Austeridade fiscal e gastos municipais em saúde

Estudo de séries temporais interrompidas

Bibliographic Data

ID16780403
AuthorsLeo Ramos Maia (0000-0003-1531-0880, Escola Nacional de Saúde Pública), Débora Castanheira Pires (0000-0001-6995-1259, Escola Nacional de Saúde Pública), Mailín R Campos (0000-0002-7443-5977), Mônica Rodrigues Campos (Escola Nacional de Saúde Pública)
Year2024
Volume58
Issue1
Pages42
Publication date2024-09-16
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueRevista de Saúde Pública (JOURNAL)
Journal identifiersISSN: 0034-8910 • E-ISSN: 0034-8910
PublisherUniversidade de São Paulo. Agência de Bibliotecas e Coleções Digitais (PUBLISHER)
DOI10.11606/s1518-8787.2024058005772
PMID39319934
OpenAlexW4402854719
LanguagePT
Citations received3
References cited10

OBJECTIVE: To analyze the impact of the fiscal austerity policy (PAF) on health spending in Brazilian municipalities, considering population size and source of funds. METHODS: The interrupted time series method was used to analyze the effect of the PAF on total expenditure, resources transferred by the Federal Government, and own/state per capita resources allocated to health in the municipalities. The time series analyzed covered the period from 2010 to 2019, every six months. The first semester of 2015 was adopted as the start date of the intervention. The municipalities were grouped into small (up to 100,000 inhabitants), medium (101,000 to 400,000 inhabitants), and large (over 400,000 inhabitants). The data was obtained from the Sistema de Informações sobre Orçamentos Públicos em Saúde (Information System on Public Health Budget). RESULTS: The results for the national average of municipalities show that the PAF had a negative impact on the level of total expenditure and own/state resources allocated to health in the first half of 2015, without causing statically significant changes in the trends of any of the indicators analyzed in the period after 2015. Small municipalities saw a drop in total expenditure, while large municipalities saw a drop in own/state resources, and medium-sized municipalities saw a drop in both variables. There was no statistically significant drop in the volume of funds transferred by the Federal Government in the immediate aftermath of the implementation of the PAF in any of the municipal groups analyzed. In the medium-term, the PAF only had a negative impact on the large municipalities, which saw significant reductions in the trends of own/state resources and those transferred by the Union for health. CONCLUSION: In general, the impact of the PAF on health financing in municipalities was immediate and based on the decrease in own/state resources allocated to health. In large municipalities, however, the impact lasted from 2015 to 2019, mainly affecting health expenditure from federal funds

Austerity · Economics · Fiscal policy · Keynesian economics · Political science · Welfare economics · Global Health Care Issues · Health, Nursing, Elderly Care · Maternal and Neonatal Healthcare