Evaluation of the performance of health regions in the State of Rio de Janeiro
DOI:
https://doi.org/10.33448/rsd-v9i8.5634Keywords:
Health Evaluation; Regional health planning; Health care (Public Health); Health economicsAbstract
This study aims to evaluate the performance of public health expenditure indicators in the nine Health Regions of the State of Rio de Janeiro. Data from the Public Health Budget Information System (SIOPS), in the public domain, involving the nine Health Regions of the State of Rio de Janeiro, with annual periodicity between 2007 and 2016, adjusted by the National Broad Consumer Price Index (IPCA), were extracted. Then, the data were analyzed through descriptive statistics and presented in the form of table and graph. The data showed that metropolitan regions I and II have been maintaining their total expenditures and declining per inhabitant in recent years. In contrast, the RS of the Coastal Lowland, Ilha Grande Bay and North have their expenses increasing, and it is last, the differences reach results considered pronouncedly high. These RS enjoy increases in their revenues from incentives from oil and gas production or state environmental tax incentives. It is considered that despite the high health expenses of the three RS compared to the metropolitan health regions, it cannot be inferred that the quality of the production processes and health products of the latter are worse, because the human development rates are higher in these health regions than in the RS of higher health expenditures in the period studied.
References
Baião, A. L., Couto, C. G., & Oliveira, V. E. (2019). Quem ganha o quê, quando e como? Emendas orçamentárias em Saúde no Brasil. Revista de Sociologia e Política, 27(71), e004. https://doi.org/10.1590/1678-987319277104.
Balbino, C. M, Silvino, Z. R, Joaquim, F. L., Souza, C. J, & Santos, L. M (2020). Technological innovation: dialogical perspective from the view of Joseph Schumpeter. Research, Society and Development, 9(6), e198963593. doi:http://dx.doi.org/10.33448/rsd-v9i6.3593.
Chan, L. K., & Wu, M. L. (2005). A systematic approach to quality function deployment with a full illustrative example. Omega, 33(2), 119-139. https://doi.org/10.1016/j.omega.2004.03.010.
Devi, S. (2010). Innovation and education improve health in Rio’s favelas. The Lancet, 376(9735), 83-84. https://doi.org/10.1016/S0140-6736(10)61064-1.
Ferreira, A. O.M., Silvino, Z. R., Balbino, C. M., Izu, M., Souza, C. J., & Matias, D. O (2020). Multicriteria model for the quality control of geriatric diapers for hospital use. Research, Society and Development, 9(7), e753974835. doi:http://dx.doi.org/10.33448/rsd-v9i7.4835.
Giacomoni, J. Orçamento público. – 17. ed. revista e atualizada – São Paulo: Atlas,
Hagen, T. P., & Kaarbøe, O. M. (2006). The Norwegian hospital reform of 2002: central government takes over ownership of public hospitals. Health policy Amsterdam, 76(3), 320–333. https://doi.org/10.1016/j.healthpol.2005.06.014.
Hirata, H. (2020). Comparando relações de cuidado: Brasil, França, Japão. Estudos Avançados, 34 (98), 25-40. https://doi.org/10.1590/s0103-4014.2020.3498.003.
Kadri, M. R. E. (2019). A Regionalização da saúde: o caminho para o SUS em todos territórios? Hygeia, 15(33), 67-76. https://doi.org/10.14393/Hygeia153351677
Lewis, J. M., & Ricard, L. M. (2014). Innovation capacity in the public sector: Structures, networks and leadership. Work in Progress, (3), 1–26. https://doi.org/10.13140/2.1.1803.6487
Mendes, E. V. (2011). As Redes de Atenção à Saúde. Brasília: Brasília: Organização Pan-Americana da Saúde, 2011.
Mooney, G. Economics, Medicine and Health Care (2003). 3 th. Harlow :Pearson Education Limited.
Nero, C. R. D. (1995) O que é Economia da Saúde. In: Piola, S. F., & Solon, M. V., (coord). Economia da Saúde: Conceitos e Contribuição para a Gestão da Saúde. Brasília: Ipea
Pinheiro, R., Peres, A. M. A. M., Velloso, G., & Caldas, M. S. (2014). Apoio regional no estado do Rio de Janeiro, Brasil: um relato de experiência. Interface - Comunicação, Saúde, Educação, 18(Supl. 1), 1125-1133. https://doi.org/10.1590/1807-57622013.0375.
Pires, M. R. G. M., Göttems, L. B. D., Martins, C. M. F., Guilhem, D., & Alves, E. D. (2010). Oferta e demanda por média complexidade/SUS: relação com atenção básica. Ciência & Saúde Coletiva, 15(suppl 1), 1009–1019. https://doi.org/10.1590/S1413-81232010000700007
Rocha, D. G., Zuccolotto, R., & Teixeira, M. A. C. (2020). Insulated and undemocratic: the (im)possibility of social accountability in Brazilian courts of accounts. Revista de Administração Pública, 54(2), 201-219. https://doi.org/10.1590/0034-761220190294x
Salvador, E. (2015). Renúncias tributárias: os impactos no financiamento das políticas sociais no Brasil. Brasília: Instituto de Estudos Socioeconômicos.
Scott, A., Maynard, A., Elliott, R. (2003). Advances in health economics. West Sussex: John Wiley & Sons Ltd .
Stephan, A., Kirkpatrick, I., & Walker, R. M. (2007). Public Management Reform in the UK and Its Consequences for Professional Organization: A Comparative Analysis. Public Administration, 85: 9–26.
Viana, A. L. D’., & Silva, H. P. (2015). Brazilian social policy in times of crisis: on the road to a private liberal social model? Cad Saúde Pública, 31(12), 2471-2474. https://dx.doi.org/10.1590/0102-311X00173615
Wang, Y., & Tang, W. (2020). Universities and the Formation of Edge Cities: Evidence from China’s Government-led University Town Construction. Papers in Regional Science, 99(1), 245–265. https://doi.org/10.1111/pirs.12480
Wonderling, D., Gruen, R. G., & Nich, B. (2005). Introduction to heath Economics. New York: Open University Press.
Zanatta, R., & Abramovay, R. (2019). Dados, vícios e concorrência: repensando o jogo das economias digitais. Estudos Avançados, 33(96), 421-446. https://doi.org/10.1590/s0103-4014.2019.3396.0021
Downloads
Published
How to Cite
Issue
Section
License
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
