Resumen

ALVAREZ PEREZ, Adolfo Gerardo et al. Health's differentials and a approaching to use of Gini's coefficient and the rate of concentration in the Cuban provinces, 2002-2008. Rev Cubana Hig Epidemiol [online]. 2011, vol.49, n.2, pp. 202-217. ISSN 1561-3003.

INTRODUCTION: There is a lack of scientific publications approaching the health differentials among the Cuban provinces and of to document the leading factors with impact on the health results in the population during the period 1989-2000. In 2002 Fidel Castro Rus emphasized on the existence of errors in the management and organization during above mentioned period, that according to his criterion to weaken the Cuban health system and led to appearance of "determined inequalities". OBJECTIVE: To describe the leading health differentials present among the different Cuban territories (determinant health factors for Cubans) during the study period (2002-2008). METHODS: The province was used as geographical unit. The fourteen Cuban provinces were stratified on the base of the three fundamental bases: demographic, economic and life conditions to identify the potential health differentials (inequalities in health and in its services) using the Gini's coefficient technique and the concentration's index. RESULTS: The leading factors or variables with health differentials present in our country by provinces during the study period are showed, identifying the factors or variables with greater differentials by each of the demographic bases (population density), economic (commercial production) and life conditions (health coverage). The differences present among each of the provinces and regions are defined as well as the very particular characteristics of the Cuban capital as province. CONCLUSIONS: The hypothesis that despite the strong political and state will to avoid health inequalities, still there are no-significant differences in the behavior of study variables by each of the bases of analysis among provinces. Nevertheless, there differences among the behavior of such differentials according to analysis's bases, features that be and were considered during the process of health politics design, of reorganization of health services, of human resource training and the intersectorial approach of non-health physicians determinants during the more hard year of special period, confirming the theoretical model previously developed by the authors.

Palabras clave : Health determinants; health differentials; Gini's coefficient; concentration index; political will and inter-sectoriality.

        · resumen en Español     · texto en Español     · Español ( pdf )