Panorama da saúde pública no semiárido brasileiro: Eficiência e desempenho

• Ano de defesa: 2018
• Autor(a) principal: Damasceno, Nagilane Parente
• Tipo de documento: Tese
• Tipo de acesso: Acesso aberto
• Idioma: por
• Palavras-chave em Português: Saúde pública; Eficiência; Desempenho; Semiárido
• Link de acesso: http://www.repositorio.ufc.br/handle/riufc/34892

Health plays a key role for sustainable development. Populations living in healthy environments are healthier and more productive and are better able to promote and sustain economic, social and environmental development. This study aims to analyze the efficiency and performance of public health in the municipalities of the Brazilian semi-arid region. The efficiency was analyzed through the technique of Data Envelopment Analysis, allowing the calculation of the technical efficiency and the efficiency of scale. The performance analysis was performed through the factorial analysis, by means of which the Health Development Index (IDS) was calculated, and the cluster analysis, which allowed the grouping and hierarchy of the municipalities with respect to IDS. Data were obtained through the Information System for Monitoring the Quality of Water for Human Consumption (SISAGUA), the Department of Information Technology of the SUS (DATASUS), the Information System on Public Budgets in Health (SIOPS) and the United Nations Development Program (UNDP), for the years 2010 and 2011, and operationalized through the programs SPSS 17.0 and DEAP. The results indicate that most municipalities in the Brazilian semi-arid region do not use public resources in the most efficient way possible, in order to maximize the indicators related to health system performance. From the application of the factorial analysis it was possible to obtain five factors: human and financial resources indicator (Factor 1); indicator of potential access to basic care (Factor 2); access indicator obtained in outpatient care of medium and high complexity and hospital care of high complexity (Factor 3); indicator of hospitalizations (Factor 4); indicator of integral attention to the health of women and children and of the reduction of risks and health problems of the population (Factor 5). With regard to IDS, it can be concluded that most municipalities present low health development. A tiny minority of the municipalities of the region is framed in the middle and high health development bands.