Vazquez Daniel Arias
Escola de Filosofia, Letras e Ciências Humanas, Universidade Federal de São Paulo, São Paulo, Brasil.
Cad Saude Publica. 2011 Jun;27(6):1201-12. doi: 10.1590/s0102-311x2011000600017.
The article aimed to analyze the impacts of earmarking revenues and conditional transfers on the supply of health financing in Brazil. After analyzing the role of these Federal regulation mechanisms on decentralized healthcare administration, the article verified the effects on total expenditure in health and disaggregated by level of government, evaluated whether transfers by the Unified National Health System (SUS) were consistent with the evolution in the decentralized supply, and measured the inequalities in per capital health spending by municipalities. The conclusions showed the complementary relationship between earmarking revenues and conditional transfers according to supply, which: (1) increased the share of State and Municipal governments in health financing; (2) provided incentives for the decentralization of primary care according to Federal guidelines; and (3) reduced the inequalities between municipalities in per capita health expenditures.
本文旨在分析专项收入和有条件转移支付对巴西卫生筹资供应的影响。在分析了这些联邦监管机制在分散式医疗管理中的作用后，本文核实了对卫生总支出的影响，并按政府级别进行了细分，评估了统一国家卫生系统（SUS）的转移支付是否与分散式供应的演变相一致，并衡量了各市人均卫生支出的不平等情况。结论表明，根据供应情况，专项收入和有条件转移支付之间存在互补关系，即：（1）增加了州和市政府在卫生筹资中的份额；（2）根据联邦指导方针为初级保健的分散化提供了激励；（3）减少了各市人均卫生支出的不平等。
Zotero 插件