Dinâmica da Produtividade em Saúde Pública e seu Processo de Descentralização no Brasil - 1996 a 2007

• Autor(a) principal: Almeida, Aléssio Tony Cavalcanti de
• Data de Publicação: 2010
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da UFPB
• Texto Completo: https://repositorio.ufpb.br/jspui/handle/tede/5041
• topic: Saúde; Descentralização de gastos; Produtividade; Responsabilidade Fiscal; Health; Decentralization of expenditures; Productivity; Fiscal Responsibility; CIENCIAS SOCIAIS APLICADAS::ECONOMIA

From the moment when the Unified Nacional Health System (SUS-Sistema Único de Saúde)was consolidated in the 1988 Federal Constitution, there began in Brazil a process of decentralization in the offer of public health services, in which the sub-national governments started to play a more relevant role in the rendering of these services. The specialized literature has pointed out, not without controversy, the process of fiscal decentralization as a potential inducer of a greater efficiency and public productivity. However, in Roberto Campos,perspective, the des-centerion "toward the center of the government" in Brazil provokes a great waste of resources and problems in the offered services. In such a context, the presente work advances in two aspects of this question: it evaluetes the relationship between the performance and the decentralization of public health offer in the country, as well as analyzes the regional dynamics between the years 1996 and 2007 as it concerns productivity in that sector. The results of the analysis reveal that observation that the fiscal responsibility has a strong influence on the performance of the Brazilian states and the decentralization with health expenses presents a negative relatio with the evolution of productivity in the health services in the area. On the regional level, the geographic configuration of places had a relevant role in the results found, so as to show that the indicator of productivity of public care had a better relation in the southeastern and southern states than in those situated in other regions.