Feliciano Marciana, Bezerra Adriana Falangola Benjamin, Santo Antônio Carlos Gomes do Espírito
Secretaria da Pós-Graduação em Saúde Coletiva, Universidade Federal de Pernambuco. Hospital das Clínicas Bloco E/4º/NUSP s/n, Cidade Universitária. 50670-901 Recife PE Brasil.
Cien Saude Colet. 2017 Jun;22(6):1979-1990. doi: 10.1590/1413-81232017226.05252016.
This paper analyzes the implications of municipal budget revenue growth and the monetary policy's inflation rates goals in the availability of public health resources of municipalities. This is a descriptive, exploratory, quantitative, retrospective and longitudinal cross-sectional study covering the period 2002-2011. We analyzed health financing and expenditure variables in the municipalities of the state of Pernambuco, Brazil, describing the trend and the relationship between them. Data showed the growth of the variables and trend towards homogeneity. The exception was for the participation of Intergovernmental Transfers in the Total Health Expenditure of the Municipality. We found a significant correlation between Budget Revenue per capita and Health Expenditure per capita and a strong significant negative correlation between Inflation Rate, Budget Revenue per capita and Health Expenditure per capita. We concluded that increased health expenditure is due more to higher municipal tax revenue than to increased transfers that, in relative terms, did not increase. The strong inverse relationship between inflation rate and the Financing and Expenditure variables show that the monetary policy's inflation goals have restricted health financing to municipalities.
本文分析了市政预算收入增长和货币政策的通货膨胀率目标对市政公共卫生资源可得性的影响。这是一项描述性、探索性、定量、回顾性和纵向横断面研究，涵盖2002年至2011年期间。我们分析了巴西伯南布哥州各城市的卫生融资和支出变量，描述了它们之间的趋势和关系。数据显示了这些变量的增长以及趋于同质化的趋势。政府间转移支付在城市卫生总支出中的占比情况除外。我们发现人均预算收入与人均卫生支出之间存在显著相关性，而通货膨胀率、人均预算收入与人均卫生支出之间存在强烈的显著负相关性。我们得出结论，卫生支出增加更多是由于市政税收收入增加，而非相对未增加的转移支付增加。通货膨胀率与融资和支出变量之间的强烈反向关系表明，货币政策的通货膨胀目标限制了城市的卫生融资。
