The Brazilian Unified National Health System: Proposal of a Cost-effectiveness Evaluation Model

The Brazilian Unified National Health System (Sistema Único de Saúde [SUS]) is in a prominent position compared to the existing social policies. One of the new tools used by SUS is known as Performance Index of the Unified Health System (Índice de Desempenho do Sistema Único de Saúde [IDSUS]), which...

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Main Authors: Lilian Ribeiro de Oliveira, Claudia Souza Passador
Format: Article
Language:English
Published: Associação Nacional de Pós-Graduação e Pesquisa em Administração (ANPAD) 2016-04-01
Series:BAR: Brazilian Administration Review
Subjects:
Online Access:http://www.anpad.org.br/periodicos/arq_pdf/a_1713.pdf
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author Lilian Ribeiro de Oliveira
Claudia Souza Passador
author_facet Lilian Ribeiro de Oliveira
Claudia Souza Passador
author_sort Lilian Ribeiro de Oliveira
collection DOAJ
description The Brazilian Unified National Health System (Sistema Único de Saúde [SUS]) is in a prominent position compared to the existing social policies. One of the new tools used by SUS is known as Performance Index of the Unified Health System (Índice de Desempenho do Sistema Único de Saúde [IDSUS]), which is intended to measure the performance of each municipality. Therefore, the aim of this study was to propose a model of cost-effectiveness to compare IDSUS performance against total revenues achieved in Homogeneous Group 2, consisting of 94 municipalities and analysed using data from IDSUS and the System Information of the Public Budget for Health Care (Sistema de Informação do Orçamento Público em Saúde [SIOPS]) for the year 2011. After structuring this data, we carried out descriptive statistical and cluster analysis in order to group similar municipalities in accordance with established variables: IDSUS performance, population and total revenue in health per capita. Even with the division of municipalities into homogeneous groups and after using variables such as population and revenue to regroup them, the results showed there are municipalities with heterogeneous characteristics. Another finding is in the use and intersection of two distinct databases (IDSUS and SIOPS), which allowed for visualizing the impact of health care revenue on the municipalities performance.
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spelling doaj.art-2be1693f3f7047659abaf80fdddbf7162023-01-02T23:24:08ZengAssociação Nacional de Pós-Graduação e Pesquisa em Administração (ANPAD)BAR: Brazilian Administration Review1807-76922016-04-01132e14012010.1590/1807-7692bar2016140120The Brazilian Unified National Health System: Proposal of a Cost-effectiveness Evaluation ModelLilian Ribeiro de Oliveira0Claudia Souza Passador1Faculdade de Economia, Administração e Contabilidade de Ribeirão Preto, Ribeirão Preto, SP, BrazilFaculdade de Economia, Administração e Contabilidade de Ribeirão Preto, Ribeirão Preto, SP, BrazilThe Brazilian Unified National Health System (Sistema Único de Saúde [SUS]) is in a prominent position compared to the existing social policies. One of the new tools used by SUS is known as Performance Index of the Unified Health System (Índice de Desempenho do Sistema Único de Saúde [IDSUS]), which is intended to measure the performance of each municipality. Therefore, the aim of this study was to propose a model of cost-effectiveness to compare IDSUS performance against total revenues achieved in Homogeneous Group 2, consisting of 94 municipalities and analysed using data from IDSUS and the System Information of the Public Budget for Health Care (Sistema de Informação do Orçamento Público em Saúde [SIOPS]) for the year 2011. After structuring this data, we carried out descriptive statistical and cluster analysis in order to group similar municipalities in accordance with established variables: IDSUS performance, population and total revenue in health per capita. Even with the division of municipalities into homogeneous groups and after using variables such as population and revenue to regroup them, the results showed there are municipalities with heterogeneous characteristics. Another finding is in the use and intersection of two distinct databases (IDSUS and SIOPS), which allowed for visualizing the impact of health care revenue on the municipalities performance.http://www.anpad.org.br/periodicos/arq_pdf/a_1713.pdfhealth policies; SUS; cost-effectiveness; IDSUS.
spellingShingle Lilian Ribeiro de Oliveira
Claudia Souza Passador
The Brazilian Unified National Health System: Proposal of a Cost-effectiveness Evaluation Model
BAR: Brazilian Administration Review
health policies; SUS; cost-effectiveness; IDSUS.
title The Brazilian Unified National Health System: Proposal of a Cost-effectiveness Evaluation Model
title_full The Brazilian Unified National Health System: Proposal of a Cost-effectiveness Evaluation Model
title_fullStr The Brazilian Unified National Health System: Proposal of a Cost-effectiveness Evaluation Model
title_full_unstemmed The Brazilian Unified National Health System: Proposal of a Cost-effectiveness Evaluation Model
title_short The Brazilian Unified National Health System: Proposal of a Cost-effectiveness Evaluation Model
title_sort brazilian unified national health system proposal of a cost effectiveness evaluation model
topic health policies; SUS; cost-effectiveness; IDSUS.
url http://www.anpad.org.br/periodicos/arq_pdf/a_1713.pdf
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