Descentralização e uniformidade nacional na provisão dos serviços de saúde: o caso do Brasil

In this paper we evaluate to what extent territorial inequalities affect capacity and local conditions for provision of services in a national public policy with decentralized implementation. Analyzing the Brazilian health policy, in which municipalities are responsible for the provision of services...

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Detalles Bibliográficos
Autores: José Angelo Machado, Ana Luíza Santos Guim
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2017
País:Brasil
Institución:Universidade Federal de Minas Gerais (UFMG)
Repositorio:Repositório Institucional da UFMG
Idioma:portugués
OAI Identifier:oai:repositorio.ufmg.br:1843/68657
Acceso en línea:https://doi.org/10.21874/rsp.v68i1.1582
http://hdl.handle.net/1843/68657
https://orcid.org/0000-0002-8023-9526
Access Level:acceso abierto
Palabra clave:Gestão de políticas públicas
Política de saúde
Gestão orçamentária
Descentralização administrativa
Desigualdade regional
Administração municipal
Políticas públicas
Orçamento municipal
Descripción
Sumario:In this paper we evaluate to what extent territorial inequalities affect capacity and local conditions for provision of services in a national public policy with decentralized implementation. Analyzing the Brazilian health policy, in which municipalities are responsible for the provision of services, their methodological strategy was directed to a cross-sectional study of local budgets in the formation of revenues and expenses considering population size and regional location of municipalities. In the end, despite the equalizer character transfers conditional federal, we identify asymmetries between capacity and local conditions which may jeopardize the equal access to health services, defined in the Brazilian Constitution.