Comentário: Avanços e problemas no financiamento da saúde pública no Brasil (1967-2006)

Porto, Silvia Marta

doi:10.1590/s0034-89102006000500003

Cited by 7 publications

(6 citation statements)

References 1 publication

(1 reference statement)

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“…As for conditioning factors, Federal financing of health in the 2000s reflects the influence of structural variables (the weight of the National Executive in the Brazilian state apparatus 16,17 , historical difficulties in health financing 30,31 ) and institutional variables (health policy history and post-1988 Constitutional and legal rules on the roles of the three levels of government). Such Federal financing also reflects changes implemented since the 1990s, related to decentralization and the configuration of a model for Federal intervention heavily based on standardization linked to financial mechanisms 32 .…”

Section: Discussionmentioning

confidence: 99%

Federal funding of health policy in Brazil: trends and challenges

2014

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The article analyzes Federal funding of health policy in Brazil in the 2000s, focusing on the Ministry of Health’s budget implementation. Federal spending on health was less unstable between 2000 and 2002 and has expanded since 2006. However, it fluctuated as a share of both the Gross Domestic Product and Gross National Revenue. Federal intergovernmental transfers increased, exceeding 70% in 2007. Meanwhile, the proportion of Federal investments remained low, varying from 3.4% to 6.3%. The highest absolute amount of spending was on specialized outpatient and hospital care. The decade showed a proportionally greater increase in spending on pharmaceutical care. The growing allocation of Federal funds to States in the North and Northeast, especially for primary care and epidemiological surveillance, failed to offset the sharp regional inequalities in per capita Federal spending. The main characteristics of health funding limit Federal health policy governance and pose several challenges for the Brazilian Unified National Health System.

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Section: Discussionmentioning

confidence: 99%

Federal funding of health policy in Brazil: trends and challenges

2014

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“…Dentre os problemas permanentes do financiamento, destacam-se a escassez dos recursos, "a participação das três esferas de governo, a capacidade de autofinanciamento das esferas estaduais e municipais, a descentralização e as desigualdades regionais". 18 A programação dos recursos financeiros é necessária e relevante para a execução das ações e dos serviços de saúde em consonância com a receita arrecadada, ou seja, por meio dos instrumentos de gestão, em especial o RAG, devem ser apresentadas as despesas, os investimentos e as receitas. 19 Desse modo, o planejamento municipal de saúde deve ser realizado pela Secretaria Municipal de Saúde, de modo que: "é através dele que ocorre a definição das despesas de custeio e capital, na conjuntura global dos demais órgãos da Este objeto deve possibilitar o acompanhamento da conformidade da aplicação de recursos à programação aprovada.…”

Section: Gestão E Financiamento No Sistema Municipal De Saúde: O Relaunclassified

Processo De Construção E Análise De Relatórios Anuais De Gestão:

Almeida

Souza

2014

Rev. baiana de saúde pública

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“…a The SUS has been defined as “set of activities and services at all direct or indirect administration levels (local, state and federal) that are maintained by the Brazilian Public Authority”. 14 …”

Section: Introductionmentioning

confidence: 99%

“…a O SUS foi definido como “conjunto de ações e serviços em todas as esferas (municipal, estadual e federal) da administração direta ou indireta, mantidas pelo Poder Público”. 14 …”

Section: Introductionunclassified

Intra-hospital organ and tissue donation coordination project: cost-effectiveness and social benefits

et al. 2015

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OBJECTIVE To evaluate the viability of a professional specialist in intra-hospital committees of organ and tissue donation for transplantation.METHODS Epidemiological, retrospective and cross-sectional study (2003-2011 and 2008-2012), which was performed using organ donation for transplants data in the state of Sao Paulo, Southeastern Brazil. Nine hospitals were evaluated (hospitals 1 to 9). Logistic regression was used to evaluate the differences in the number of brain death referrals and actual donors (dependent variables) after the professional specialist started work (independent variable) at the intra-hospital committee of organ and tissue donation for transplantation. To evaluate the hospital invoicing, the hourly wage of the doctor and registered nurse, according to the legislation of the Consolidation of Labor Laws, were calculated, as were the investment return and the time elapsed to do so.RESULTS Following the nursing specialist commencement on the committee, brain death referrals and the number of actual donors increased at hospital 2 (4.17 and 1.52, respectively). At hospital 7, the number of actual donors also increased from 0.005 to 1.54. In addition, after the nurse started working, hospital revenues increased by 190.0% (ranging 40.0% to 1.955%). The monthly cost for the nurse working 20 hours was US$397.97 while the doctor would cost US$3,526.67. The return on investment was 275% over the short term (0.36 years).CONCLUSIONS This paper showed that including a professional specialist in intra-hospital committees for organ and tissue donation for transplantation proved to be cost-effective. Further economic research in the area could contribute to the efficient public policy implementation of this organ and tissue harvesting model.

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Comentário: Avanços e problemas no financiamento da saúde pública no Brasil (1967-2006)

Cited by 7 publications

References 1 publication

Federal funding of health policy in Brazil: trends and challenges

Federal funding of health policy in Brazil: trends and challenges

Processo De Construção E Análise De Relatórios Anuais De Gestão:

Intra-hospital organ and tissue donation coordination project: cost-effectiveness and social benefits

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