Production efficiency and financing of public health: an analysis of small municipalities in the state of São Paulo--Brazil.

Health Care Management Science
Patrícia Siqueira VarelaLuiz Paulo Lopes Fávero

Abstract

This paper measured the variations in performance of small municipalities in the State of São 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.

References

Oct 16, 2004·Health Policy·Donna Retzlaff-RobertsRose M Rubin

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Citations

Sep 24, 2010·Health Care Management Science·Kankana MukherjeeNing Jackie Zhang
Jul 11, 2012·Health Policy·Ferruccio PeloneAntonio Giulio de Belvis
Dec 10, 2014·Journal of Medical Systems·Ferruccio PeloneWalter Ricciardi
Oct 16, 2016·BMC Health Services Research·Myriam Ruiz-RodriguezIleana Heredia-Pi
May 11, 2017·Journal of Medical Systems·Rumbidzai TakundwaMaria Cristina Peñaloza-Ramos
Jun 14, 2019·The International Journal of Health Planning and Management·Edson Serván-MoriGustavo Nigenda
Nov 29, 2020·Health Economics Review·Bruno Wichmann, Roberta Wichmann
May 11, 2021·Social Indicators Research·Diogo FerrazDaisy Aparecida do Nascimento Rebelatto
Aug 6, 2021·Applied Health Economics and Health Policy·Margherita NeriGraham Cookson

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