Orçamento público, região e financiamento em saúde: rendas do petróleo e desigualdades entre municípios

Could More Resources and Access Impact Efficiency and Effectiveness in the Brazilian Health Municipalities?

“…After, we observed a high inequality between the municipalities in the São Paulo State among financial resources, access and, effectiveness (RIBEIRO et al, 2018). One of the causes could be the dependence of the municipalities from the transferred resources (Barros & Lima, 2015) Fourth and last, when we are using the "principal components" as a dependent variable, it is not difficult to find lower values for R² and adjusted R², because of your "representative" value and not being a direct indicator (ALLAN;MOONEY;LING, 2018, Li et al, 2018. The method corroborates with the attempt of creating studies about efficiency and effectiveness in a public health system (WORLD BANK, 2018).…”

“…Thereby, we can go back to the hypothesis 6 and 7 about two propensities: the municipalities depend on the resources transferred from the national health system (Barros & Lima, 2015), and municipalities with more financial power tend to expend more resources with medical procedures than the necessary (Paschoalotto et al, 2018).…”

“…To deepen the discussion about the relations between the above dimension, we have elaborated sub-hypotheses: H5-There is a health inequality between the municipalities about financial resources, human resources, access, efficiency and effectiveness (CALVO et al, 2016;RIBEIRO et al, 2018), H6-The municipalities are dependents of the SUS´s financial resources (Barros & Lima, 2015), H7-Municipalities with more financial resources tend to spend more money with medical procedures (PASCHOALOTTO et al, 2018).…”