Ensayo Determinantes Sociales en Salud

 

RPÃMXAMC] HL RPDE\KHAZCMAÝK: LKEDS\L MDG\KAXCPAD  

HDMLKXL: EX. CKIAL VAGLKC MCNHLPÝK RLÓC  

XCNNLP IP\RCN

XLGC: LK]CQD CMLPMC HL ND] HLXLPGAKCKXL] ]DMACNL] LK ]CN\H

L]X\HACKXL]: J\NAC AKÁ] M\CHPD P\AZ 35380285 HCKALNC A]C@LN @PAXD FLPPLPC 353802=2 CKHPLC MCPDNAKC MCGLND MC]XPD 3538028=

HDMLKXL]: EX. CKIAL VAGLKC MCNHLPÝK RLÓC L]R. LK CHGAKA]XPCMAÝK LK ]CN\H MDK ÁKEC]A] LK ]LI\PAHCH ]DMACN

RPDIPCGC HL EA]ADXLPCRAC RPÃMXAMC] HL RPDE\KHAZCMAÝK V ]LGL]XPL

\KAULP]AHCH HL ]CKXCKHLP ]LHL UCNNLH\RCP 0203-@

 

RPÃMXAMC] HL RPDE\KHAZCMAÝK: LKEDS\L MDG\KAXCPAD  

HDMLKXL: EX. CKIAL VAGLKC MCNHLPÝK RLÓC  

C nd ncrid hl nc vahc, nds slrls fugckds kds flgds vastd lkvulntds lk akeakahch hl satucmadkls qul fc tlkahd qul sdrtlcr y gdhaeamck hl ukc u dtrc gcklrc nc hakãgamc hl ncs pd`ncmadkls pcrc pdhlr su`sastar. Lk ln 0231 sl prlkhalrdk ncs cncrgcs c kavln gukhacn pdr uk kulvd `rdtl hln mdrdkcvarus ln mucn lrc hl drailk hlsmdkdmahd lk nc mauhch hl Yufck lk Mfakc y rãpahcglktl c prakmapads hln cód 0202 ncs cutdrahchls ahlktaeamcrdk qul lrc ukc vcracktl gumfd gãs cirlsavc hl nc ecganac hl nds mdrdkcvarus qul pdkçc lk cntd ralsid c nc fugckahch y sl lxpckhçc hlsprdpdrmadkcnglktl. C kavln gukhacn sl mrlý ukc mrasas sckatcrac qul pusd lk jcqul nds sastlgcs hl scnuh y scmd c endtl prd`nlgãtamcs qul lkerlktck lkerlktck ncs sdmalhchls mdgd nc pd`rlzc, nc ecntc hl cmmlsd c nds slrvamads `ãsamds y ln gãs agpdrtcktl, ln cmmlsd cn sastlgc hl scnuh, cuglktckhd nc prlsaýk sd`rl lstds y mrlckhd ukc sd`rlmcric csastlkmacn. \kc hl ncs glhahcs tdgchcs pdr nds id`alrkds kcmadkcnls hl gcklrc prlvlktavc mdk ln eak hl gakagazcr nc lxpdsamaýk cn varus y hasgakuar nc tcsc hl gdrtcnahch y hl mdktciads eul ln mdkeakcgalktd. Lk Mdndg`ac hlshl ln 08 hl gcrzd fcstc ln =3 hl cidstd hln 0202, nds kaóds, chdnlsmlktls, jývlkls, chuntds y chuntds gcydrls lstuvalrdk 350 hçcs lk tdtcn csdncgalktd prlvlktavd d`naictdrad? sak lg`crid, cniukcs mauhchls hln pcçs saiulk lk casncgalktd pcrc prlvlkar nc akelmmaýk hl nc kulv kulvcc mlpc hl Mdrdkcvarus (Crlvcnd. F, 0202). Ln Mdvah-31 cglkczc kulstrc scnuh l aktlirahch, lgdmadkcn y sdmacn, sugchd c lstd nc lglrilkmac sckatcrac c kavln gukhacn fc gcrmchd mdkhumtcs qul pdklk lk ralsid nc scnuh hl nds akhavahuds y ncs mdgukahchls cn vlrsl gdhaeamchc nc hakãgamc trchamadkcn. Gumfds cutdrls c kavln gukhacn akhamck qul ln casncgalktd sdmacn fc tlkahd uk hrãstamd agpcmtd lk nds kavlnls hl cmtavahch eçsamc hl nc pd`ncmaýk, lstã hasgakumaýk hl cmtavahch y cuglktd hl mdgpdrtcgalktds slhlktcrads mdknnlvc c mdkslmulkmacs yc slc c mdrtd, glhackd y ncrid pnczd qul pdhrçck slr gãs slvlrcs hl nd qul plkscgds (Mlnas-Gdrcnl, 0202). Mdksahlrckhd lstds cktlmlhlktls y ln cmtucn hlsceçd sckatcrad qul lkerlktc ln pcçs, ls agpdrtcktl haslócr prdircgcs y pdnçtamcs pú`namcs dralktchcs c gcktlklr y prdgdvlr nc n c prãmtamc hl cmtavahch eçsamc rliuncr hurcktl nc pckhlgac hln MDUAH-31. ]a `alk cmtavahchls irupcnls lk iagkcsads d hlpdrtls mdnlmtavds kd sdk rlmdglkhchcs hl`ahd cn ralsid csdmachd hl prdpcicmaýk hln MDUAH-31, fcy dtrds

 

RPÃMXAMC] HL RPDE\KHAZCMAÝK: LKEDS\L MDG\KAXCPAD  

HDMLKXL: EX. CKIAL VAGLKC MCNHLPÝK RLÓC  

tapds hl cmtavahchls qul pdhrçck rlcnazcrsl sak akmugpnar ncs rlincs hl casncgalktd mdgd mcgakcr, mdrrlr d ckhcr lk `amamnltc, plrd tcg`aák lxastl nc pdsa`anahch hl ilklrcr slsadkls dknakl hl cmtavahch eçsamc lk mcsc mdgd ydic, panctls, `canl, lktrl dtrcs, y qul plrgatarçck gcktlklr nds kavlnls hl cmtavahch eçsamc hl nc pd`ncmaýk hurcktl nc cmtucn satucmaýk hl mdkeakcgalktd. ]liúk nc Drickazcmaýk Gukhacn hl nc ]cnuh (DG]), ln =3 % hl ncs plrsdkcs mdk 3< códs d gãs yc lrck eçsamcglktl akcmtavcs cktls hl qul nnlicrc nc mdvah-31. Rlrd ln mdrdkcvarus lstã fcmalkhd qul tdhds kds gdvcgds glkds qul cktls y fcstc ls pdsa`nl qul nc akcmtavahch eçsamc mdktakúl hlspuás hl suplrcr nc pckhlgac. Q kulstrd drickasgd nd suerarã. Hl flmfd, yc nd lstã fcmalkhd. ]dnd nc rlhummaýk lk ln kúglrd hl pcsds hacrads hurcktl cn glkds hds slgckcs ls sueamalktl pcrc prdhumar lk uk hltlradrd saikaeamctavd lk kulstrds gúsmunds, lsqulnltd y gltc`dnasgd (Ndvlxcar, 0202). Ln ljlrmamad eçsamd rlcnazchd mdk rliuncrahch mdktra`uyl c edrtcnlmlr nc gusmuncturc, gljdrcr nc enlxa`anahch y ln lquana`rad y lk kaóds cyuhc c gcktlklr uk hlscrrdnnd y mrlmagalktd scnuhc`nls. Xcg`aák ls `ulkd pcrc kulstrc scnuh glktcn, yc qul rlhuml ln ralsid hl hlprlsaýk y hltlradrd mdikatavd, rltrcsc nc cpcramaýk hl hlglkmac y gljdrc kulstrd lstchd hl ãkagd lk ilklrcn. Rdr dtrd nchd, rlcnazcr cmtavahch eçsamc rlhuml nc faplrtlksaýk, cyuhc mdk ln mdktrdn hl plsd, hasgakuyl ln ralsid hl lkelrglhchls mcrhacmcs, cmmahlktls mlrl`rdvcsmuncrls, hac`ltls tapd 0 y havlrsds tapds hl mãkmlr, lkelrglhchls qul pulhlk cuglktcr nc vunklrc`anahch c nc mdvah-31. Nc scnuh pu`namc mdkstatuyl uk pcpln eukhcglktcn pcrc aktlrvlkar nds hltlrgakcktls sdmacnls lk scnuh hl nc pd`ncmaýk, pdr nd tcktd, c trcvás hl ncs eukmadkls lslkmacnls hl nc scnuh pú`namc sl pulhlk mrlcr nds gasgds, mdk ln eak hl mdktrcrrlstcr ln agpcmtd qul fc tlkahd ln slhlktcrasgd sd`rl nc pd`ncmaýk mdndg`ackc, slrçc hl irck cpdrtl nc agpnlglktcmaýk hl lstrctliacs pdr glhad hl nds mckcnls hl havunicmaýk c kavln kcmadkcn yc slck rchacnls d tlnlvasavds, qul prdgulvck nc prãmtamc rliuncr hl cmtavahch eçsamc hlshl mcsc, chquasamaýk hl `ulkds fã`atds cnaglktamads tlkalkhd lk mulktc ncs mdkhamadkls hl mchc irupd ecganacr. Lstds prdircgcs hl`lk slr mdgpnltds l akmnuylktls, ls hlmar, qul c`crqulk d qul vcyck lkedmchds c plrsdkcs cpcrlktlglktl cpcrlktlglktl sckcs, lk mdkhamaýk hl hasmcpcmahch, y mdk haelrlktls tapds hl mdgdr`anahchls, lk nc mucn, tdhds y tdhcs rlcnamlk cmtavahch eçsamc hlshl mcsc sak lxmlpmaýk cniukc. Hl aiucn gcklrc, csç, mdgd sl prdgulvl ln ncvchd hl gckds mdkstcktlglktl, tcg`aák sl tlkic lk mulktc nc rlcnazcmaýk hl cmtavahchls qul ilklrlk uk icstd mcnýramd mchc 32 gakutds, pcrc prdpamacr kulvcs mdkhumtcs scnuhc`nls lk nc pd`ncmaýk mdndg`ackc.

 

RPÃMXAMC] HL RPDE\KHAZCMAÝK: LKEDS\L MDG\KAXCPAD  

HDMLKXL: EX. CKIAL VAGLKC MCNHLPÝK RLÓC  

@a`nadirceçc Crlvcnd. F, X. G. (0202). Agpcmtd hln casncgalktd prlvlktavd d`naictdrad lk nc cmtavahch eçsamc hacrac y lk ln plsd hl nds kaóds hurcktl nc pckhlgac pdr ]CP]-MdU-0. Plvastc Mdndg`ackc hl Mcrhadndiçc . Mlnas-Gdrcnl, M. (0202). Akcmtavahch eçsamc y slhlktcrasgd. Nc dtrc mcrc hl nds lelmtds slmukhcrads hl nc Rckhlgac hl MDUAH-31. Plvastc Glhamc hl Mfanl. Ndvlxcar, E. (=3 hl Junad hl 0202). ]lhlktcrasgd, nc sliukhc pckhlgac trcs nc mdvah-31: ´mýgd vdnvlr c nc cmtavahch eçsamc4 Mdksuglr .