Comportamento e determinantes das transferências federais em saúde no Brasil

Uma análise espacial

Authors

  • Barbara Sant'ana Kuenka Universidade Estadual de Maringá (UEM) https://orcid.org/0000-0002-4983-1652
  • Alexandre Nogueira Mugnaini Junior Universidade Estadual de Maringá (UEM)
  • Mirela Silva de Oliveira Universidade Estadual de Maringá (UEM)
  • José Luiz Parré

Abstract

Background: conceived by the 1988 Constitution, the Unified Health System targets fiscal decentralization and the equitable distribution of funds towards states and municipalities. Objective: to identify the determinants for the federal transfer of resources to Brazilian micro-regions, considering the spatial component. Methods: Exploratory Spatial Data Analysis (ESDA) and the estimation of a spatial lag model (SAR) by the Generalized Moments Method (GMM). Results: the spatial diagnosis indicated that the transfers were positively related to supply factors and negatively related to demand factors in the neighboring micro-regions. Econometric results showed that poorer micro-regions received higher amounts of public health transfers. Factors such as morbidity, number of doctors, low complexity hospitals and political-institutional components proved to be significant determinants to attract federal resources. Conclusion: the behavior of intergovernmental transfers for the public health sector indicated a general distributional pattern, therefore being compatible with the principles idealized by the Brazilian Unified Health System.

Published

2022-09-02

Issue

Vol. 31 No. 2 (2022): Economia e Sociedade

Section

Articles

License

Authors who publish in this journal agree to the following terms: Authors retain copyright and grant the journal the right of first publication, with the work simultaneously licensed under a Creative Commons Attribution License, which allows the sharing of the work with acknowledgment of authorship and initial publication in this journal. Authors are authorized to enter into additional contracts separately for the non-exclusive distribution of the version of the work published in this journal (e.g., publish in an institutional repository or as a book chapter), with acknowledgment of authorship and initial publication in this journal. All content of the journal, except where identified, is licensed under a Creative Commons Attribution BY-NC License.