Equidad y distribución geográfica de recursos financieros en los sistemas de salud

Detalhes bibliográficos
Autor(a) principal: Porto, Silvia Marta
Data de Publicação: 2002
Tipo de documento: Artigo
Idioma: spa
Título da fonte: Cadernos de Saúde Pública
Texto Completo: https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/1683
Resumo: This study focuses on equity in health and specifically the geographic distribution of financial resources. The author reviews the main contemporary theories of social justice and discusses the concept of equity in general and specifically in the health field. Based on the discussion of selected international experiences (United Kingdom, Spain, and Italy), the Resource Allocation Working Party (RAWP) formula used in the United Kingdom is identified as the most adequate distributive methodology, sizing the relative needs based on the population's demographic and epidemiological profiles. Finally, the results are presented from a simulation performed for the Brazilian case, showing that a more equitable geographic distribution of financial resources would require a redistribution favoring the States of the North and Northeast. The article concludes by highlighting that a comparison of actual fund outlays by the Ministry of Health in 1994 and the results of the simulation with the RAWP methodology for the Brazilian case show that the principles written into Brazilian legislation were absent from the geographic distribution of financial resources.
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spelling Equidad y distribución geográfica de recursos financieros en los sistemas de saludEquidadSistema de SaludServicios de SaludPolítica de SaludThis study focuses on equity in health and specifically the geographic distribution of financial resources. The author reviews the main contemporary theories of social justice and discusses the concept of equity in general and specifically in the health field. Based on the discussion of selected international experiences (United Kingdom, Spain, and Italy), the Resource Allocation Working Party (RAWP) formula used in the United Kingdom is identified as the most adequate distributive methodology, sizing the relative needs based on the population's demographic and epidemiological profiles. Finally, the results are presented from a simulation performed for the Brazilian case, showing that a more equitable geographic distribution of financial resources would require a redistribution favoring the States of the North and Northeast. The article concludes by highlighting that a comparison of actual fund outlays by the Ministry of Health in 1994 and the results of the simulation with the RAWP methodology for the Brazilian case show that the principles written into Brazilian legislation were absent from the geographic distribution of financial resources.Este trabajo aborda la temática de la equidad en la salud, pero específicamente, en la distribución geográfica de los recursos financieros. Hace un repaso de las principales teorías de justicia social en el pensamiento contemporáneo y discute el concepto de equidad en general y en el campo de la salud. Tomando como base la discusión de algunas experiencias internacionales (Inglaterra, España e Italia), se identifica como metodología distributiva más adecuada la fórmula RAWP llevada a cabo en Inglaterra, que proporciona dimensiones a las necesidades relativas a partir de los perfiles tanto demográficos como epidemiológicos de la población. Finalmente se presentan los resultados obtenidos en simulación efectuados para el caso brasileño. Los resultados presentados para el caso brasileño permitieron verificar que, para una distribución geográfica de recursos financieros más equitativa, sería necesaria una redistribución en favor de los estados de las regiones Norte y Nordeste. Finalmente se destaca que, la comparación entre la utilización de recursos efectuada en 1994 por el Ministerio de Salud y los resultados obtenidos en la simulación de la metodología RAWP para el caso brasileño muestran que los principios enunciados en la legislación no estuvieron presentes en la distribución geográfica de recursos financieros.Reports in Public HealthCadernos de Saúde Pública2002-08-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlapplication/pdfhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/1683Reports in Public Health; Vol. 18 No. 4 (2002): July/AugustCadernos de Saúde Pública; v. 18 n. 4 (2002): Julho/Agosto1678-44640102-311Xreponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZspahttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/1683/3354https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/1683/3355Porto, Silvia Martainfo:eu-repo/semantics/openAccess2024-03-06T15:26:34Zoai:ojs.teste-cadernos.ensp.fiocruz.br:article/1683Revistahttps://cadernos.ensp.fiocruz.br/ojs/index.php/csphttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/oaicadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br1678-44640102-311Xopendoar:2024-03-06T13:01:58.627892Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)true
dc.title.none.fl_str_mv Equidad y distribución geográfica de recursos financieros en los sistemas de salud
title Equidad y distribución geográfica de recursos financieros en los sistemas de salud
spellingShingle Equidad y distribución geográfica de recursos financieros en los sistemas de salud
Porto, Silvia Marta
Equidad
Sistema de Salud
Servicios de Salud
Política de Salud
title_short Equidad y distribución geográfica de recursos financieros en los sistemas de salud
title_full Equidad y distribución geográfica de recursos financieros en los sistemas de salud
title_fullStr Equidad y distribución geográfica de recursos financieros en los sistemas de salud
title_full_unstemmed Equidad y distribución geográfica de recursos financieros en los sistemas de salud
title_sort Equidad y distribución geográfica de recursos financieros en los sistemas de salud
author Porto, Silvia Marta
author_facet Porto, Silvia Marta
author_role author
dc.contributor.author.fl_str_mv Porto, Silvia Marta
dc.subject.por.fl_str_mv Equidad
Sistema de Salud
Servicios de Salud
Política de Salud
topic Equidad
Sistema de Salud
Servicios de Salud
Política de Salud
description This study focuses on equity in health and specifically the geographic distribution of financial resources. The author reviews the main contemporary theories of social justice and discusses the concept of equity in general and specifically in the health field. Based on the discussion of selected international experiences (United Kingdom, Spain, and Italy), the Resource Allocation Working Party (RAWP) formula used in the United Kingdom is identified as the most adequate distributive methodology, sizing the relative needs based on the population's demographic and epidemiological profiles. Finally, the results are presented from a simulation performed for the Brazilian case, showing that a more equitable geographic distribution of financial resources would require a redistribution favoring the States of the North and Northeast. The article concludes by highlighting that a comparison of actual fund outlays by the Ministry of Health in 1994 and the results of the simulation with the RAWP methodology for the Brazilian case show that the principles written into Brazilian legislation were absent from the geographic distribution of financial resources.
publishDate 2002
dc.date.none.fl_str_mv 2002-08-01
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://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/1683
url https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/1683
dc.language.iso.fl_str_mv spa
language spa
dc.relation.none.fl_str_mv https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/1683/3354
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/1683/3355
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
application/pdf
dc.publisher.none.fl_str_mv Reports in Public Health
Cadernos de Saúde Pública
publisher.none.fl_str_mv Reports in Public Health
Cadernos de Saúde Pública
dc.source.none.fl_str_mv Reports in Public Health; Vol. 18 No. 4 (2002): July/August
Cadernos de Saúde Pública; v. 18 n. 4 (2002): Julho/Agosto
1678-4464
0102-311X
reponame:Cadernos de Saúde Pública
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
instname_str Fundação Oswaldo Cruz (FIOCRUZ)
instacron_str FIOCRUZ
institution FIOCRUZ
reponame_str Cadernos de Saúde Pública
collection Cadernos de Saúde Pública
repository.name.fl_str_mv Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)
repository.mail.fl_str_mv cadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br
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