Gastos com saúde na atenção básica: uma análise dos fatores associados à eficiência da aplicação dos recursos públicos de municípios em Minas Gerais

Abstract

The role of the municipal health councils (CMS) is configured in a field of comprehensive analysis and in full effervescence, being part of academic researches that try to understand its effectiveness, composition and deliberation. The Society is more critical in relation to the services and products made available by the government, another discussion that generates great interest among researchers is the analysis of the efficiency in the application of public spending on health. In Brazil, these discussions were stimulated from the 1988 Constitution, which instituted instruments of social control, like the Public Policy Management Councils. To support the analysis of the CMS as a social control mechanism, the work brought the concept of accountability and social accountability. The purpose of this work was to analyze the structural elements of the CMS that are associated with technical efficiency in the application of public health expenditures in the municipalities of Minas Gerais in the periods 2012 and 2016 that represent the last years of the mayors' mandate. Striving to have a quantitative character, this work used the data envelopment analysis (DEA) to analyze the efficiency and wilcoxon test to investigate the association of the structural elements of the CMS and the efficiency. Among the results obtained, it is concluded that the structural elements of the CMS are not associated with the efficiency in the application of health expenditure in primary care, making the existence of the CMS merely convenient for the municipalities.