0204/2019 - Financiamento e gestão: A eficiência técnica dos municípios catarinenses de pequeno porte nos gastos públicos com saúde. Financing and management: The technical efficiency of the small-sized catarinenses municipalities in public health expenditures..
Introdução: Em um contexto de restrição orçamentária e de medidas de austeridade fiscal, discutir aspectos relacionados à gestão eficiente dos recursos públicos é um desafio. O objetivo deste estudo foi avaliar a eficiência técnica de municípios catarinenses nos gastos públicos com saúde e sua relação com as condições para a gestão em saúde nos anos de 2009 e 2015. Métodos: Para medir a eficiência, optou-se pela Análise Envoltória de Dados. O Índice G foi empregado para analisar a autocorrelação espacial da eficiência. Para a avaliação das condições para a gestão em saúde, adotou-se o modelo proposto por Calvo et al. (2016). Resultados: Do total de municípios analisados, 35,5% e 29% foram considerados eficientes, respectivamente para os anos de 2009 e 2015. Os resultados sugerem não haver associação entre as condições para a gestão em saúde e a eficiência técnica no estado de Santa Catarina. Conclusão: O estudo revelou a necessidade de se avançar na busca por melhores resultados de eficiência em Santa Catarina, devendo ser considerada a distribuição espacial destes resultados sobre o território, com enfoque sobre os clusters de ineficiência que podem explicar o fraco desempenho em saúde de algumas regiões do estado.
Palavras-chave:
Gestão em Saúde. Eficiência. Sistema de Saúde.
Abstract:
Introduction: In a context of budget constraints and fiscal austerity measures, discussing issues related to the efficient management of public resources is a major challenge. The objective of this study was to evaluate the technical efficiency of municipalities of Santa Catarina in public health expenditures and its relation with health management conditions in the years of 2009 and 2015. Methods: In order to measure efficiency, it was decided to use Data Envelopment Analysis. The G Index was used to analyze the spatial autocorrelation of the efficiency. For the evaluation of the conditions for health management , the model proposed by Calvo et al. (2016) was adopted. Results: Of the total number of municipalities analyzed, 35.5% and 29% were considered efficient, respectively for the years 2009 and 2015. The results suggest that there is no association between the conditions for health management and the results of technical efficiency in the state of Santa Catarina. Conclusion: The study revealed the need to advancing the search for better efficiency results in the state of Santa Catarina, considering the spatial distribution of these results over the territory, focusing on clusters of inefficiency that may explain the poor health performance of some regions of the state.
Financing and management: The technical efficiency of the small-sized catarinenses municipalities in public health expenditures..
Resumo (abstract):
Introduction: In a context of budget constraints and fiscal austerity measures, discussing issues related to the efficient management of public resources is a major challenge. The objective of this study was to evaluate the technical efficiency of municipalities of Santa Catarina in public health expenditures and its relation with health management conditions in the years of 2009 and 2015. Methods: In order to measure efficiency, it was decided to use Data Envelopment Analysis. The G Index was used to analyze the spatial autocorrelation of the efficiency. For the evaluation of the conditions for health management , the model proposed by Calvo et al. (2016) was adopted. Results: Of the total number of municipalities analyzed, 35.5% and 29% were considered efficient, respectively for the years 2009 and 2015. The results suggest that there is no association between the conditions for health management and the results of technical efficiency in the state of Santa Catarina. Conclusion: The study revealed the need to advancing the search for better efficiency results in the state of Santa Catarina, considering the spatial distribution of these results over the territory, focusing on clusters of inefficiency that may explain the poor health performance of some regions of the state.
Mazon, L.M, Freitas, S. F. T, Colussi, C.F. Financiamento e gestão: A eficiência técnica dos municípios catarinenses de pequeno porte nos gastos públicos com saúde.. Cien Saude Colet [periódico na internet] (2019/jul). [Citado em 22/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/financiamento-e-gestao-a-eficiencia-tecnica-dos-municipios-catarinenses-de-pequeno-porte-nos-gastos-publicos-com-saude/17278?id=17278
