Analysis of technical efficiency of expenditures with public health in the state of Ceara microregion BaturitÃ
Autor(a) principal: | |
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Data de Publicação: | 2012 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Biblioteca Digital de Teses e Dissertações da UFC |
Texto Completo: | http://www.teses.ufc.br/tde_busca/arquivo.php?codArquivo=7905 |
Resumo: | This study aims to analyze the efficiency of public spending on health in the state of Cearà in Microregion Baturità in the period 2006 to 2010. To this end, we used the database system Public Health Budget (SIOPS) and indicators of the program by Covenant Health, prioritized and monitored by the Municipal Health, intercropped with tool use Data Envelopment Analysis (DEA) with constant returns to scale-oriented products with raw material as per capita spending and as products of the indicators: coverage rate by the Family Health Program (PSF), proportion of live births to mothers with more than 4 or more queries antenatal (prenatal) and rate of hospitalization for stroke (CVA), service rate by accident with diabetes (diabetes) and rate of hospitalization (inttx) and rate of children under 05 years with low weight (weight). The study shows Guaramiranga with increased spending between 2008 and 2010 without, however, present significant variation in the indicators in relation to other units. The PC is markedly higher spending other unit in the entire period (2006 to 2010). It has the worst scores of overall efficiency and recovery in 2010 although it has never reached the efficiency frontier. In the five years observed (2006-2010), the unit package and Baturità were four times the efficiency frontier, ItapiÃna, Capistrano and Mulungu 2 times AraÃoiaba a time. Aratubaand Guaramiranga did not reach the efficiency frontier in any year noted. The wide variation in per capita spending associated with the small variation of the corresponding indicators among the units studied points to a low standardization of procedure and highlights the need to broaden the selection of indicators for health managers, seeks to include the major actions of five blocks funding created that defines the cost of health, to enable better monitoring of management and unit performance. |
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info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisAnalysis of technical efficiency of expenditures with public health in the state of Ceara microregion BaturitÃAnÃlise de eficiÃncia tÃcnica dos gastos pÃblicos com saÃde no estado do Cearà na microrregiÃo de BaturitÃ2012-01-30MaurÃcio Benegas10510899796http://lattes.cnpq.br/6095762582986164JoÃo MÃrio de FranÃa00000000085Nicolino Trompieri Neto91391750306http://buscatextual.cnpq.br/buscatextual/visualizacv.jsp?id=K4774844A115424145414http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4444129Y5Valter Luiz Ferreira de OliveiraUniversidade Federal do CearÃPrograma de PÃs-GraduaÃÃo em Economia - CAENUFCBREficiÃncia Gastos PÃblicos SUS DEAEfficiency Public Spending SUS DEACIENCIAS SOCIAIS APLICADASThis study aims to analyze the efficiency of public spending on health in the state of Cearà in Microregion Baturità in the period 2006 to 2010. To this end, we used the database system Public Health Budget (SIOPS) and indicators of the program by Covenant Health, prioritized and monitored by the Municipal Health, intercropped with tool use Data Envelopment Analysis (DEA) with constant returns to scale-oriented products with raw material as per capita spending and as products of the indicators: coverage rate by the Family Health Program (PSF), proportion of live births to mothers with more than 4 or more queries antenatal (prenatal) and rate of hospitalization for stroke (CVA), service rate by accident with diabetes (diabetes) and rate of hospitalization (inttx) and rate of children under 05 years with low weight (weight). The study shows Guaramiranga with increased spending between 2008 and 2010 without, however, present significant variation in the indicators in relation to other units. The PC is markedly higher spending other unit in the entire period (2006 to 2010). It has the worst scores of overall efficiency and recovery in 2010 although it has never reached the efficiency frontier. In the five years observed (2006-2010), the unit package and Baturità were four times the efficiency frontier, ItapiÃna, Capistrano and Mulungu 2 times AraÃoiaba a time. Aratubaand Guaramiranga did not reach the efficiency frontier in any year noted. The wide variation in per capita spending associated with the small variation of the corresponding indicators among the units studied points to a low standardization of procedure and highlights the need to broaden the selection of indicators for health managers, seeks to include the major actions of five blocks funding created that defines the cost of health, to enable better monitoring of management and unit performance.Este estudo tem como objetivo analisar a eficiÃncia dos gastos pÃblicos com saÃde no Estado do CearÃ, na MicrorregiÃo de BaturitÃ, no perÃodo de 2006 a 2010. Para tanto, utilizou-se o banco de dados do Sistema de OrÃamento PÃblico em SaÃde (SIOPS) e indicadores do programa Pacto pela SaÃde, considerados prioritÃrios e acompanhados pelas Secretarias Municipais de SaÃde, consorciados com o uso da ferramenta AnÃlise EnvoltÃria de Dados (DEA) com retornos constantes de escala orientada para os produtos, tendo como insumo o gasto per capita e como produtos os indicadores: taxa de cobertura pelo Programa de SaÃde da FamÃlia(PSF); proporÃÃo dos nascidos vivos de mÃes com quatro ou mais consultas de prÃnatal (prÃ-natal); taxa de internaÃÃo por acidente vascular cerebral (avc); taxa de internaÃÃo por diabetes (diabetes); taxa de internaÃÃo por residÃncia (tx de int); taxa de crianÃas menores de 05 anos com baixo peso (peso). O estudo mostra Guaramiranga com o maior gasto entre 2008 e 2010 sem, contudo, apresentar significativa variaÃÃo nos indicadores em relaÃÃo Ãs demais unidades. O Gasto pc à acentuadamente superior Ãs demais unidades em todo o perÃodo (2006 a 2010). Tem os piores escores de eficiÃncia do conjunto e, embora apresente recuperaÃÃo em 2010, nunca atingiu a fronteira de eficiÃncia. Nos cinco anos observados (2006 a 2010), as unidade de Pacoti e Baturità estiveram quatro vezes na fronteira de eficiÃncia, ItapiÃna, Capistrano e Mulungu, duas vezes, Aracoiaba, trÃs vezes. Aratuba e Guaramiranga nÃo atingiram a fronteira de eficiÃncia em nenhum ano observado. A grande variaÃÃo do gasto per capita associada à pequena variaÃÃo dos indicadores correspondentes entre as unidades estudadas aponta para uma baixa padronizaÃÃo de procedimento e evidencia a necessidade de se ampliar a seleÃÃo de indicadores pelos gestores de saÃde, visando contemplar as principais aÃÃes dos cinco blocos de financiamento criados, o que define o custeio das aÃÃes de saÃde, de modo a permitir melhor acompanhamento da gestÃo e do desempenho das unidades.nÃo hÃhttp://www.teses.ufc.br/tde_busca/arquivo.php?codArquivo=7905application/pdfinfo:eu-repo/semantics/openAccessporreponame:Biblioteca Digital de Teses e Dissertações da UFCinstname:Universidade Federal do Cearáinstacron:UFC2019-01-21T11:20:53Zmail@mail.com - |
dc.title.en.fl_str_mv |
Analysis of technical efficiency of expenditures with public health in the state of Ceara microregion Baturità |
dc.title.alternative.pt.fl_str_mv |
AnÃlise de eficiÃncia tÃcnica dos gastos pÃblicos com saÃde no estado do Cearà na microrregiÃo de Baturità |
title |
Analysis of technical efficiency of expenditures with public health in the state of Ceara microregion Baturità |
spellingShingle |
Analysis of technical efficiency of expenditures with public health in the state of Ceara microregion Baturità Valter Luiz Ferreira de Oliveira EficiÃncia Gastos PÃblicos SUS DEA Efficiency Public Spending SUS DEA CIENCIAS SOCIAIS APLICADAS |
title_short |
Analysis of technical efficiency of expenditures with public health in the state of Ceara microregion Baturità |
title_full |
Analysis of technical efficiency of expenditures with public health in the state of Ceara microregion Baturità |
title_fullStr |
Analysis of technical efficiency of expenditures with public health in the state of Ceara microregion Baturità |
title_full_unstemmed |
Analysis of technical efficiency of expenditures with public health in the state of Ceara microregion Baturità |
title_sort |
Analysis of technical efficiency of expenditures with public health in the state of Ceara microregion Baturità |
author |
Valter Luiz Ferreira de Oliveira |
author_facet |
Valter Luiz Ferreira de Oliveira |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
MaurÃcio Benegas |
dc.contributor.advisor1ID.fl_str_mv |
10510899796 |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/6095762582986164 |
dc.contributor.referee1.fl_str_mv |
JoÃo MÃrio de FranÃa |
dc.contributor.referee1ID.fl_str_mv |
00000000085 |
dc.contributor.referee2.fl_str_mv |
Nicolino Trompieri Neto |
dc.contributor.referee2ID.fl_str_mv |
91391750306 |
dc.contributor.referee2Lattes.fl_str_mv |
http://buscatextual.cnpq.br/buscatextual/visualizacv.jsp?id=K4774844A1 |
dc.contributor.authorID.fl_str_mv |
15424145414 |
dc.contributor.authorLattes.fl_str_mv |
http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4444129Y5 |
dc.contributor.author.fl_str_mv |
Valter Luiz Ferreira de Oliveira |
contributor_str_mv |
MaurÃcio Benegas JoÃo MÃrio de FranÃa Nicolino Trompieri Neto |
dc.subject.por.fl_str_mv |
EficiÃncia Gastos PÃblicos SUS DEA |
topic |
EficiÃncia Gastos PÃblicos SUS DEA Efficiency Public Spending SUS DEA CIENCIAS SOCIAIS APLICADAS |
dc.subject.eng.fl_str_mv |
Efficiency Public Spending SUS DEA |
dc.subject.cnpq.fl_str_mv |
CIENCIAS SOCIAIS APLICADAS |
dc.description.sponsorship.fl_txt_mv |
nÃo hà |
dc.description.abstract.por.fl_txt_mv |
This study aims to analyze the efficiency of public spending on health in the state of Cearà in Microregion Baturità in the period 2006 to 2010. To this end, we used the database system Public Health Budget (SIOPS) and indicators of the program by Covenant Health, prioritized and monitored by the Municipal Health, intercropped with tool use Data Envelopment Analysis (DEA) with constant returns to scale-oriented products with raw material as per capita spending and as products of the indicators: coverage rate by the Family Health Program (PSF), proportion of live births to mothers with more than 4 or more queries antenatal (prenatal) and rate of hospitalization for stroke (CVA), service rate by accident with diabetes (diabetes) and rate of hospitalization (inttx) and rate of children under 05 years with low weight (weight). The study shows Guaramiranga with increased spending between 2008 and 2010 without, however, present significant variation in the indicators in relation to other units. The PC is markedly higher spending other unit in the entire period (2006 to 2010). It has the worst scores of overall efficiency and recovery in 2010 although it has never reached the efficiency frontier. In the five years observed (2006-2010), the unit package and Baturità were four times the efficiency frontier, ItapiÃna, Capistrano and Mulungu 2 times AraÃoiaba a time. Aratubaand Guaramiranga did not reach the efficiency frontier in any year noted. The wide variation in per capita spending associated with the small variation of the corresponding indicators among the units studied points to a low standardization of procedure and highlights the need to broaden the selection of indicators for health managers, seeks to include the major actions of five blocks funding created that defines the cost of health, to enable better monitoring of management and unit performance. Este estudo tem como objetivo analisar a eficiÃncia dos gastos pÃblicos com saÃde no Estado do CearÃ, na MicrorregiÃo de BaturitÃ, no perÃodo de 2006 a 2010. Para tanto, utilizou-se o banco de dados do Sistema de OrÃamento PÃblico em SaÃde (SIOPS) e indicadores do programa Pacto pela SaÃde, considerados prioritÃrios e acompanhados pelas Secretarias Municipais de SaÃde, consorciados com o uso da ferramenta AnÃlise EnvoltÃria de Dados (DEA) com retornos constantes de escala orientada para os produtos, tendo como insumo o gasto per capita e como produtos os indicadores: taxa de cobertura pelo Programa de SaÃde da FamÃlia(PSF); proporÃÃo dos nascidos vivos de mÃes com quatro ou mais consultas de prÃnatal (prÃ-natal); taxa de internaÃÃo por acidente vascular cerebral (avc); taxa de internaÃÃo por diabetes (diabetes); taxa de internaÃÃo por residÃncia (tx de int); taxa de crianÃas menores de 05 anos com baixo peso (peso). O estudo mostra Guaramiranga com o maior gasto entre 2008 e 2010 sem, contudo, apresentar significativa variaÃÃo nos indicadores em relaÃÃo Ãs demais unidades. O Gasto pc à acentuadamente superior Ãs demais unidades em todo o perÃodo (2006 a 2010). Tem os piores escores de eficiÃncia do conjunto e, embora apresente recuperaÃÃo em 2010, nunca atingiu a fronteira de eficiÃncia. Nos cinco anos observados (2006 a 2010), as unidade de Pacoti e Baturità estiveram quatro vezes na fronteira de eficiÃncia, ItapiÃna, Capistrano e Mulungu, duas vezes, Aracoiaba, trÃs vezes. Aratuba e Guaramiranga nÃo atingiram a fronteira de eficiÃncia em nenhum ano observado. A grande variaÃÃo do gasto per capita associada à pequena variaÃÃo dos indicadores correspondentes entre as unidades estudadas aponta para uma baixa padronizaÃÃo de procedimento e evidencia a necessidade de se ampliar a seleÃÃo de indicadores pelos gestores de saÃde, visando contemplar as principais aÃÃes dos cinco blocos de financiamento criados, o que define o custeio das aÃÃes de saÃde, de modo a permitir melhor acompanhamento da gestÃo e do desempenho das unidades. |
description |
This study aims to analyze the efficiency of public spending on health in the state of Cearà in Microregion Baturità in the period 2006 to 2010. To this end, we used the database system Public Health Budget (SIOPS) and indicators of the program by Covenant Health, prioritized and monitored by the Municipal Health, intercropped with tool use Data Envelopment Analysis (DEA) with constant returns to scale-oriented products with raw material as per capita spending and as products of the indicators: coverage rate by the Family Health Program (PSF), proportion of live births to mothers with more than 4 or more queries antenatal (prenatal) and rate of hospitalization for stroke (CVA), service rate by accident with diabetes (diabetes) and rate of hospitalization (inttx) and rate of children under 05 years with low weight (weight). The study shows Guaramiranga with increased spending between 2008 and 2010 without, however, present significant variation in the indicators in relation to other units. The PC is markedly higher spending other unit in the entire period (2006 to 2010). It has the worst scores of overall efficiency and recovery in 2010 although it has never reached the efficiency frontier. In the five years observed (2006-2010), the unit package and Baturità were four times the efficiency frontier, ItapiÃna, Capistrano and Mulungu 2 times AraÃoiaba a time. Aratubaand Guaramiranga did not reach the efficiency frontier in any year noted. The wide variation in per capita spending associated with the small variation of the corresponding indicators among the units studied points to a low standardization of procedure and highlights the need to broaden the selection of indicators for health managers, seeks to include the major actions of five blocks funding created that defines the cost of health, to enable better monitoring of management and unit performance. |
publishDate |
2012 |
dc.date.issued.fl_str_mv |
2012-01-30 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/masterThesis |
status_str |
publishedVersion |
format |
masterThesis |
dc.identifier.uri.fl_str_mv |
http://www.teses.ufc.br/tde_busca/arquivo.php?codArquivo=7905 |
url |
http://www.teses.ufc.br/tde_busca/arquivo.php?codArquivo=7905 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Universidade Federal do Cearà |
dc.publisher.program.fl_str_mv |
Programa de PÃs-GraduaÃÃo em Economia - CAEN |
dc.publisher.initials.fl_str_mv |
UFC |
dc.publisher.country.fl_str_mv |
BR |
publisher.none.fl_str_mv |
Universidade Federal do Cearà |
dc.source.none.fl_str_mv |
reponame:Biblioteca Digital de Teses e Dissertações da UFC instname:Universidade Federal do Ceará instacron:UFC |
reponame_str |
Biblioteca Digital de Teses e Dissertações da UFC |
collection |
Biblioteca Digital de Teses e Dissertações da UFC |
instname_str |
Universidade Federal do Ceará |
instacron_str |
UFC |
institution |
UFC |
repository.name.fl_str_mv |
-
|
repository.mail.fl_str_mv |
mail@mail.com |
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1643295160077910016 |