El enfoque de sostenibilidad en los planes de salud de las comunidades autónomas: el desarrollo sostenible como oportunidad / Sustainability focus in the health plans of the autonomous communities: sustainable development as an opportunity

Objetivo: Determinar el grado de orientación de los planes de salud de las comunidades autónomas a las tres dimensiones habituales de sostenibilidad: económica, social y medioambiental; tanto en el nivel discursivo general como en las diferentes áreas de intervención. Método: Investigación cualitativa mediante análisis de contenido de una amplia muestra de documentos. La metodología específica es el análisis de sensibilidad simbólica y operativa realizado a una muestra de once planes de salud de España. Resultados: Los aspectos sociales, tales como los determinantes o los grupos más vulnerables, reciben cada vez más atención por parte del planificador sanitario, si bien hay espacio para fortalecer la atención a las cuestiones medioambientales y dotar de forma específica a las actuaciones en términos económicos. Conclusiones: el análisis evidencia el estado incipiente en el que se encuentran los planes de salud como documentos de planificación estratégica que integren aspectos económicos, sociales y ambientales con los cuales contribuir a la sostenibilidad de los diferentes sistemas sanitarios del país (AU)

Objective: To determine the degree to which the health plans of the autonomous communities focus on the usual three dimensions of sustainability: economic, social and environmental, both in the general level of discourse and in the different areas of intervention. Method: A qualitative study was conducted through content analysis of a large sample of documents. The specific methodology was analysis of symbolic and operational sensitivity in a sample of eleven health plans of the Spanish state. Results: Social aspects, such as social determinants or vulnerable groups, are receiving increasing attention from the health planner, although there is room to strengthen attention to environmental issues and to provide specific interventions in economic terms. Conclusions: The analysis demonstrates the incipient state of health plans as strategic planning documents that integrate economic, social and environmental aspects and contribute to the sustainability of the different health systems of the country (AU)

[Sustainability focus in the health plans of the autonomous communities: sustainable development as an opportunity]. / El enfoque de sostenibilidad en los planes de salud de las comunidades autónomas: el desarrollo sostenible como oportunidad.

OBJECTIVE: To determine the degree to which the health plans of the autonomous communities focus on the usual three dimensions of sustainability: economic, social and environmental, both in the general level of discourse and in the different areas of intervention. METHOD: A qualitative study was conducted through content analysis of a large sample of documents. The specific methodology was analysis of symbolic and operational sensitivity in a sample of eleven health plans of the Spanish state. RESULTS: Social aspects, such as social determinants or vulnerable groups, are receiving increasing attention from the health planner, although there is room to strengthen attention to environmental issues and to provide specific interventions in economic terms. CONCLUSIONS: The analysis demonstrates the incipient state of health plans as strategic planning documents that integrate economic, social and environmental aspects and contribute to the sustainability of the different health systems of the country.