Fiscal Federalism and Decentralization in the Unified Health System: evidences from a natural experiment

Detalhes bibliográficos
Autor(a) principal: Lins, Julyan
Data de Publicação: 2023
Outros Autores: Almeida de Menezes, Tatiane, da Silva Ciríaco, Juliane
Tipo de documento: Artigo
Idioma: por
Título da fonte: Economia Ensaios
Texto Completo: https://seer.ufu.br/index.php/revistaeconomiaensaios/article/view/63143
Resumo: The objective of this article is to verify to what extent the intergovernmental transfer of the Fundo de Participação dos Municípios (FPM), associated with the audits of municipal accounts carried out by the Controladoria Geral da União (CGU), can be important for social well-being, measured through of maternal and child health indicators. The results suggest that the effectiveness in the allocation of public resources, in improving the health indicators of the municipalities, is only verified in audit situations, that is, on average, a 1% increase in transfers, when auditing is present, resulted in in a 0.5% drop in mortality indicators.
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spelling Fiscal Federalism and Decentralization in the Unified Health System: evidences from a natural experimentFederalismo Fiscal e Descentralização no Sistema Único de Saúde: evidências de um experimento naturalFinanciamento Governamental em SaúdeEficiência dos Gastos PúblicosRegressão DescontínuaGovernment Health FinancingPublic Spending EfficiencyRegression Discontinuity DesignThe objective of this article is to verify to what extent the intergovernmental transfer of the Fundo de Participação dos Municípios (FPM), associated with the audits of municipal accounts carried out by the Controladoria Geral da União (CGU), can be important for social well-being, measured through of maternal and child health indicators. The results suggest that the effectiveness in the allocation of public resources, in improving the health indicators of the municipalities, is only verified in audit situations, that is, on average, a 1% increase in transfers, when auditing is present, resulted in in a 0.5% drop in mortality indicators.O objetivo deste artigo é verificar em que medida a transferência intergovernamental do Fundo de Participação dos Municípios (FPM), associada às auditorias nas contas municipais feitas pela Controladoria Geral da União (CGU), podem ser importantes para o bem-estar social, medido através de indicadores de saúde materna e infantil. Os resultados sugerem que a eficácia na alocação dos recursos públicos, em melhorar os indicadores de saúde dos municípios, apenas se verifica em situações de auditoria, ou seja, em média, um aumento de 1% nas transferências, quando da presença de auditoria, resultou em uma queda de 0,5% nos indicadores de mortalidade.EDUFU2023-04-26info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://seer.ufu.br/index.php/revistaeconomiaensaios/article/view/6314310.14393/REE-v38n1a2023-63143Revista Economia Ensaios; Vol. 38 No. 1 (2023)Revista Economia Ensaios; v. 38 n. 1 (2023)1983-19940102-2482reponame:Economia Ensaiosinstname:Universidade Federal de Uberlândia (UFU)instacron:UFUporhttps://seer.ufu.br/index.php/revistaeconomiaensaios/article/view/63143/35992Copyright (c) 2023 Revista Economia Ensaiosinfo:eu-repo/semantics/openAccessLins, JulyanAlmeida de Menezes, Tatianeda Silva Ciríaco, Juliane2023-04-26T16:18:32Zoai:ojs.www.seer.ufu.br:article/63143Revistahttps://seer.ufu.br/index.php/revistaeconomiaensaiosPUBhttps://seer.ufu.br/index.php/revistaeconomiaensaios/oai||ecoensaios@ufu.br|| ecoensaios@ufu.br1983-19940102-2482opendoar:2023-04-26T16:18:32Economia Ensaios - Universidade Federal de Uberlândia (UFU)false
dc.title.none.fl_str_mv Fiscal Federalism and Decentralization in the Unified Health System: evidences from a natural experiment
Federalismo Fiscal e Descentralização no Sistema Único de Saúde: evidências de um experimento natural
title Fiscal Federalism and Decentralization in the Unified Health System: evidences from a natural experiment
spellingShingle Fiscal Federalism and Decentralization in the Unified Health System: evidences from a natural experiment
Lins, Julyan
Financiamento Governamental em Saúde
Eficiência dos Gastos Públicos
Regressão Descontínua
Government Health Financing
Public Spending Efficiency
Regression Discontinuity Design
title_short Fiscal Federalism and Decentralization in the Unified Health System: evidences from a natural experiment
title_full Fiscal Federalism and Decentralization in the Unified Health System: evidences from a natural experiment
title_fullStr Fiscal Federalism and Decentralization in the Unified Health System: evidences from a natural experiment
title_full_unstemmed Fiscal Federalism and Decentralization in the Unified Health System: evidences from a natural experiment
title_sort Fiscal Federalism and Decentralization in the Unified Health System: evidences from a natural experiment
author Lins, Julyan
author_facet Lins, Julyan
Almeida de Menezes, Tatiane
da Silva Ciríaco, Juliane
author_role author
author2 Almeida de Menezes, Tatiane
da Silva Ciríaco, Juliane
author2_role author
author
dc.contributor.author.fl_str_mv Lins, Julyan
Almeida de Menezes, Tatiane
da Silva Ciríaco, Juliane
dc.subject.por.fl_str_mv Financiamento Governamental em Saúde
Eficiência dos Gastos Públicos
Regressão Descontínua
Government Health Financing
Public Spending Efficiency
Regression Discontinuity Design
topic Financiamento Governamental em Saúde
Eficiência dos Gastos Públicos
Regressão Descontínua
Government Health Financing
Public Spending Efficiency
Regression Discontinuity Design
description The objective of this article is to verify to what extent the intergovernmental transfer of the Fundo de Participação dos Municípios (FPM), associated with the audits of municipal accounts carried out by the Controladoria Geral da União (CGU), can be important for social well-being, measured through of maternal and child health indicators. The results suggest that the effectiveness in the allocation of public resources, in improving the health indicators of the municipalities, is only verified in audit situations, that is, on average, a 1% increase in transfers, when auditing is present, resulted in in a 0.5% drop in mortality indicators.
publishDate 2023
dc.date.none.fl_str_mv 2023-04-26
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://seer.ufu.br/index.php/revistaeconomiaensaios/article/view/63143
10.14393/REE-v38n1a2023-63143
url https://seer.ufu.br/index.php/revistaeconomiaensaios/article/view/63143
identifier_str_mv 10.14393/REE-v38n1a2023-63143
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://seer.ufu.br/index.php/revistaeconomiaensaios/article/view/63143/35992
dc.rights.driver.fl_str_mv Copyright (c) 2023 Revista Economia Ensaios
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2023 Revista Economia Ensaios
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv EDUFU
publisher.none.fl_str_mv EDUFU
dc.source.none.fl_str_mv Revista Economia Ensaios; Vol. 38 No. 1 (2023)
Revista Economia Ensaios; v. 38 n. 1 (2023)
1983-1994
0102-2482
reponame:Economia Ensaios
instname:Universidade Federal de Uberlândia (UFU)
instacron:UFU
instname_str Universidade Federal de Uberlândia (UFU)
instacron_str UFU
institution UFU
reponame_str Economia Ensaios
collection Economia Ensaios
repository.name.fl_str_mv Economia Ensaios - Universidade Federal de Uberlândia (UFU)
repository.mail.fl_str_mv ||ecoensaios@ufu.br|| ecoensaios@ufu.br
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