Espírito Santo Antônio Carlos Gomes do, Fernando Virgínia Conceição Nascimento, Bezerra Adriana Falangola Benjamin
Departamento de Medicina Social, Centro de Ciências da Saúde, Universidade Federal de Pernambuco, Recife, PE, Brazil.
Cien Saude Colet. 2012 Apr;17(4):861-71. doi: 10.1590/s1413-81232012000400009.
In order to assess the impact of macro-political measures implemented in the latter half of the 1990s on the increase in public spending on health and the possible reduction in allocation inequity, a descriptive, quantitative, cross-sectional study was carried out involving 184 municipalities in the state of Pernambuco, Brazil. Data from the Public Health Budget Information System was used, with the selected indicator being spending on health per inhabitant under the responsibility of the municipality. The correlations of this variable with the municipal Human Development Index, population size and value of the municipal budget per capita were analyzed. It was seen that, although the mean increase in municipal spending on health is 190.76%, the value per capita has remained relatively low - at around R$183.79 - which is below the national and macro-regional averages. Both spending on health per capita and growth percentages are distributed irregularly among health regions as well as among municipalities within a single region. In conclusion, there is marked allocation inequity among municipalities with regard to the distribution of public resources for health, despite the macro-political measures adopted to reduce this inequity.
为评估20世纪90年代后半期实施的宏观政治措施对公共卫生支出增加以及分配不公平现象可能减少的影响，开展了一项描述性、定量、横断面研究，涉及巴西伯南布哥州的184个市。使用了公共卫生预算信息系统的数据，选定指标为各市负责的人均卫生支出。分析了该变量与市人类发展指数、人口规模和人均市预算价值之间的相关性。可以看出，尽管各市卫生支出平均增长了190.76%，但人均价值仍然相对较低，约为183.79雷亚尔，低于全国和宏观区域平均水平。人均卫生支出和增长百分比在各卫生区域以及单个区域内的各市之间分布不均。总之，尽管采取了宏观政治措施来减少这种不公平现象，但各市在卫生公共资源分配方面仍存在明显的分配不公平。
