Resource allocation for equity in Brazilian health care: a methodological model
| Autor: | Garibaldi Dantas Gurgel Júnior, Eliane Maria Medeiros Leal, Sydia Rosana de Araújo Oliveira, Francisco de Assis da Silva Santos, Islândia Maria Carvalho de Sousa, Finn Diderichsen |
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| Jazyk: | English<br />Spanish; Castilian<br />Portuguese |
| Rok vydání: | 2019 |
| Předmět: | |
| Zdroj: | Saúde em Debate, Vol 43, Iss 121, Pp 329-340 (2019) |
| Druh dokumentu: | article |
| ISSN: | 2358-2898 0103-1104 |
| DOI: | 10.1590/0103-1104201912103 |
| Popis: | ABSTRACT It is a fundamental requirement of governments that they allocate resources to public services among institutions or populations that are potential competitors for funding. In Brazil, a country with clear social inequalities, equitable allocation of resources in the Unified Health System (SUS) poses a particular challenge. The present study proposes an individual-level matrix model for allocating health resources in the SUS based on data from the National Health Survey (PNS) 2013. This model is founded on a matrix of the following variables: age, sex, education, employment and income and the relationships between them. A morbidity score is used to estimate weights for each category. This model provides an opportunity for managers to use objective methods to provide a clear guide for decision-making in accordance with principles laid down in Brazilian law and in a manner based on health needs and epidemiological and demographic factors, in addition to the capacity to offer services. |
| Databáze: | Directory of Open Access Journals |
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