Glosses in health establishments under state management and consortium management, in Ceará

Abstract

As part of its regionalization process, Ceará was divided into five Health Regions, which decentralized health services, actions and agreement processes between municipalities and the state. As coordinator of the Health Regions, it has invested in strengthening the internalization of health through the construction of Regional Polyclinics and Regional Dental Specialty Centres (CEOR), enabling the formation of inter-municipal consortia. This is an exploratory, quantitative and descriptive study with a retrospective approach, analyzing the provision of health care costs through a partial economic evaluation. This study aimed to analyze the disallowances and outpatient production presented/informed, the relationship between them and the value of these disallowances, carried out in the 41 establishments of the five health regions under state management and consortium management in the State of Ceará, whose value in the Unified Health System (SUS) table is different from zero, during the years 2019 and 2020. Secondary databases were used from the SUS Outpatient Information System (SIA/SUS) and the website of the Coordination of Regulation, Control, Evaluation and Audit (CORAC). The results were presented by comparing the value of what was presented to the Ministry of Health (MoH) and the value of the disallowances. It was concluded that these establishments need to be monitored in terms of feeding information into systems, in order to show the Ministry of Health that there are insufficient resources to meet the needs that are increasingly growing in quantity and diversity.