Production efficiency and financing of public health: an analysis of small municipalities in the state of Sao Paulo - Brazil

被引：25
|
作者：
Varela, Patricia Siqueira [1 ]
Martins, Gilberto de Andrade [1 ]
Lopes Favero, Luiz Paulo [1 ]
机构：
[1] Univ Sao Paulo, Observ Gestao Publ, Sch Econ Business Adm & Accountancy, Sao Paulo, Brazil
来源：
HEALTH CARE MANAGEMENT SCIENCE | 2010年 / 13卷 / 02期
基金：
巴西圣保罗研究基金会;
关键词：
Technical efficiency; Health care production; Funding; Local governments; PURE THEORY; EXPENDITURE; MODELS;
D O I：
10.1007/s10729-009-9114-y
中图分类号：
R19 [保健组织与事业（卫生事业管理）];
学科分类号：
摘要：
This paper measured the variations in performance of small municipalities in the State of Sao Paulo, Brazil, regarding the technical efficiency in the use of public funds in public primary health care actions concerning the funding profile, in a scenario of fiscal federalism. Technical efficiency is one of the parameters of evaluation of public sector performance and was measured by means of Data Envelopment Analysis (DEA). The correlation analysis of DEA score was used to verify possible associations between technical efficiency and the funding profile of expenses with health care. The results showed that 6.41% of the municipalities were considered efficient. They also showed that the level of municipality dependence to inter-governmental general purpose grants and the national health funding specific purpose grants have negative correlation with efficiency scores.
引用
收藏
页码：112 / 123
页数：12
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