Financiamento público da saúde pelo governo do Estado do Paraná, Brasil, 1991-2006

Carvalho, Manoela de; Júnior, Aylton Paulus; Cordoni, Luiz

doi:10.1590/s0102-311x2008001100008

Cited by 1 publication

(2 citation statements)

References 10 publications

(4 reference statements)

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“…Tax collected by the municipalities, states, and the federal government supports the functioning of SUS. In each of these spheres, a minimum percentage of resources is allocated to healthcare, as defined by law 4,5,6 (Federal Government: see Santos et al 6 ; States: 12%; Municipalities: 15%). The Municipality sphere manages most activities, including the basic health units (UBS), immunization initiatives, regulation and supervision of sanitation, and epidemiological surveillance, among others.…”

Section: Introductionmentioning

confidence: 99%

“…Overall, criticisms are aimed at the funding model, which was based on fixed proportions defined by the Tax Liability Law 4 up until 2015, when it started to suffer the effects of the Constitutional Amendment n. 85/2015. This law changed the rules of funding in the federal sphere, decreasing the investments in health care and resulting in the upward trend of municipalities injecting more of their own resources while the limitation of resources incentives the privatization of health services 5,6,24,25,26,27,28,29,30,31 .…”

Section: Introductionmentioning

confidence: 99%

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Health expenditures and causa mortis: an investigation on municipalities of the State of Paraná, Brazil

Feldens

Souza

2022

Cad. Saúde Pública

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The Brazilian government shares the responsibility of financing public health among federal, state, and municipal levels. Health expenditures are thus uneven across the country and cannot contribute equally to health outcomes across disease categories. This study aims to identify how the health expenditures of municipalities affect the mortality rate in the state of Paraná by causa mortis. We considered years of life lost for each municipality, the chapters of the International Classification of Diseases (10th revision), and the elasticity of this measure in relation to public health expenditure. Considering the possibility of endogeneity, this study follows the instrumental variable approach in a panel of generalized method of moments - instrumental variable (GMM-IV) with fixed effects. Our results show that a 1% increase in health expenditure could decrease the average number of years lost specifically for some causes from 0.176% to 1.56% at the municipal level. These findings could elucidate policy perspective within state finance.

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Section: Introductionmentioning

confidence: 99%