Abstract
Health services, the access to which is a right of all citizens and the duty of the state, must be efficiently provided, as public resources are scarce and there is a growing demand called for by the population. In this context, the objective was to evaluate the efficiency of public spending on Primary Health Care in the municipalities of Rio de Janeiro (n = 70) in 2015. Initially, the jackstrap procedure was used to identify possible outliers, and Data Envelopment Analysis was then applied to calculate robust efficiency scores. In the second stage, the efficiency scores were regressed into non-discretionary variables using the Tobit method, that may affect the efficiency of municipalities. The results show that 63.9% of municipalities efficiently applied ABS resources, however, given the expenses incurred, ABS outputs could have been, on average, 6% higher. In addition, no evidence was found that wealthier, more socially developed and/or populous municipalities, were more (or less) efficient in public spending on ABS than not.
Highlights
Resumo Os serviços de saúde, cujo acesso é um direito de todos e dever do Estado, devem ser prestados com eficiência, pois os recursos públicos são escassos e há uma crescente demanda por parte da população
Health services, the access to which is a right of all citizens and the duty of the state, must be efficiently provided, as public resources are scarce and there is a growing demand called for by the population
The objective was to evaluate the efficiency of public spending on Primary Health Care in the municipalities of Rio de Janeiro (n = 70) in 2015
Summary
Resumo Os serviços de saúde, cujo acesso é um direito de todos e dever do Estado, devem ser prestados com eficiência, pois os recursos públicos são escassos e há uma crescente demanda por parte da população. O objetivo deste artigo é avaliar a eficiência dos gastos públicos em atenção básica em saúde (ABS) nos municípios do Rio de Janeiro (n = 70) em 2015.
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