Despesa pública municipal com saúde em Pernambuco, Brasil, de 2000 a 2007

Santo, Antônio Carlos Gomes do Espírito; Fernando, Virgínia Conceição Nascimento; Bezerra, Adriana Falangola Benjamin

doi:10.1590/s1413-81232012000400009

Cited by 11 publications

(7 citation statements)

References 4 publications

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“…This fact may be explained by increased municipal public expenditure in that region, as indicated by a study on public health expenditure in the state of Pernambuco in the period from 2000 to 2007. 29 The good performance of oral health care in this health region has been confirmed by other studies, which found a considerable decrease in the number of tooth extraction procedures in municipal public health services between 2000 and 2008, 30 and the improvement of the "first programmatic consultation coverage" indicator in these municipalities, when comparing 2001 data with 2009 data. 5 In relation to the high averages of dental urgency identified in this region, even though almost all its municipalities had 100% OHt population coverage, this situation may be related to high unmet demand and low appraisal of completed treatment.…”

Section: Quality Of Oral Health Caresupporting

confidence: 56%

Avaliação da qualidade da assistência em saúde bucal na Atenção Primária à Saúde em Pernambuco, 2014*

Viana¹,

Moreira²,

Martelli³

et al. 2019

Epidemiologia e Serviços de Saúde

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Objective: to evaluate the quality of oral health care in Primary Health Care services in Pernambuco state, Brazil, 2014. Methods: this was an ecological health evaluation study based on the Donabedian model, involving secondary data from the 2 nd cycle of the National Program for Improving Access and Quality of Primary Health Care (PMAQ-AB); comparison between the structure, process and outcome variables was done using the Kruskal-Wallis test (p<0.050); variables showing statistical significance (p<0.05) were portrayed through thematic and spatial dependence maps. Results: the standard of quality in the municipalities for the 'Structure' dimension gained better scores than the 'Work process' dimension; correlations were identified between the indicators for dental urgency, supervised tooth brushing coverage and treatments completed, in quality strata related to the work process of the Oral Health teams. Conclusion: organization of the work process was seen to be a determining factor in the impact on some indicators of service use.

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Section: Quality Of Oral Health Caresupporting

confidence: 56%

Avaliação da qualidade da assistência em saúde bucal na Atenção Primária à Saúde em Pernambuco, 2014*

Viana¹,

Moreira²,

Martelli³

et al. 2019

Epidemiologia e Serviços de Saúde

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“…Meanwhile, GDP per capita had a negligible effect on the incidence of the disease. Furthermore, the values were distributed quite unevenly among the regions, which demonstrates the inequality between the municipalities in distributing public resources for health (Espírito Santo, Fernando & Bezerra, 2012).…”

Section: Discussionmentioning

confidence: 99%

Incidence of human visceral leishmaniasis: the importance of municipal socio-economic indicators in the state of Pernambuco, Brazil

Leite¹,

Quental²,

Oliveira³

et al. 2020

RSD

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Objective: To analyze the main municipal socioeconomic factors associated with the incidence of HVL in the state of Pernambuco, northeastern Brazil. Methods: It is a analytical cross-sectional study. Data on the incidence of HVL and socioeconomic factors were collected from 954 cases notified by the SINAN (National System of Notifiable Diseases) and SIM (Mortality Information System). The cases considered were reported by municipalities in the state of Pernambuco, Brazil, from 2005 to 2014. Statistical differences were analyzed by Pearson's correlation test, followed by multiple regression analysis. Significant differences were considered when p <0.05. Results: The FIRJAN Municipal Development Index was the variable that showed the most remarkable statistical robustness and strong negative association with the incidence of HVL. The municipal spending on health and residing in the metropolitan region also influenced its mean incidence rates. Conclusion: The indicators that had an influence on the performance of the incidence of LVH were the FIRJAN Municipal Development Index, health expenditure and residing in the metropolitan region.

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“…The first hypothesis (H 1 ) refers to the relationship between the supply, demand, and utilization variables. It is not possible to either confirm or refute such a hypothesis building on the determinants in the first group of models (1)(2)(3). This is particularly relevant in model 2, in which the dependent variable LOWCOMPLEX was only significantly related to NUM_ADM.…”

Section: Test Of Hypotheses and The Final Modelmentioning

confidence: 95%

“…The need to allocate the (scarce) health care resources more relationally was already pointed out by Feldstein, Piot and Sundaresan [2] some decades ago. Today, Espírito-Santo, Fernando and Bezerra [3] share a similar perspective and claim that the structural problems of the public health care system are, to some extent, related to resource allocation.…”

Section: Introductionmentioning

confidence: 97%

Model of Allocating Public Financial Resources to Brazilian Hospital Organizations that Provide Highly Complex Health Care Services

Guerra¹,

Gonçalves²

2014

MEDJ

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The general objective of this paper was to propose a model of allocating public financial resources to Brazilian hospital organizations that provide highly complex health care services on behalf of the Brazilian Unified Health System (SUS). The main theoretical background was built on Carr-Hill et al.[1] Focusing on the highly complex health care services provided by the hospitals, the study underscored factors such as supply (or productivity and accessibility/availability of services/beds), demand (or need for health care), use (or utilization/consumption of services/beds), and complexity segmentation of the service in Brazil. The sample comprised 251 organizations offering at least type-II adult and type-II newborn Intensive Care Units in 23 Brazilian states and classified as general and/or specialized hospitals. The Carr-Hill et al. [1] model was adapted to propose a simplified theoretical model of supply that could represent the relationship between the variables included in the final equation of the model, namely: mean inpatient cost, availability of basic health care services, bed occupancy rate, organization type, and organization nature. The results pointed out that the significant determinants empirically confirm the arguments that are rejected by sanitarians in the theoretical field -that the model of resource allocation is based on productivity. Keywords: Brazilian hospital; high complex services; resources allocation.Following the Carr-Hill et al. [1] model, this study differentiates the several types of services (e.g., nonpsychiatric, outpatient services, and public health care). Drawing on Bloor and Mayner [5], this differentiation derives from the understanding that each of such types of services requires a different volume of resources and, therefore, has a different impact on the public budget. Since the computation and analysis of costs are based on the observed expenses, that is, those already incurred, it follows that it is a contradiction to accept the current system of service supply and the current health care policy as adequate, despite the criticisms made against them [6]. REFERENCE MODEL AND NECESSARY ADAPTATIONSMendes, Leite and Marques [7] agree with Porto [8] that the international model of resource allocation most applicable to the Brazilian case is that built on the English experience, the Resource Allocation Working Party 2 model (RAWP-2). Porto [8] claims that an adaptation of the RAPW-2 model, as proposed by Carr-Hill et al. [1], is the most statistically robust and theoretically grounded model to date. This model allows for measuring relative inequalities that are much less significant than those observed in Brazil

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Despesa pública municipal com saúde em Pernambuco, Brasil, de 2000 a 2007

Cited by 11 publications

References 4 publications

Avaliação da qualidade da assistência em saúde bucal na Atenção Primária à Saúde em Pernambuco, 2014*

Avaliação da qualidade da assistência em saúde bucal na Atenção Primária à Saúde em Pernambuco, 2014*

Incidence of human visceral leishmaniasis: the importance of municipal socio-economic indicators in the state of Pernambuco, Brazil

Model of Allocating Public Financial Resources to Brazilian Hospital Organizations that Provide Highly Complex Health Care Services

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