Observatório de Gestão Pública, School of Economics, Business Administration and Accountancy, University of São Paulo, São Paulo, Brazil.
Health Care Manag Sci. 2010 Jun;13(2):112-23. doi: 10.1007/s10729-009-9114-y.
This paper measured the variations in performance of small municipalities in the State of São Paulo, Brazil, regarding the technical efficiency in the use of public funds in public primary health care actions concerning the funding profile, in a scenario of fiscal federalism. Technical efficiency is one of the parameters of evaluation of public sector performance and was measured by means of Data Envelopment Analysis (DEA). The correlation analysis of DEA score was used to verify possible associations between technical efficiency and the funding profile of expenses with health care. The results showed that 6.41% of the municipalities were considered efficient. They also showed that the level of municipality dependence to inter-governmental general purpose grants and the national health funding specific purpose grants have negative correlation with efficiency scores.
本文衡量了巴西圣保罗州小城市在公共初级卫生保健行动中使用公共资金方面的技术效率的绩效变化，考察了财政联邦制下的资金配置情况。技术效率是公共部门绩效评估的参数之一，通过数据包络分析（DEA）进行衡量。通过 DEA 得分的相关分析，验证了技术效率与医疗保健支出资金配置之间可能存在的关联。结果表明，有 6.41%的城市被认为是有效率的。结果还表明，城市对政府间一般用途拨款和国家卫生资金专用拨款的依赖程度与效率得分呈负相关。
