Mental Health Policy in Brazil: federal expenditure evolution between 2001 and 2009

Detalhes bibliográficos
Autor(a) principal: Gonçalves, Renata Weber
Data de Publicação: 2012
Outros Autores: Vieira, Fabíola Sulpino, Delgado, Pedro Gabriel Godinho
Tipo de documento: Artigo
Idioma: por
eng
Título da fonte: Revista de Saúde Pública
Texto Completo: https://www.revistas.usp.br/rsp/article/view/33076
Resumo: OBJECTIVE: To analyze the evolution of estimates of federal spending in Brazil's Mental Health Program since the promulgation of the national mental health law. METHODS: The total federal outlay of the Mental Health Program and its components of hospital and extra-hospital expenses were estimated based on 21 expenses categories from 2001 to 2009. The expenses amount was updated to values in reais of 2009 by means of the use of the Índice de Preços ao Consumidor Amplo (Broad Consumer Price Index). The per capita/year value of the federal expenditure on mental health was calculated. RESULTS: The outlay on mental health rose 51.3% in the period. The breakdown of the expenditures revealed a significant increase in the extra-hospital value (404.2%) and a decrease in the hospital one (-39.5%). The per capita expenditures had a lower, but still significant, growth (36.2%). The historical series of the disaggregated per capita expenditures showed that in 2006, for the first time, the extra-hospital expenditure was higher than the hospital one. The extra-hospital per capita value increased by 354.0%; the per capita hospital value decreased by 45.5%. CONCLUSIONS: There was a significant increase in federal outlay on mental health between 2001 and 2009 and an expressive investment in extra-hospital actions. From 2006 onwards, resources allocation was shifted towards community services. The funding component played a crucial role as the inducer of the change of the mental health care model. The challenge for the coming years is maintaining and increasing the resources for mental health in a context of underfunding of the National Health System.
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spelling Mental Health Policy in Brazil: federal expenditure evolution between 2001 and 2009 Política de Salud Mental en Brasil: evolución del gasto federal entre 2001 y 2009 Política de Saúde Mental no Brasil: evolução do gasto federal entre 2001 e 2009 Saúde MentalAvaliação de Programas e Projetos de SaúdeeconomiaGastos em SaúdeAlocação de RecursosPolítica de SaúdeSistema Único de SaúdeSalud MentalEvaluación de Programas y Proyectos de SaludeconomíaGastos en SaludAsignación de RecursosPolítica de SaludSistema Único de SaludMental HealthProgram EvaluationeconomicsHealth ExpendituresResource AllocationHealth PolicyUnified Health System OBJECTIVE: To analyze the evolution of estimates of federal spending in Brazil's Mental Health Program since the promulgation of the national mental health law. METHODS: The total federal outlay of the Mental Health Program and its components of hospital and extra-hospital expenses were estimated based on 21 expenses categories from 2001 to 2009. The expenses amount was updated to values in reais of 2009 by means of the use of the Índice de Preços ao Consumidor Amplo (Broad Consumer Price Index). The per capita/year value of the federal expenditure on mental health was calculated. RESULTS: The outlay on mental health rose 51.3% in the period. The breakdown of the expenditures revealed a significant increase in the extra-hospital value (404.2%) and a decrease in the hospital one (-39.5%). The per capita expenditures had a lower, but still significant, growth (36.2%). The historical series of the disaggregated per capita expenditures showed that in 2006, for the first time, the extra-hospital expenditure was higher than the hospital one. The extra-hospital per capita value increased by 354.0%; the per capita hospital value decreased by 45.5%. CONCLUSIONS: There was a significant increase in federal outlay on mental health between 2001 and 2009 and an expressive investment in extra-hospital actions. From 2006 onwards, resources allocation was shifted towards community services. The funding component played a crucial role as the inducer of the change of the mental health care model. The challenge for the coming years is maintaining and increasing the resources for mental health in a context of underfunding of the National Health System. OBJETIVO: Analizar la evolución de estimaciones de gasto federal con el Programa de Salud Mental desde la promulgación de la ley nacional de salud mental. MÉTODOS: El gasto federal total del Programa de Salud Mental en Brasil y sus componentes de gastos hospitalarios y extra-hospitalarios fue estimado a partir de 21 categorías de gastos de 2001 a 2009. Los valores de los gastos fueron actualizados en valores en reales de 2009 por medio de la aplicación del Índice de Precios al Consumidor Amplio. Se calculó el valor per capita/año del gasto federal en salud mental. RESULTADOS: Se observó el crecimiento real de 51,3% del gasto en salud mental en el período. La separación del gasto reveló aumento expresivo del valor extra-hospitalario (404,2%) y disminución del hospitalario (-39,5%). El gasto per capita tuvo un crecimiento real menor, aunque expresivo (36,2%). La serie histórica del gasto per capita separado mostró que en 2006, por primera vez, el gasto extra-hospitalario fue mayor que el hospitalario. El valor per capita extra-hospitalario tuvo un crecimiento real de 354,0%; el valor per capita hospitalario disminuyó 45,5%. CONCLUSIONES: hubo crecimiento real de los recursos federales invertidos en salud mental entre 2001 y 2009 e inversión expresiva en las acciones extra-hospitalarias. hubo inversión en el direccionamiento de los recursos, a partir de 2006, en los servicios comunitarios. el componente del financiamiento tuvo papel crucial como inductor del cambio de modelo de atención en salud mental. el desafío para los próximos años es sustentar y aumentar los recursos para la salud mental en el contexto del desfinanciamiento del sistema único de salud. OBJETIVO: Analisar a evolução de estimativas do gasto federal com o Programa de Saúde Mental desde a promulgação da lei nacional de saúde mental. MÉTODOS: O gasto federal total do Programa de Saúde Mental e seus componentes de gastos hospitalares e extra-hospitalares foi estimado a partir de 21 categorias de gastos de 2001 a 2009. Os valores dos gastos foram atualizados para valores em reais de 2009 por meio da aplicação do Índice de Preços ao Consumidor Amplo. Foi calculado o valor per capita/ano do gasto federal em saúde mental. RESULTADOS: Observou-se o crescimento real de 51,3% do gasto em saúde mental no período. A desagregação do gasto revelou aumento expressivo do valor extra-hospitalar (404,2%) e decréscimo do hospitalar (-39,5%). O gasto per capita teve crescimento real menor, embora expressivo (36,2%). A série histórica do gasto per capita desagregado mostrou que em 2006, pela primeira vez, o gasto extra-hospitalar foi maior que o hospitalar. O valor per capita extra-hospitalar teve o crescimento real de 354,0%; o valor per capita hospitalar decresceu 45,5%. CONCLUSÕES: Houve crescimento real dos recursos federais investidos em saúde mental entre 2001 e 2009 e investimento expressivo nas ações extra-hospitalares. Houve inversão no direcionamento dos recursos, a partir de 2006, na direção dos serviços comunitários. O componente do financiamento teve papel crucial como indutor da mudança de modelo de atenção em saúde mental. O desafio para os próximos anos é sustentar e aumentar os recursos para a saúde mental num contexto de desfinanciamento do Sistema Único de Saúde. Universidade de São Paulo. Faculdade de Saúde Pública2012-02-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://www.revistas.usp.br/rsp/article/view/3307610.1590/S0034-89102011005000085Revista de Saúde Pública; Vol. 46 No. 1 (2012); 51-58 Revista de Saúde Pública; Vol. 46 Núm. 1 (2012); 51-58 Revista de Saúde Pública; v. 46 n. 1 (2012); 51-58 1518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPporenghttps://www.revistas.usp.br/rsp/article/view/33076/35772https://www.revistas.usp.br/rsp/article/view/33076/35773Copyright (c) 2017 Revista de Saúde Públicainfo:eu-repo/semantics/openAccessGonçalves, Renata WeberVieira, Fabíola SulpinoDelgado, Pedro Gabriel Godinho2012-07-11T23:06:43Zoai:revistas.usp.br:article/33076Revistahttps://www.revistas.usp.br/rsp/indexONGhttps://www.revistas.usp.br/rsp/oairevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2012-07-11T23:06:43Revista de Saúde Pública - Universidade de São Paulo (USP)false
dc.title.none.fl_str_mv Mental Health Policy in Brazil: federal expenditure evolution between 2001 and 2009
Política de Salud Mental en Brasil: evolución del gasto federal entre 2001 y 2009
Política de Saúde Mental no Brasil: evolução do gasto federal entre 2001 e 2009
title Mental Health Policy in Brazil: federal expenditure evolution between 2001 and 2009
spellingShingle Mental Health Policy in Brazil: federal expenditure evolution between 2001 and 2009
Gonçalves, Renata Weber
Saúde Mental
Avaliação de Programas e Projetos de Saúde
economia
Gastos em Saúde
Alocação de Recursos
Política de Saúde
Sistema Único de Saúde
Salud Mental
Evaluación de Programas y Proyectos de Salud
economía
Gastos en Salud
Asignación de Recursos
Política de Salud
Sistema Único de Salud
Mental Health
Program Evaluation
economics
Health Expenditures
Resource Allocation
Health Policy
Unified Health System
title_short Mental Health Policy in Brazil: federal expenditure evolution between 2001 and 2009
title_full Mental Health Policy in Brazil: federal expenditure evolution between 2001 and 2009
title_fullStr Mental Health Policy in Brazil: federal expenditure evolution between 2001 and 2009
title_full_unstemmed Mental Health Policy in Brazil: federal expenditure evolution between 2001 and 2009
title_sort Mental Health Policy in Brazil: federal expenditure evolution between 2001 and 2009
author Gonçalves, Renata Weber
author_facet Gonçalves, Renata Weber
Vieira, Fabíola Sulpino
Delgado, Pedro Gabriel Godinho
author_role author
author2 Vieira, Fabíola Sulpino
Delgado, Pedro Gabriel Godinho
author2_role author
author
dc.contributor.author.fl_str_mv Gonçalves, Renata Weber
Vieira, Fabíola Sulpino
Delgado, Pedro Gabriel Godinho
dc.subject.por.fl_str_mv Saúde Mental
Avaliação de Programas e Projetos de Saúde
economia
Gastos em Saúde
Alocação de Recursos
Política de Saúde
Sistema Único de Saúde
Salud Mental
Evaluación de Programas y Proyectos de Salud
economía
Gastos en Salud
Asignación de Recursos
Política de Salud
Sistema Único de Salud
Mental Health
Program Evaluation
economics
Health Expenditures
Resource Allocation
Health Policy
Unified Health System
topic Saúde Mental
Avaliação de Programas e Projetos de Saúde
economia
Gastos em Saúde
Alocação de Recursos
Política de Saúde
Sistema Único de Saúde
Salud Mental
Evaluación de Programas y Proyectos de Salud
economía
Gastos en Salud
Asignación de Recursos
Política de Salud
Sistema Único de Salud
Mental Health
Program Evaluation
economics
Health Expenditures
Resource Allocation
Health Policy
Unified Health System
description OBJECTIVE: To analyze the evolution of estimates of federal spending in Brazil's Mental Health Program since the promulgation of the national mental health law. METHODS: The total federal outlay of the Mental Health Program and its components of hospital and extra-hospital expenses were estimated based on 21 expenses categories from 2001 to 2009. The expenses amount was updated to values in reais of 2009 by means of the use of the Índice de Preços ao Consumidor Amplo (Broad Consumer Price Index). The per capita/year value of the federal expenditure on mental health was calculated. RESULTS: The outlay on mental health rose 51.3% in the period. The breakdown of the expenditures revealed a significant increase in the extra-hospital value (404.2%) and a decrease in the hospital one (-39.5%). The per capita expenditures had a lower, but still significant, growth (36.2%). The historical series of the disaggregated per capita expenditures showed that in 2006, for the first time, the extra-hospital expenditure was higher than the hospital one. The extra-hospital per capita value increased by 354.0%; the per capita hospital value decreased by 45.5%. CONCLUSIONS: There was a significant increase in federal outlay on mental health between 2001 and 2009 and an expressive investment in extra-hospital actions. From 2006 onwards, resources allocation was shifted towards community services. The funding component played a crucial role as the inducer of the change of the mental health care model. The challenge for the coming years is maintaining and increasing the resources for mental health in a context of underfunding of the National Health System.
publishDate 2012
dc.date.none.fl_str_mv 2012-02-01
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://www.revistas.usp.br/rsp/article/view/33076
10.1590/S0034-89102011005000085
url https://www.revistas.usp.br/rsp/article/view/33076
identifier_str_mv 10.1590/S0034-89102011005000085
dc.language.iso.fl_str_mv por
eng
language por
eng
dc.relation.none.fl_str_mv https://www.revistas.usp.br/rsp/article/view/33076/35772
https://www.revistas.usp.br/rsp/article/view/33076/35773
dc.rights.driver.fl_str_mv Copyright (c) 2017 Revista de Saúde Pública
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2017 Revista de Saúde Pública
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Saúde Pública
publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Saúde Pública
dc.source.none.fl_str_mv Revista de Saúde Pública; Vol. 46 No. 1 (2012); 51-58
Revista de Saúde Pública; Vol. 46 Núm. 1 (2012); 51-58
Revista de Saúde Pública; v. 46 n. 1 (2012); 51-58
1518-8787
0034-8910
reponame:Revista de Saúde Pública
instname:Universidade de São Paulo (USP)
instacron:USP
instname_str Universidade de São Paulo (USP)
instacron_str USP
institution USP
reponame_str Revista de Saúde Pública
collection Revista de Saúde Pública
repository.name.fl_str_mv Revista de Saúde Pública - Universidade de São Paulo (USP)
repository.mail.fl_str_mv revsp@org.usp.br||revsp1@usp.br
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