Artículos de revistas
Production efficiency and financing of public health: an analysis of small municipalities in the state of Sao Paulo - Brazil
Fecha
2010Registro en:
HEALTH CARE MANAGEMENT SCIENCE, v.13, n.2, p.112-123, 2010
1386-9620
10.1007/s10729-009-9114-y
Autor
VARELA, Patricia Siqueira
MARTINS, Gilberto de Andrade
FAVERO, Luiz Paulo Lopes
Institución
Resumen
This paper measured the variations in performance of small municipalities in the State of Sao Paulo, Brazil, regarding the technical efficiency in the use of public funds in public primary health care actions concerning the funding profile, in a scenario of fiscal federalism. Technical efficiency is one of the parameters of evaluation of public sector performance and was measured by means of Data Envelopment Analysis (DEA). The correlation analysis of DEA score was used to verify possible associations between technical efficiency and the funding profile of expenses with health care. The results showed that 6.41% of the municipalities were considered efficient. They also showed that the level of municipality dependence to inter-governmental general purpose grants and the national health funding specific purpose grants have negative correlation with efficiency scores.