RELATION BETWEEN HEALTH EXPENSES, BASIC ATTENTION IN HEALTH EFFORTS INDEX AND HEALTH SYSTEM STRUCTURE TYPOLOGY OF THE MUNICIPALITIES OF SÃO PAULO STATE
Abstract
In a context marked by the re-democratization of the country and by the proposals of the State reform, the health area has stood out due to the advances in the decentralization process, the relevance of the social expenditure of counties in this function, and the expansion of the information systems. At the same time, the current model of public management by results has contributed to the use of socia l indicators in order to subsidize the decision process, a lthough there still is the challenge of a joint evaluation of indicators of results/efforts, and the application of budgeted resources. The objective of this study was the presentation of a descri ptive analysis based on the contrast of relationships among different categories of counties in the State of São Paulo, in terms of: expenditure in health with county-owned resources per inhabitant; transfers from Sistema Único de Saúde (SUS - governmental general health system) per inhabitant; typology of the health system structure, and ratio of basic attention to health effort. The last two items were created by Fundação Sistema Estadual de Análise de Dados (Seade - State System for Data Analysis Foundation), an agency belonging to the State of São Paulo. The analysis of the behavior of the four variables was carried out using Q-square and the correspondence analysis technique, and the main results were: connection between the basic attention efforts index and the expenditures with health using county-owned resources per capita, and low discrimination power among counties in relation to values of transfer of SUS resources.
KEYWORDS Health sector; Municipalities; Health System Infrastructure; Social indicators; Health expences.
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