title: [Sustainability focus in the health plans of the autonomous communities: sustainable development as an opportunity].
abstract: OBJECTIVE
  To determine the degree to which the health plans of the autonomous communities focus on the usual three dimensions of sustainability: economic, social and environmental, both in the general level of discourse and in the different areas of intervention.
  
  
  METHODS
  A qualitative study was conducted through content analysis of a large sample of documents. The specific methodology was analysis of symbolic and operational sensitivity in a sample of eleven health plans of the Spanish state.
  
  
  RESULTS
  Social aspects, such as social determinants or vulnerable groups, are receiving increasing attention from the health planner, although there is room to strengthen attention to environmental issues and to provide specific interventions in economic terms.
  
  
  CONCLUSIONS
  The analysis demonstrates the incipient state of health plans as strategic planning documents that integrate economic, social and environmental aspects and contribute to the sustainability of the different health systems of the country.
authors.affiliation: Departamento de Finanzas y Contabilidad, Universitat Jaume I, Castellón, España. Electronic address: moyanoma@me.com.
authors.forename: Miguel A
authors.initials: MA
authors.lastname: Moyano-Santiago
authors.affiliation: Departamento de Finanzas y Contabilidad, Universitat Jaume I, Castellón, España.
authors.forename: Juana M
authors.initials: JM
authors.lastname: Rivera-Lirio
mesh_terms: D006284:Health Plan Implementation / Q000191:economics / Q000379:methods* / Q000458:organization & administration; D006291:Health Policy; D006293:Health Promotion; D006306:Health Surveys; D006801:Humans; D036301:Qualitative Research; D013030:Spain
keywords: Calidad de la atención de salud; Health service research; Holistic health; Investigación en servicios de salud; Public health; Quality of healthcare; Salud holística; Salud pública