de Lima Luciana Dias, de Andrade Carla Lourenço Tavares
Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil.
Cad Saude Publica. 2009 Oct;25(10):2237-48. doi: 10.1590/s0102-311x2009001000014.
We evaluated the funding of the Brazilian Unified National Health System (SUS) in municipalities with more than 100,000 inhabitants. The main goal was to evaluate the impact of policies for health resource allocation within the municipal budget. A database was organized with information from revenues reported by municipalities in the Information System on Government Health Budgets (SIOPS) for the year 2005. Reported budgets were compared and correlated to the municipalities' geographic location. We conducted a cluster analysis to create more homogeneous groups according to health-related budget. The study showed a major variability among different regions and States, with varying degrees of municipal dependence on external funds. Although the large variability in sources may indicate multiple strategies for ensuring the necessary budget funds, the study suggests some barriers to public health funding in larger municipalities.
我们评估了巴西统一国家卫生系统（SUS）在居民人数超过10万的城市的资金投入情况。主要目标是评估市级预算中卫生资源分配政策的影响。利用2005年市政府在政府卫生预算信息系统（SIOPS）中报告的收入信息组建了一个数据库。将报告的预算与各城市的地理位置进行了比较和关联。我们进行了聚类分析，以根据与卫生相关的预算创建更同质化的组。研究表明，不同地区和州之间存在很大差异，各城市对外部资金的依赖程度各不相同。尽管资金来源的巨大差异可能表明确保必要预算资金的多种策略，但该研究表明，较大城市在公共卫生资金投入方面存在一些障碍。
