Controle na alocação de recursos na saúde pública: uma análise nas microrregiões do sudeste brasileiro

Abstract

This study aims to investigate the efficiency of resource allocation in primary care services in micro-regions in the Southeast of Brazil. In order to evaluate the efficiency of the health care sector, variables that represent allocation of resources (inputs) and supplied services (outputs) were selected. The measurement of efficiency was performed by the Data Envelopment Analysis, using the classical model of variable return to scale and product-oriented. The efficient frontier obtained by this analysis does not intend to provide a rigid standard of efficiency for healthcare, but a way to check how much the regions could provide with the same amount of investment. The results showed that the performance of these micro Southeast regions can be considered as moderate and that the State of São Paulo has the greatest number of efficient micro-regions. Lastly, the paper asserts about the importance of using control tools, based on results to promote policies to improve the efficiency of primary health care, which consider the diversity of the municipalities and micro-regions of the country, according to the inter-regional particularities.