Ordinance 3992/2017: challenges and advances for resource management in the Brazilian Unified Health System (SUS)

Abstract

To advance in order to overcome the challenge of enabling greater autonomy in the use of financial resources in the Unified Health System (SUS), system managers agreed that transfers from the Union to other federated entities will be carried out through a financial investment account and a costing account. Over the past few years, states and municipalities managed more than 34,000 bank accounts dedicated to the Union’s on-lendings, in which balance exceeded R$8 billion. However, from 2018, Ordinance 3,992/2017 unequivocally separated the budget flow from the financial flow, and the fund-to-fund transfers started to be carried out in only 11,190 bank accounts. Since then, managers have had financial autonomy in the management of financial resources received from the Union, if in accordance w

Os desafios do financiamento do enfrentamento à COVID-19 no SUS dentro do pacto federativo

“…More recently, examining data from 2008-2009and 2015, Contarato, Lima, and Leal (2019 observed that there was a growth in per capita spending despite the economic crisis, suggesting that the existence of some form of protection in relation to this link. In any event, the recurring reduction of federal funding, especially after Constitutional Amendment n. 95 (2016), has ended up pressuring the budgets of other entities, generating a need for alternative sources of revenue (Funcia, 2019;Pereira, Oliveira, & Faleiros, 2019). During this period, however, studies demonstrate a loss of capacity in the supply of resources as O'Dwyer, Graever, Britto, Menezes, and Konder (2019) show in a study of municipalities within the state of Rio de Janeiro.…”