Journal of Public Administration, Finance and Law Issue 2/2012 41 THE IMPACT OF THE HEALTH SYSTEM DETERMINANTS

Abstract Objectives: Social determinants usually identified as factors that influence health and health equity, including equity, such as housing, employment and education- factors of "upstream". More and more evidence from a variety of areas indicate that health systems are themselves factors of social determinants. They are seen more frequently as determinants of "downstream " type- as means of access to health services for disadvantaged groups, and this shows how health systems have significant influence, affecting the socio-political and economic environment. Purpose: The scientific evidence noted that when health systems are appropriately designed and managed properly, can address inequities in health. This occurs when an environment specifically address the disadvantaged and marginalized populations, including women, poorer groups and others excluded by stigma and discrimination. Methods: The current approach gives greater benefits to the society: a sense of security, hope, prosperity, social cohesion and trust needed for specialized assistance in times of sickness and by these characteristics can influence economic construction and social support programs that promote equity in health. In some cases, health systems actively perpetuate the injustice and social stratification. Results: There are health systems which fail to implement the institutional expertise to address the social determinants of health and does not contribute effectively to social responsibility in the interest of equity in health. Institutionalization of healt