Revista Cubana de Salud Pública
Print version ISSN 0864-3466
PEREZ MAZA, Benito A. Equity in healthcare services. Rev. cub. salud pública [online]. 2007, vol.33, n.3. ISSN 0864-3466. http://dx.doi.org/10.1590/S0864-34662007000300007.
This article offered the following elements on the term equity. Equity is rooted in the fundamental human rights; equity does not mean equality. For inequality to be equitable it requires ethical and moral justification and in Cuba equity is a premise for decisions as it was implicitly announced in "History will abssolve me". The cuban healthcare system is aimed at producing health in the best possible way based on two main indicators, that is, social efficacy and social satisfaction. Equity is a necessary strategic condition for access to health services according to needs and possibilities. The article demonstrated that the health sector reform in Cuba is a steady and sustainable process and that political decision-making, legal provisions and the society´s values assure the access of every Cuban to healthcare services. Accesibility is understood as easy way to gain access to and receive health care services whenever needed in a comprehensive and timely way, but it is imperative to advance further in this regard. The waiting list, the order of arrival are administrative measures to somehow adjust the demand to the real health service capacities; however, avoidability is considered the key concept for equity as a source of action to eliminate, reduce, neutralize the causes, more subjective than objective, that delay care to patient even in a comprehensive free state-run and unique healthcare system like ours.
Keywords : Equity; inequalities; health services; accesibility; avoidability.