Health expenditures: factors influencing the offer and demand for health services

• Autor(a) principal: Zucchi, Paola
• Data de Publicação: 1998
• Outros Autores: Nero, Carlos Del, Malik, Ana Maria
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Revista de Administração Pública
• Texto Completo: https://periodicos.fgv.br/rap/article/view/7759
• topic: health spending; offering; demand; consumption health; health service.; gasto en salud; Oferta; la demanda; el consumo de la salud; servicio de salud.; gastos em saúde; oferta; demanda; consumo de saúde; serviço de saúde.

The State's current financiaI crisis makes it important to use adequately the available economic resources. To spend less and better should be one of the goals of the health sector: This paper presents a reflection about this problem and analyzes the factors that interfere on the offer and demand for health care, besides other important reasons for the rising expenditures inhealth in most Westem countries. The demand factors cannot be rapidly controlled, depending a lot on the consumer or on the social protection. On the other hand, the offer factors are much more easily controlIed, with the help of regulations for the installation of heavy equipment, hospital budgets,or the control on the number of health professionals that graduate. Nevertheless, the literature shows very few successful examples of such measures. In Brazil, similar attempts have been unsuccessful, mosdy due to the heaIth sector's managerial and financiaI difficulties.