Imposing budgeting: the health care experience

• Autor(a) principal: Helcias Côrtes Gonzaga Sagastume, Mariana
• Data de Publicação: 2017
• Outros Autores: Brito, Rodrigo Lino de, Delgado, Rodrigo Morais Lima, Moraes, Bruno Pinto de
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Cadernos Gestão Pública e Cidadania (Online)
• Texto Completo: https://periodicos.fgv.br/cgpc/article/view/64009
• topic: Public management; Unified Health Care System (SUS); public funding; imposing budgeting; congress members’ expenditure amendments.; Administración Pública; sistema único de salud; financiamiento público; presupuesto impositivo; enmiendas parlamentarias.; Gestão pública; Sistema Único de Saúde; financiamento público; orçamento impositivo; emendas parlamentares.

The scenario of public funding changed in 2015, when expenditure amendments to the budget bill by individual congress members had their execution made mandatory. Thus, it is reasonable to expect that the allocation of these amendments will need to be managed, with a view to aligning them with public policies. In this exploratory article, we selected the context of health care because of the potential impact of this change on this field. We analyzed to what extent congress members’ expenditure amendments to the Unified Health Care System (SUS) between 2012 and 2015 were in line with the system's agenda and how this indicates alignments between the executive and legislative branches. Quantitative and qualitative analyses were conducted to determine whether mandatory amendments contribute to strengthen the funding of health care policy and to achieve the goals of its agenda.