The challenges of funding the Brazilian health system in fighting the COVID-19 pandemic in the context of the federative pact

Detalhes bibliográficos
Autor(a) principal: Fernandes, Gustavo Andrey Almeida Lopes
Data de Publicação: 2020
Outros Autores: Pereira, Blenda Leite Saturnino
Tipo de documento: Artigo
Idioma: por
eng
Título da fonte: Revista de Administração Pública
Texto Completo: https://periodicos.fgv.br/rap/article/view/81875
Resumo: The improvement of rules to fund the Brazilian health system (SUS) in states and municipalities is one of the major public health challenges in Brazil. The purpose of this article is to contribute to this broad debate, analyzing the government's response to the challenge of combating COVID-19, from the perspective of public financing of health services of Brazilian subnational governments. A qualitative and quantitative approach is adopted, combining documentary analysis and regression analysis. The results show that there was no substantive change in the criteria for transfers, which are not sensitive to epidemiological factors. Adjustments to the application rules were made to speed up spending. Population size, production of local wealth, and the number of hospital beds are the main factors that define the distribution of resources. The funding design for combating COVID-19, as well as the volume of resources, are insufficient in view of the scale of the crisis.
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spelling The challenges of funding the Brazilian health system in fighting the COVID-19 pandemic in the context of the federative pactLos desafíos de la financiación del enfrentamiento a la COVID-19 en el SUS dentro del pacto federativoOs desafios do financiamento do enfrentamento à COVID-19 no SUS dentro do pacto federativoCOVID-19healthpublic administrationpublic financefederalism.COVID-19saludadministración públicafinanzas públicasfederalismo.COVID-19saúdeadministração públicafinanças públicasfederalismo.The improvement of rules to fund the Brazilian health system (SUS) in states and municipalities is one of the major public health challenges in Brazil. The purpose of this article is to contribute to this broad debate, analyzing the government's response to the challenge of combating COVID-19, from the perspective of public financing of health services of Brazilian subnational governments. A qualitative and quantitative approach is adopted, combining documentary analysis and regression analysis. The results show that there was no substantive change in the criteria for transfers, which are not sensitive to epidemiological factors. Adjustments to the application rules were made to speed up spending. Population size, production of local wealth, and the number of hospital beds are the main factors that define the distribution of resources. The funding design for combating COVID-19, as well as the volume of resources, are insufficient in view of the scale of the crisis.La mejora de las normas de financiación del Sistema Único de Salud (SUS) en los estados y municipios es uno de los principales desafíos de salud pública en Brasil. El propósito de este artículo es contribuir a este amplio debate, analizando la respuesta del gobierno al desafío de combatir COVID-19, bajo el prisma de la financiación pública para los servicios de salud de los gobiernos subnacionales brasileños. Se adopta un enfoque cualitativo cuantitativo, que combina el análisis documental y el análisis de regresión. Los resultados muestran que no hubo cambios sustanciales en los criterios de transferencia, poco sensibles a los factores epidemiológicos. Se hicieron ajustes a las reglas de aplicación para acelerar el gasto. El tamaño de la población, la producción de riqueza local y el número de camas de hospital parecen ser los principales factores que definen la distribución de los recursos. El diseño de financiamiento para combatir COVID-19, así como el volumen de recursos, parece ser insuficiente en vista de la magnitud de la crisis.O aprimoramento das regras de financiamento do Sistema Único de Saúde (SUS) em estados e municípios é um dos grandes desafios da saúde pública no Brasil. O objetivo deste artigo é contribuir para este amplo debate, analisando a resposta governamental ao desafio de combate à COVID-19, sob o prisma do financiamento público dos serviços de saúde dos governos subnacionais brasileiros. Uma abordagem quali-quantitativa é adotada, mesclando-se análise documental e análise de regressão. Resultados mostram que não houve mudança substantiva nos critérios de repasse, pouco sensíveis a fatores epidemiológicos. Ajustes nas normas de aplicação foram realizados para dar maior agilidade aos gastos. Tamanho populacional, produção de riquezas locais e número de leitos de internação parecem ser os principais fatores que definem a distribuição dos recursos. O desenho de financiamento do combate à COVID-19, assim como o volume de recursos parecem ser insuficientes frente à dimensão da crise.Fundação Getulio Vargas (FGV EBAPE)2020-07-16info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://periodicos.fgv.br/rap/article/view/81875Brazilian Journal of Public Administration; Vol. 54 No. 4 (2020): The response of the Brazilian public administration to the challenges of the pandemic; 595-613Revista de Administração Pública; Vol. 54 Núm. 4 (2020): La respuesta de la administración pública brasileña a los desafíos de la pandemia; 595-613Revista de Administração Pública; v. 54 n. 4 (2020): A resposta da administração pública brasileira aos desafios da pandemia; 595-6131982-31340034-7612reponame:Revista de Administração Públicainstname:Fundação Getulio Vargas (FGV)instacron:FGVporenghttps://periodicos.fgv.br/rap/article/view/81875/78076https://periodicos.fgv.br/rap/article/view/81875/pdf_352Copyright (c) 2020 Revista de Administração Públicainfo:eu-repo/semantics/openAccessFernandes, Gustavo Andrey Almeida LopesPereira, Blenda Leite Saturnino2020-08-10T18:05:50Zoai:ojs.periodicos.fgv.br:article/81875Revistahttps://ebape.fgv.br/publicacoes/rapONGhttps://old.scielo.br/oai/scielo-oai.php||rap@fgv.br1982-31340034-7612opendoar:2020-08-10T18:05:50Revista de Administração Pública - Fundação Getulio Vargas (FGV)false
dc.title.none.fl_str_mv The challenges of funding the Brazilian health system in fighting the COVID-19 pandemic in the context of the federative pact
Los desafíos de la financiación del enfrentamiento a la COVID-19 en el SUS dentro del pacto federativo
Os desafios do financiamento do enfrentamento à COVID-19 no SUS dentro do pacto federativo
title The challenges of funding the Brazilian health system in fighting the COVID-19 pandemic in the context of the federative pact
spellingShingle The challenges of funding the Brazilian health system in fighting the COVID-19 pandemic in the context of the federative pact
Fernandes, Gustavo Andrey Almeida Lopes
COVID-19
health
public administration
public finance
federalism.
COVID-19
salud
administración pública
finanzas públicas
federalismo.
COVID-19
saúde
administração pública
finanças públicas
federalismo.
title_short The challenges of funding the Brazilian health system in fighting the COVID-19 pandemic in the context of the federative pact
title_full The challenges of funding the Brazilian health system in fighting the COVID-19 pandemic in the context of the federative pact
title_fullStr The challenges of funding the Brazilian health system in fighting the COVID-19 pandemic in the context of the federative pact
title_full_unstemmed The challenges of funding the Brazilian health system in fighting the COVID-19 pandemic in the context of the federative pact
title_sort The challenges of funding the Brazilian health system in fighting the COVID-19 pandemic in the context of the federative pact
author Fernandes, Gustavo Andrey Almeida Lopes
author_facet Fernandes, Gustavo Andrey Almeida Lopes
Pereira, Blenda Leite Saturnino
author_role author
author2 Pereira, Blenda Leite Saturnino
author2_role author
dc.contributor.author.fl_str_mv Fernandes, Gustavo Andrey Almeida Lopes
Pereira, Blenda Leite Saturnino
dc.subject.por.fl_str_mv COVID-19
health
public administration
public finance
federalism.
COVID-19
salud
administración pública
finanzas públicas
federalismo.
COVID-19
saúde
administração pública
finanças públicas
federalismo.
topic COVID-19
health
public administration
public finance
federalism.
COVID-19
salud
administración pública
finanzas públicas
federalismo.
COVID-19
saúde
administração pública
finanças públicas
federalismo.
description The improvement of rules to fund the Brazilian health system (SUS) in states and municipalities is one of the major public health challenges in Brazil. The purpose of this article is to contribute to this broad debate, analyzing the government's response to the challenge of combating COVID-19, from the perspective of public financing of health services of Brazilian subnational governments. A qualitative and quantitative approach is adopted, combining documentary analysis and regression analysis. The results show that there was no substantive change in the criteria for transfers, which are not sensitive to epidemiological factors. Adjustments to the application rules were made to speed up spending. Population size, production of local wealth, and the number of hospital beds are the main factors that define the distribution of resources. The funding design for combating COVID-19, as well as the volume of resources, are insufficient in view of the scale of the crisis.
publishDate 2020
dc.date.none.fl_str_mv 2020-07-16
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://periodicos.fgv.br/rap/article/view/81875
url https://periodicos.fgv.br/rap/article/view/81875
dc.language.iso.fl_str_mv por
eng
language por
eng
dc.relation.none.fl_str_mv https://periodicos.fgv.br/rap/article/view/81875/78076
https://periodicos.fgv.br/rap/article/view/81875/pdf_352
dc.rights.driver.fl_str_mv Copyright (c) 2020 Revista de Administração Pública
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2020 Revista de Administração Pública
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Fundação Getulio Vargas (FGV EBAPE)
publisher.none.fl_str_mv Fundação Getulio Vargas (FGV EBAPE)
dc.source.none.fl_str_mv Brazilian Journal of Public Administration; Vol. 54 No. 4 (2020): The response of the Brazilian public administration to the challenges of the pandemic; 595-613
Revista de Administração Pública; Vol. 54 Núm. 4 (2020): La respuesta de la administración pública brasileña a los desafíos de la pandemia; 595-613
Revista de Administração Pública; v. 54 n. 4 (2020): A resposta da administração pública brasileira aos desafios da pandemia; 595-613
1982-3134
0034-7612
reponame:Revista de Administração Pública
instname:Fundação Getulio Vargas (FGV)
instacron:FGV
instname_str Fundação Getulio Vargas (FGV)
instacron_str FGV
institution FGV
reponame_str Revista de Administração Pública
collection Revista de Administração Pública
repository.name.fl_str_mv Revista de Administração Pública - Fundação Getulio Vargas (FGV)
repository.mail.fl_str_mv ||rap@fgv.br
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