scholarly journals Eficiência e Produtividade dos Gastos, Ações e Serviços de Saúde nos Municípios Mais Populosos do Ceará no Contexto da EC 95/2016

Author(s):  
Antonio Rafael Valério de Oliveira ◽  
Samuel Cavalcante Mota ◽  
Alessandra Carvalho de Vasconcelos
Keyword(s):  

Objetivo da pesquisa: Analisar a eficiência e a produtividade dos gastos, ações e serviços de saúde nos municípios mais populosos do Ceará antes e depois da EC 95/2016. Enquadramento teórico: O estudo aborda a destinação eficiente dos recursos da saúde, que tem se transformado em um desafio para os gestores municipais preocupados em alcançar a universalidade da assistência à população, sobretudo no contexto de crise econômica e de austeridade fiscal implementado pela EC 95/2016. Metodologia: O estudo utiliza a Análise Envoltória de Dados (DEA) e o Índice de Produtividade Malmquist (IPM), usando o modelo BCC, orientados para output, para aferir eficiência e produtividade dos 36 municípios mais populosos do Ceará, com dados de 2015 a 2018. Resultados: Depois da vigência da EC 95/2016 há maior quantidade de municípios eficientes e com maiores escores de eficiência, não sendo identificado correlação entre a eficiência e os indicadores PIB per capita e IEGM_Saúde. Ademais, houve aumento na produtividade total dos municípios nos anos depois da EC. Originalidade: A pesquisa avalia a eficiência e a produtividade dos gastos com saúde nos municípios cearenses e correlaciona a eficiência com os indicadores PIB per capita e IEGM_Saúde, este último ainda não explorado por estudos anteriores. O artigo também contribui para subsidiar a elaboração das políticas públicas de saúde no Ceará, ao explorar a eficiência e a produtividade dos municípios no contexto da EC 95/2016. Contribuições teóricas e práticas: Em termos teóricos, assinala-se que a EC 95/2016 afetou positivamente a eficiência e a produtividade dos gastos da saúde, entretanto há indicação de ocorrência de impactos negativos ao longo de sua vigência. Na prática, sinaliza-se que os municípios com melhor situação econômica, absorvida pelo PIB per capita, não são os mais eficientes na aplicação dos recursos em saúde, bem como os melhores IEGM_Saúde também não são.

2009 ◽  
Vol 29 (S 01) ◽  
pp. S16-S18 ◽  
Author(s):  
B. Brand ◽  
N. von der Weid

SummaryThe Swiss Haemophilia Registry of the Medical Committee of the Swiss Haemophilia Society was established in 2000. Primarily it bears epidemiological and basic clinical data (incidence, type and severity of the disease, age groups, centres, mortality). Two thirds of the questions of the WFH Global Survey can be answered, especially those concerning use of concentrates (global, per capita) and treatment modalities (on-demand versus prophylactic regimens). Moreover, the registry is an important tool for quality control of the haemophilia treatment centres.There are no informations about infectious diseases like hepatitis or HIV, due to non-anonymisation of the data. We plan to incorporate the results of the mutation analysis in the future.


2015 ◽  
pp. 30-53
Author(s):  
V. Popov

This paper examines the trajectory of growth in the Global South. Before the 1500s all countries were roughly at the same level of development, but from the 1500s Western countries started to grow faster than the rest of the world and PPP GDP per capita by 1950 in the US, the richest Western nation, was nearly 5 times higher than the world average and 2 times higher than in Western Europe. Since 1950 this ratio stabilized - not only Western Europe and Japan improved their relative standing in per capita income versus the US, but also East Asia, South Asia and some developing countries in other regions started to bridge the gap with the West. After nearly half of the millennium of growing economic divergence, the world seems to have entered the era of convergence. The factors behind these trends are analyzed; implications for the future and possible scenarios are considered.


2018 ◽  
pp. 71-91 ◽  
Author(s):  
I. L. Lyubimov ◽  
M. V. Lysyuk ◽  
M. A. Gvozdeva

Well-established results indicate that export diversification might be a better growth strategy for an emerging economy as long as its GDP per capita level is smaller than an empirically defined threshold. As average incomes in Russian regions are likely to be far below the threshold, it might be important to estimate their diversification potential. The paper discusses the Atlas of economic complexity for Russian regions created to visualize regional export baskets, to estimate their complexity and evaluate regional export potential. The paper’s results are consistent with previous findings: the complexity of export is substantially higher and diversification potential is larger in western and central regions of Russia. Their export potential might become larger if western and central regions, first, try to join global value added chains and second, cooperate and develop joint diversification strategies. Northern and eastern regions are by contrast much less complex and their diversification potential is small.


2016 ◽  
pp. 67-93 ◽  
Author(s):  
A. Zaytsev

Using level accounting methodology this article examines sources of per capita GDP and labor productivity differences between Russia and developed and developing countries. It considers the role played by the following determinants in per capita GDP gap: per hour labor productivity, number of hours worked per worker and labor-population ratio. It is shown that labor productivity difference is the main reason of Russia’s lagging behind. Factors of Russia’s low labor productivity are then estimated. It is found that 33-39% of 2.5-5-times labor productivity gap (estimated for non-oil sector) between Russia and developed countries (US, Canada, Germany, Norway) is explained by lower capital-to-labor ratio and the latter 58-65% of the gap is due to lower technological level (multifactor productivity). Human capital level in Russia is almost the same as in developed countries, so it explains only 2-4% of labor productivity gap.


2008 ◽  
pp. 94-109 ◽  
Author(s):  
D. Sorokin

The problem of the Russian economy’s growth rates is considered in the article in the context of Russia’s backwardness regarding GDP per capita in comparison with the developed countries. The author stresses the urgency of modernization of the real sector of the economy and the recovery of the country’s human capital. For reaching these goals short- or mid-term programs are not sufficient. Economic policy needs a long-term (15-20 years) strategy, otherwise Russia will be condemned to economic inertia and multiplying structural disproportions.


2006 ◽  
pp. 75-92 ◽  
Author(s):  
S. Moiseev

The number of classical banks in the world has reduced. In the majority of countries the number of banks does not exceed 200. The uniqueness of the Russian banking sector is that in this respect it takes the third place in the world after the USA and Germany. The paper reviews the conclusions of the economic theory about the optimum structure of the banking market. The empirical analysis shows that the number of banks in a country is influenced by the size of its territory, population number and GDP per capita. Our econometric estimate is that the equilibrium number of banks in Russia should be in a range of 180-220 units.


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