Este trabalho busca contribuir no debate acerca dos movimentos sociais, especificamente no do movimento de moradia. Oferece uma análise das dinâmicas estatais de desenvolvimento das políticas e produções habitacionais em três esferas de governo: o Governo Federal, o Governo Estadual paulista, e a Prefeitura Municipal de São Paulo. O estudo aborda a atuação destes níveis de governo desde suas origens até 2002. Ele analisa os diferentes períodos do desenvolvimento desta atuação, examinando os modelos habitacionais que os caracterizaram. Esta análise focou-se na variação da distribuição das atividades fundamentais, à produção habitacional financiada por fundos públicos, presente nos diferentes programas habitacionais realizados ao longo do tempo. Assim ela procurou identificar as continuidades e descontinuidades da ação estatal. Expõe desta forma as preferências demonstradas pelo Estado em sua ação. Isto permitiu delinear o papel do movimento de moradia em alguns dos modelos habitacionais surgidos desde a Nova República. / This study intends to contribute to debate of social movements which gather dwellings. It approaches an analysis on State-oriented dynamics to develop policies and dwellings production into three branches of government: Federal, local State of São Paulo and São Paulo county level. The policies and action of these three levels are made accessible from its origins to 2002. An effort to analysis of different moments into the process of the public action is made. The models for habitation produce are under examination. The approach focuses changes in the distribution from the basic actions up to habitation produce financed by public funds. This has been found in different dwelling programs produced through all the time. The analysis attempts to identify continuities and discontinuities into the public action. It exposes by this way the preferences shown by the State performance. Such an approach allowed to outline the role of the gather dwellings movement in some of the habitation produce models that were developed since the New Republic arrival

Este trabalho busca contribuir no debate acerca dos movimentos sociais, especificamente no do movimento de moradia. Oferece uma análise das dinâmicas estatais de desenvolvimento das políticas e produções habitacionais em três esferas de governo: o Governo Federal, o Governo Estadual paulista, e a Prefeitura Municipal de São Paulo. O estudo aborda a atuação destes níveis de governo desde suas origens até 2002. Ele analisa os diferentes períodos do desenvolvimento desta atuação, examinando os modelos habitacionais que os caracterizaram. Esta análise focou-se na variação da distribuição das atividades fundamentais, à produção habitacional financiada por fundos públicos, presente nos diferentes programas habitacionais realizados ao longo do tempo. Assim ela procurou identificar as continuidades e descontinuidades da ação estatal. Expõe desta forma as preferências demonstradas pelo Estado em sua ação. Isto permitiu delinear o papel do movimento de moradia em alguns dos modelos habitacionais surgidos desde a Nova República. / This study intends to contribute to debate of social movements which gather dwellings. It approaches an analysis on State-oriented dynamics to develop policies and dwellings production into three branches of government: Federal, local State of São Paulo and São Paulo county level. The policies and action of these three levels are made accessible from its origins to 2002. An effort to analysis of different moments into the process of the public action is made. The models for habitation produce are under examination. The approach focuses changes in the distribution from the basic actions up to habitation produce financed by public funds. This has been found in different dwelling programs produced through all the time. The analysis attempts to identify continuities and discontinuities into the public action. It exposes by this way the preferences shown by the State performance. Such an approach allowed to outline the role of the gather dwellings movement in some of the habitation produce models that were developed since the New Republic arrival

Contexte : La quantification des subjectivités associées aux états de santé peut fournir des informations sur la qualité de vie reliée à la santé (QVRS). Pour rendre compte de ces subjectivités dans la mesure de la QVRS, on utilise des instruments d'utilité multi attribut comme le Short-Form 6-Dimension Version 2 (SF-6Dv2). Ces instruments permettent de décrire les états de santé, de dériver les utilités correspondantes et d’estimer le changement minimal important (CMI) qui est spécifique à différents groupes de populations, afin de tirer des inférences sur l'état de santé de la population. Le CMI est ici un point central correspondant à la variation minimale considérée comme importante dans la QVRS par les répondants. Le but de cette étude est de déceler le seuil de CMI du SF-6Dv2 pour un échantillon de la communauté québécoise. Méthodes : Une enquête en ligne auprès de la population générale adulte du Québec a été menée entre mars 2020 et septembre 2021 pendant six cycles ou intervalles de temps. Le questionnaire SF-6Dv2 a été administré à chaque cycle, ainsi qu’une question sur la perception d’un changement dans l’état de santé (‘Global Rating of Change’) à partir du cycle 2. Les scores d’utilité en santé ont été calculés pour chaque participant à l’aide de deux ensembles de valeurs de référence (‘value set’), soit pour le Royaume-Uni et le Québec. Actuellement il n'existe pas de value set canadien pour le SF-6Dv2 et le value set québécois n'était disponible qu'en 2023. Une analyse des données avec des méthodes basées sur la distribution et l’ancrage a été effectuée pour déterminer les valeurs de CMI. Résultats : En considérant que les participants avec les réponses 2 ou 4 à la question du ‘Global Rating of Change’ ont connu un changement minimal dans leur état de santé, le CMI calculé avec la pondération du Royaume-Uni était de 0,030 (IC 95% [0,023 ; 0,038], valeur p < 0,001) et pour le Québec de 0,029 (IC 95% [0,023 ; 0,036], valeur p < 0,001) pour le SF-6Dv2. Les méthodes basées sur la distribution ont permis d'obtenir une réponse moyenne standardisée (SRM) de 0,134 et 0,152 avec les ensembles de valeurs du Royaume-Uni et du Québec, respectivement. La taille de l'effet et le demi-écart-type ont également été calculés (0,106 et 0,143 avec Royaume-Uni) (0,115 et 0,127 avec Québec). Conclusion : Le CMI calculé valide la bonne sensibilité (réactivité) du SF-6Dv2 dans la population générale du Québec et fournit une estimation du seuil minimalement important pour les participants. Le CMI permet d’interpréter la QVRS calculée et l’utiliser pour comprendre si la santé s'est significativement améliorée ou détériorée du point de vue des répondants. Les études d’évaluation des technologies de la santé et de prise de décision deviennent ainsi plus valables, car elles tiennent compte de la subjectivité individuelle ressentie et associée à un état de santé particulier, en plus des résultats cliniques objectifs. / Background: Quantifying subjectivities associated with health states can offer information on the health-related quality of life (HRQoL). To account for such subjectivities on HRQoL we use multi attribute utility instruments such as the Short-Form 6-Dimension version 2 (SF-6Dv2). They allow health state description, derive corresponding health utilities, and provide an estimate of minimal important change (MIC) which is specific to different population groups, for inferences on population health. MIC is a central point corresponding to the minimal change in HRQoL that is considered important by the participant. The aim of this study was to find the minimal important change of a generic preference-based instrument, the SF-6Dv2 for a Quebec community sample. Methods: An online survey of the adult general population in Quebec was conducted between March 2020 and September 2021 over six time intervals. SF-6Dv2 was administered at each cycle and a global rating of change question was also administered in the follow-up cycles starting from cycle 2. Health utilities were calculated for each participant using a United Kingdom (UK) based value set (preference weights) and a Quebec value set. At present a Canadian value set is not available for SF-6Dv2 and the Quebec value set was developed in 2023. Data analysis was performed with both anchor and distribution-based methods to ascertain the MIC values. Results: Considering the participants who chose 2 or 4 in the Global Rating of Change question as having experienced a minimal change in health state, the MIC calculated with UK value set was 0.03 (95% CI [0.023 ; 0.038], p-value < 0.001) and with Quebec value set 0.0293 (95% CI [0,023 ; 0,036], p-value < 0,001) for SF-6Dv2. Distribution-based methods yielded a standardized response mean (SRM) of 0.134 and 0.152 with the UK and Quebec value sets, respectively. Effect size and half a standard deviation were 0.106, 0.143 for UK and 0.115, 0.127 for Quebec, respectively. Conclusion: The MIC calculated hence validates SF-6Dv2’s responsiveness in the general population and estimates a utility score minimally important to the participants. This MIC enables HRQoL calculated from such instruments to be appropriately interpreted and to understand if health has improved or deteriorated from the participant’s perspective. Further rendering health technology evaluation and decision-making studies more valid by accounting for the subjectivity felt and associated with a particular health state, apart from the objective clinical results.