Proadi-SUS: analysis of financial resources in the three-year periods 2009–2011, 2012–2014 and 2015–2017

ABSTRACT OBJECTIVE To characterize the tax exemption resources used in the Support Program for Institutional Development of the Unified Health System (Proadi-SUS) in the 3-year periods 2009–2011, 2012–2014, 2015–2017, considering the total volume of resources linked to the debate on tax expenditur...

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Main Authors: Julia Amorim Santos, Luciana Palhares, Aquilas Mendes
Format: Article
Language:English
Published: Universidade de São Paulo 2023-10-01
Series:Revista de Saúde Pública
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102023000100250&tlng=pt
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author Julia Amorim Santos
Luciana Palhares
Aquilas Mendes
author_facet Julia Amorim Santos
Luciana Palhares
Aquilas Mendes
author_sort Julia Amorim Santos
collection DOAJ
description ABSTRACT OBJECTIVE To characterize the tax exemption resources used in the Support Program for Institutional Development of the Unified Health System (Proadi-SUS) in the 3-year periods 2009–2011, 2012–2014, 2015–2017, considering the total volume of resources linked to the debate on tax expenditures on health and the constitution of a “new form of philanthropy” in the sector. METHODS To understand the philanthropic sector, tax expenditures between 2001 and 2017 were analyzed. To evaluate the resources used in the program, the values of projects and areas of activity were examined. RESULTS A real increase in the values of general tax expenses and tax expenses referring to the philanthropic sector was found. There was also a real increase in the program’s resources. A total of 407 projects were carried out, amounting to R$ 3.4 billion for the period. An analysis of the average value of the projects shows an increase in values for all hospitals included in the program, with the exception of one of the institutions. In the 2009–2011 and 2012–2014 periods, the area with the highest number of projects and the most resources was “Management techniques and operation in health services”. In the 3-year period 2015-2017, however, the sector that received the most investments and the largest number of projects developed was “Human Resources Training”. CONCLUSION The program characterizes a different expression of the public-private partnership in the health sector linked to the principles of the new public management. As a development for future investigations, a qualitative characterization of the projects developed and the actions’ impact on the public sector demands is necessary.
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spelling doaj.art-a3dfb2a2c69742fb84732ede9a3a035c2023-10-24T07:40:36ZengUniversidade de São PauloRevista de Saúde Pública1518-87872023-10-015710.11606/s1518-8787.2023057004385Proadi-SUS: analysis of financial resources in the three-year periods 2009–2011, 2012–2014 and 2015–2017Julia Amorim Santoshttps://orcid.org/0000-0002-4403-2165Luciana Palhareshttps://orcid.org/0000-0003-1166-1886Aquilas Mendeshttps://orcid.org/0000-0002-5632-4333ABSTRACT OBJECTIVE To characterize the tax exemption resources used in the Support Program for Institutional Development of the Unified Health System (Proadi-SUS) in the 3-year periods 2009–2011, 2012–2014, 2015–2017, considering the total volume of resources linked to the debate on tax expenditures on health and the constitution of a “new form of philanthropy” in the sector. METHODS To understand the philanthropic sector, tax expenditures between 2001 and 2017 were analyzed. To evaluate the resources used in the program, the values of projects and areas of activity were examined. RESULTS A real increase in the values of general tax expenses and tax expenses referring to the philanthropic sector was found. There was also a real increase in the program’s resources. A total of 407 projects were carried out, amounting to R$ 3.4 billion for the period. An analysis of the average value of the projects shows an increase in values for all hospitals included in the program, with the exception of one of the institutions. In the 2009–2011 and 2012–2014 periods, the area with the highest number of projects and the most resources was “Management techniques and operation in health services”. In the 3-year period 2015-2017, however, the sector that received the most investments and the largest number of projects developed was “Human Resources Training”. CONCLUSION The program characterizes a different expression of the public-private partnership in the health sector linked to the principles of the new public management. As a development for future investigations, a qualitative characterization of the projects developed and the actions’ impact on the public sector demands is necessary.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102023000100250&tlng=ptHealth PolicyPublic-Private PartnershipsTax Exemption
spellingShingle Julia Amorim Santos
Luciana Palhares
Aquilas Mendes
Proadi-SUS: analysis of financial resources in the three-year periods 2009–2011, 2012–2014 and 2015–2017
Revista de Saúde Pública
Health Policy
Public-Private Partnerships
Tax Exemption
title Proadi-SUS: analysis of financial resources in the three-year periods 2009–2011, 2012–2014 and 2015–2017
title_full Proadi-SUS: analysis of financial resources in the three-year periods 2009–2011, 2012–2014 and 2015–2017
title_fullStr Proadi-SUS: analysis of financial resources in the three-year periods 2009–2011, 2012–2014 and 2015–2017
title_full_unstemmed Proadi-SUS: analysis of financial resources in the three-year periods 2009–2011, 2012–2014 and 2015–2017
title_short Proadi-SUS: analysis of financial resources in the three-year periods 2009–2011, 2012–2014 and 2015–2017
title_sort proadi sus analysis of financial resources in the three year periods 2009 2011 2012 2014 and 2015 2017
topic Health Policy
Public-Private Partnerships
Tax Exemption
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102023000100250&tlng=pt
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AT aquilasmendes proadisusanalysisoffinancialresourcesinthethreeyearperiods2009201120122014and20152017