Efficiency in public health

The Trajectory of a Concept From Engineering

Bibliographic Data

ID5334000
AuthorsJúlio César Pereira Borges (0000-0003-3493-8972, Universidade Federal do Rio Grande do Sul), Ronaldo Bordin (0000-0002-6731-6603, Universidade Federal do Rio Grande do Sul)
Year2023
Volume47
Issue138
Pages616-629
Publication date2023-09-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueSaúde em Debate (JOURNAL)
Journal identifiersISSN: 0103-1104 • E-ISSN: 2358-2898
PublisherFapUNIFESP (SciELO) (PUBLISHER)
DOI10.1590/0103-1104202313818i
OpenAlexW4386832449
LanguageEN
References cited13

This article aims to describe the development trajectory of the concept of efficiency in public administration, more specifically in the area of public health. To achieve this objective, a theoretical essay was carried out, in which a theoretical-analytical argument was developed to guide empirical research in relation to the issue of efficiency in health management. This argument is based on three assumptions: over a century of development of the concept of efficiency in public administration, this concept is still heavily loaded with assumptions from engineering; these assumptions, in turn, are directly connected with principles of neoclassical economics, which underlie neoliberal perspectives applied to public management; and in the health area, the concept of efficiency based only on market economy assumptions is insufficient, needing to be articulated with the concepts of efficacy and effectiveness

Argument (complex analysis) · Economics · Management science · Political science · Positive economics · Public health · Public management · Public relations · Relation (database) · Sociology · Trajectory · Computer Science · Health Systems, Economic Evaluations, Quality of Life · Healthcare Systems and Reforms · Medicine · Public Health in Brazil

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