Review of scientific production on conjuncture analysis: contribution to political analysis in health

ABSTRACT Several approaches developed in the humanities and social sciences have been used in the political analysis in health, one of them is the conjuncture analysis. In order to systematize the main concepts, references and methodological strategies of this type of study and to problematize its application in the health area, a systematic review was carried out on the subject. It was not identified a single theoretical reference or a standard methodology, but it is worth highlighting the fact that most articles do not bother to clearly explain theories and methods. The articles that focused on the political dimension included, among their objectives, analyzing facts and social actors involved. Regarding the articles that deal with health issues, it was possible to note a greater concern with theoretical and methodological aspects, and all commented about the relationship between the sectorial and other dimensions of a political and structural nature. Considering that the conjuncture analysis has the purpose of subsidizing the action, it is observed that when it is limited to a sector, it restricts the vision related to determinations that affect the facts and social actors, including in health, a condition that may harm the decision making.摘要 人文社科领域衍生的多种研究方法已被应用于卫生政治分析，其中之一为情势分析（conjuncture analysis）。为系统梳理此类研究的核心概念、理论依据与方法论策略，并就其在卫生领域的应用展开问题化探讨，本研究针对该主题开展了系统综述。研究未发现统一的理论依据或标准方法论，但值得注意的是，绝大多数文献均未清晰阐释其所采用的理论与方法。聚焦政治维度的文献，其研究目标涵盖对相关事实与社会行动者的分析。针对探讨卫生议题的文献而言，可观察到其更为关注理论与方法论层面的问题，且所有文献均讨论了卫生部门与其他政治性、结构性维度之间的关联。鉴于情势分析的核心目的是为实践行动提供支撑，可发现：若此类分析仅局限于单一部门，则会限制其对影响事实与社会行动者的决定性因素的认知视野——在卫生领域亦是如此，此种局限或会对决策制定造成损害。