Quality of spending and budgetary allocation to health: an analysis in primary care in brazilian cities

• Autor(a) principal: Cabral de Almeida, Jáder
• Data de Publicação: 2021
• Outros Autores: de Souza Gonçalves, Rodrigo, Nunes, André
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Revista Gestão & Saúde (Brasília)
• Texto Completo: https://periodicos.unb.br/index.php/rgs/article/view/36757
• topic: Qualidade do Gasto Público; Atenção Primária; Orçamento Público; Gasto em Saúde; Brasil; Quality of Public Expenditure; Primary Attention; Health Expenditure; Brazil; Calidad del gasto público; Atención primaria; Presupuesto público; Gasto sanitario; Brasil

This article aims to analyze whether the specific locations that present the highest quality indicators of public spending on primary health care are also those that allocate greater budgetary resources in health, in the period from 2008 to 2013. By means of a probabilistic sample, 562 Brazilian municipalities were analyzed in stratified form in 5 groups, based on the index of quality of public spending (IQGP), contrasted with the total per capita spending on health (DSPC) and on primary health care (DAPS). From the results by groups between quartiles, it is possible to affirm that as long as there is a minimum amount of resources, even in environments with low economic development and health services (group 1), it is possible to obtain good indicators of quality of public expenditure between resource allocation of indicators in primary care), that is, a greater allocation of resources is no guarantee of better indicators in primary care. This result was corroborated by the regressions estimated in two stages since there is a negative relationship between the increase in spending on primary care and the quality of public spending on health.