciencias Políticas y Sociales. Departamento de Ciencia Política e Sociología. Santiago de Compostela, Galicia, España

http://orcid.org/0000-0002-9103-8893

Andrés Cernadas Ramos

Universidade de Santiago de Compostela. Facultad de Ciencias Políticas y Sociales. Departamento de Ciencia Política e Sociología. Santiago de Compostela, Galicia, España

http://orcid.org/0000-0002-1189-9010

Ángela Fernández da Silva

Universidade de Santiago de Compostela. Facultad de Ciencias Políticas y Sociales. Departamento de Ciencia Política e Sociología. Santiago de Compostela, Galicia, España

http://orcid.org/0000-0002-7915-3645

Correspondence: Bran Barral Buceta, Universidade de Santiago de Compostela Facultad de Ciencias Políticas y Sociales Av. Dr. Ángel Echeverri, s/n, Campus sur. Santiago de Compostela, Espanha. CP 15782. E-mail: bran.barral.buceta@usc.es

Authors’ Contribution: Study design and planning: BBB, RBL, ACR, AFD. Data collection, analysis and interpretation: BBB, RBL, ACR, AFD. Preparation or critical revision of the manuscript: BBB, RBL, ACR, AFD. Approval of the final version: BBB, RBL, ACR, AFD.

Conflict of Interest: The authors declare no conflict of interest.

Category		Terms or lexemes used
Base Categories	Equity	Equity, Equitable^* * We selected words that begin in this way, so that they can be used to avoid gender or plurals. This is a practice specific to the Nvivo program and its search criteria, expressed in this way. These terms were reviewed case by case to observe their relevance, discarding those that did not have a meaning consistent with what was searched for. All the lexemes presented in the table were searched in their corresponding Spanish translation, since this is the original language of most of the plans (also in Catalan), and the table shows the lexemes or words in english for a better understanding of the methodology applied. , Inequitable^* * We selected words that begin in this way, so that they can be used to avoid gender or plurals. This is a practice specific to the Nvivo program and its search criteria, expressed in this way. These terms were reviewed case by case to observe their relevance, discarding those that did not have a meaning consistent with what was searched for. All the lexemes presented in the table were searched in their corresponding Spanish translation, since this is the original language of most of the plans (also in Catalan), and the table shows the lexemes or words in english for a better understanding of the methodology applied.
	Equality	Equality, Inequality^* * We selected words that begin in this way, so that they can be used to avoid gender or plurals. This is a practice specific to the Nvivo program and its search criteria, expressed in this way. These terms were reviewed case by case to observe their relevance, discarding those that did not have a meaning consistent with what was searched for. All the lexemes presented in the table were searched in their corresponding Spanish translation, since this is the original language of most of the plans (also in Catalan), and the table shows the lexemes or words in english for a better understanding of the methodology applied. , Egalitarian^* * We selected words that begin in this way, so that they can be used to avoid gender or plurals. This is a practice specific to the Nvivo program and its search criteria, expressed in this way. These terms were reviewed case by case to observe their relevance, discarding those that did not have a meaning consistent with what was searched for. All the lexemes presented in the table were searched in their corresponding Spanish translation, since this is the original language of most of the plans (also in Catalan), and the table shows the lexemes or words in english for a better understanding of the methodology applied.
	Accessibility	Accessibility, Accessible, Access, Inaccessible, Inaccessibility
Key Categories	Functional diversity	Functional diversity, Disability^* * We selected words that begin in this way, so that they can be used to avoid gender or plurals. This is a practice specific to the Nvivo program and its search criteria, expressed in this way. These terms were reviewed case by case to observe their relevance, discarding those that did not have a meaning consistent with what was searched for. All the lexemes presented in the table were searched in their corresponding Spanish translation, since this is the original language of most of the plans (also in Catalan), and the table shows the lexemes or words in english for a better understanding of the methodology applied. , Disability, Dependent^* * We selected words that begin in this way, so that they can be used to avoid gender or plurals. This is a practice specific to the Nvivo program and its search criteria, expressed in this way. These terms were reviewed case by case to observe their relevance, discarding those that did not have a meaning consistent with what was searched for. All the lexemes presented in the table were searched in their corresponding Spanish translation, since this is the original language of most of the plans (also in Catalan), and the table shows the lexemes or words in english for a better understanding of the methodology applied. , Dependency, Independence
	Rural	Rural, Periphery, Small/remote population centers, Dispersed, Dispersion, Difficult to access, Distant^* * We selected words that begin in this way, so that they can be used to avoid gender or plurals. This is a practice specific to the Nvivo program and its search criteria, expressed in this way. These terms were reviewed case by case to observe their relevance, discarding those that did not have a meaning consistent with what was searched for. All the lexemes presented in the table were searched in their corresponding Spanish translation, since this is the original language of most of the plans (also in Catalan), and the table shows the lexemes or words in english for a better understanding of the methodology applied. , Zone^* * We selected words that begin in this way, so that they can be used to avoid gender or plurals. This is a practice specific to the Nvivo program and its search criteria, expressed in this way. These terms were reviewed case by case to observe their relevance, discarding those that did not have a meaning consistent with what was searched for. All the lexemes presented in the table were searched in their corresponding Spanish translation, since this is the original language of most of the plans (also in Catalan), and the table shows the lexemes or words in english for a better understanding of the methodology applied. , Geography^* * We selected words that begin in this way, so that they can be used to avoid gender or plurals. This is a practice specific to the Nvivo program and its search criteria, expressed in this way. These terms were reviewed case by case to observe their relevance, discarding those that did not have a meaning consistent with what was searched for. All the lexemes presented in the table were searched in their corresponding Spanish translation, since this is the original language of most of the plans (also in Catalan), and the table shows the lexemes or words in english for a better understanding of the methodology applied. , Geographical^* * We selected words that begin in this way, so that they can be used to avoid gender or plurals. This is a practice specific to the Nvivo program and its search criteria, expressed in this way. These terms were reviewed case by case to observe their relevance, discarding those that did not have a meaning consistent with what was searched for. All the lexemes presented in the table were searched in their corresponding Spanish translation, since this is the original language of most of the plans (also in Catalan), and the table shows the lexemes or words in english for a better understanding of the methodology applied.
	Vulnerable social groups	Social group, Social groups, Groups at risk, Vulnerability, Vulnerabl^* * We selected words that begin in this way, so that they can be used to avoid gender or plurals. This is a practice specific to the Nvivo program and its search criteria, expressed in this way. These terms were reviewed case by case to observe their relevance, discarding those that did not have a meaning consistent with what was searched for. All the lexemes presented in the table were searched in their corresponding Spanish translation, since this is the original language of most of the plans (also in Catalan), and the table shows the lexemes or words in english for a better understanding of the methodology applied. , Disadvantaged^* * We selected words that begin in this way, so that they can be used to avoid gender or plurals. This is a practice specific to the Nvivo program and its search criteria, expressed in this way. These terms were reviewed case by case to observe their relevance, discarding those that did not have a meaning consistent with what was searched for. All the lexemes presented in the table were searched in their corresponding Spanish translation, since this is the original language of most of the plans (also in Catalan), and the table shows the lexemes or words in english for a better understanding of the methodology applied. , Collective^* * We selected words that begin in this way, so that they can be used to avoid gender or plurals. This is a practice specific to the Nvivo program and its search criteria, expressed in this way. These terms were reviewed case by case to observe their relevance, discarding those that did not have a meaning consistent with what was searched for. All the lexemes presented in the table were searched in their corresponding Spanish translation, since this is the original language of most of the plans (also in Catalan), and the table shows the lexemes or words in english for a better understanding of the methodology applied.
	Gender	Gender, Man^* * We selected words that begin in this way, so that they can be used to avoid gender or plurals. This is a practice specific to the Nvivo program and its search criteria, expressed in this way. These terms were reviewed case by case to observe their relevance, discarding those that did not have a meaning consistent with what was searched for. All the lexemes presented in the table were searched in their corresponding Spanish translation, since this is the original language of most of the plans (also in Catalan), and the table shows the lexemes or words in english for a better understanding of the methodology applied. , Woman^* * We selected words that begin in this way, so that they can be used to avoid gender or plurals. This is a practice specific to the Nvivo program and its search criteria, expressed in this way. These terms were reviewed case by case to observe their relevance, discarding those that did not have a meaning consistent with what was searched for. All the lexemes presented in the table were searched in their corresponding Spanish translation, since this is the original language of most of the plans (also in Catalan), and the table shows the lexemes or words in english for a better understanding of the methodology applied. , Violence, Abuse, Sexism
	Immigration	Immigration, Immigrant, Race, Ethnicity, Ethnic^* * We selected words that begin in this way, so that they can be used to avoid gender or plurals. This is a practice specific to the Nvivo program and its search criteria, expressed in this way. These terms were reviewed case by case to observe their relevance, discarding those that did not have a meaning consistent with what was searched for. All the lexemes presented in the table were searched in their corresponding Spanish translation, since this is the original language of most of the plans (also in Catalan), and the table shows the lexemes or words in english for a better understanding of the methodology applied. , Language, Speech, Foreign^* * We selected words that begin in this way, so that they can be used to avoid gender or plurals. This is a practice specific to the Nvivo program and its search criteria, expressed in this way. These terms were reviewed case by case to observe their relevance, discarding those that did not have a meaning consistent with what was searched for. All the lexemes presented in the table were searched in their corresponding Spanish translation, since this is the original language of most of the plans (also in Catalan), and the table shows the lexemes or words in english for a better understanding of the methodology applied. .
	Older Adults	Older Adults^* * We selected words that begin in this way, so that they can be used to avoid gender or plurals. This is a practice specific to the Nvivo program and its search criteria, expressed in this way. These terms were reviewed case by case to observe their relevance, discarding those that did not have a meaning consistent with what was searched for. All the lexemes presented in the table were searched in their corresponding Spanish translation, since this is the original language of most of the plans (also in Catalan), and the table shows the lexemes or words in english for a better understanding of the methodology applied. , Older Adults/Third age, age, aging, ancient^* * We selected words that begin in this way, so that they can be used to avoid gender or plurals. This is a practice specific to the Nvivo program and its search criteria, expressed in this way. These terms were reviewed case by case to observe their relevance, discarding those that did not have a meaning consistent with what was searched for. All the lexemes presented in the table were searched in their corresponding Spanish translation, since this is the original language of most of the plans (also in Catalan), and the table shows the lexemes or words in english for a better understanding of the methodology applied.
	Quality	Quality
	Mental	Mental^* * We selected words that begin in this way, so that they can be used to avoid gender or plurals. This is a practice specific to the Nvivo program and its search criteria, expressed in this way. These terms were reviewed case by case to observe their relevance, discarding those that did not have a meaning consistent with what was searched for. All the lexemes presented in the table were searched in their corresponding Spanish translation, since this is the original language of most of the plans (also in Catalan), and the table shows the lexemes or words in english for a better understanding of the methodology applied.

	Accessibility	Quality	Functional Diversity	Equity	Gender	Vunerable Social Groups	Equality	Immigration	Older Adults	Mental Illness	Rural	Avarage number of mentions over Total per CA
Andalucia	5.38%	10.86%	4.34%	8.01%	7.61%	5%	16.90%	5.36%	0.67%	6.52%	10.10%	7.34%
Aragon	3.27%	1.33%	0.91%	4.14%	0.74%	3.50%	7.99%	5.85%	4.67%	2.10%	8.75%	3.93%
Balearic	2.16%	0.27%	0.16%	0.54%	0%	0%	0.17%	1.17%	0%	0%	0%	0.41%
Canary	6.13%	6.63%	0.99%	10.14%	0.34%	3.88%	5.24%	1.17%	0%	2.05%	3.52%	3.64%
Cantabria	16.56%	3.71%	18.85%	11.04%	3.69%	8.13%	5.52%	10.62%	5.71%	52.70%	5.44%	12.91%
Castile-La Mancha	2.78%	0.80%	3.28%	0.81%	0.11%	0.48%	1.25%	0.39%	0.67%	0%	3.47%	1.28%
Castile and León	6.93%	2.12%	7.18%	7.51%	2.61%	1.67%	7.10%	4.42%	0.46%	6.52%	9.74%	5.11%
Catalonia	5.99%	42.71%	1.53%	3.68%	58.55%	19.82%	2.65%	0%	59.18%	2.09%	0%	17.84%
Valencian Community	8.41%	3.98%	4.13%	12.43%	3.98%	21.28%	17.63%	16.17%	0.64%	0%	0%	8.06%
Extremadura	10.98%	7.43%	13.31%	11.92%	10.34%	5.88%	10.23%	9.97%	17.08%	2.17%	47.28%	13.33%
Galicia	1.61%	1.06%	0%	1.17%	0%	0%	0.18%	0%	0%	0%	0%	0.37%
La Rioja	10.97%	5.04%	22.17%	6.91%	6.59%	7.55%	2.55%	30.04%	6.26%	8.70%	6.01%	10.25%
Navarre	6.42%	3.45%	9.32%	3.86%	0.68%	7.27%	6.08%	7.60%	0.96%	2.11%	3.11%	4.62%
Basque Country	6.39%	8.22%	1.94%	14.58%	4.03%	7.65%	13.86%	0.81%	2.03%	1.98%	0.62%	5.65%
Principality of Asturias	3.02%	1.59%	6.86%	0%	0.45%	4.37%	0.91%	0.39%	1.67%	10.87%	1.29%	2.86%
Region of Murcia	3%	0.80%	5.03%	3.26%	0.28%	3.52%	1.74%	6.04%	0%	2.19%	0.67%	2.41%
Total category mentions	100.00%	100.00%	100.00%	100.00%	100.00%	100.00%	100.00%	100.00%	100.00%	100.00%	100.00%	100.00%

	Quality	Functional Diversity	Gender	Vunerable Social Groups	Immigration	Older Adults	Mental Illness	Rural	Total
Andalucia	2.62%	47.76%	8.55%	16.54%	10.48%	1.45%	0.21%	12.41%	100.00%
Aragon	0.58%	18.08%	1.48%	20.98%	20.72%	18.53%	0.13%	19.50%	100.00%
Balearic	1.47%	43.16%	0.00%	0.00%	55.37%	0.00%	0.00%	0.00%	100.00%
Canary	4.88%	33.77%	1.19%	39.58%	7.12%	0.00%	0.13%	13.32%	100.00%
Cantabria	0.30%	73.85%	1.48%	9.57%	7.41%	4.45%	0.54%	2.39%	100.00%
Castile-La Mancha	0.43%	81.14%	0.30%	3.58%	1.71%	3.28%	0.00%	9.56%	100.00%
Castile and León	0.48%	71.93%	2.69%	5.04%	7.87%	0.91%	0.19%	10.89%	100.00%
Catalonia	3.55%	5.83%	22.77%	22.77%	0.00%	45.07%	0.02%	0.00%	100.00%
Valencian Community	0.64%	29.42%	2.89%	45.61%	20.52%	0.92%	0.00%	0.00%	100.00%
Extremadura	0.60%	49.75%	3.94%	6.60%	6.63%	12.73%	0.03%	19.71%	100.00%
Galicia	100.00%	0.00%	0.00%	0.00%	0.00%	0.00%	0.00%	0.00%	100.00%
La Rioja	0.34%	68.18%	2.07%	7.00%	16.45%	3.83%	0.06%	2.07%	100.00%
Navarre	0.55%	68.81%	0.52%	16.15%	9.99%	1.39%	0.03%	2.56%	100.00%
Basque Country	3.26%	35.43%	7.58%	42.19%	2.68%	7.46%	0.12%	1.28%	100.00%
Principality of Asturias	0.39%	77.62%	0.53%	14.93%	0.78%	3.79%	0.33%	1.63%	100.00%
Region of Murcia	0.23%	69.01%	0.41%	14.51%	14.74%	0.00%	0.09%	1.02%	100.00%
Average number of BC mentions per AC	7.52%	48.36%	3.52%	16.56%	11.40%	6.49%	0.12%	6.02%	100.00%

[1] Correspondence: Bran Barral Buceta, Universidade de Santiago de Compostela Facultad de Ciencias Políticas y Sociales Av. Dr. Ángel Echeverri, s/n, Campus sur. Santiago de Compostela, Espanha. CP 15782. E-mail: bran.barral.buceta@usc.es

Brasil

Brasil

Equity policies in health plans: accessibility and something more?

ABSTRACT

OBJECTIVE:

METHODS:

RESULTS:

CONCLUSIONS: