Análise do financiamento, investimento e eficiência do sistema único de saúde das capitais brasileiras e do distrito federal

Abstract

This study evaluated the trend of transfers from the Unified Health System (SUS) and health expenses paid exclusively with resources from the municipality per inhabitant in Brazilian capitals between 2008 and 2018. This is quantitative research of an analytical and retrospective nature, involving indicators of net expenditure made available by the Public Health Budgets Information System. The country's 26 capitals were included and the transfers from the Unified Health System (SUS) per inhabitant and the health expenditure of each capital per inhabitant were analyzed. In each year, the total value of SUS transfers and the expenses of each capital were divided by the population of each capital in each of the years analyzed. The values were deflated based on the Extended National Consumer Price Index of 2018 to allow comparison over the years. The average annual variation, in reais, of health investments was assessed by linear regressions. Pearson correlations were estimated between SUS transfers and health expenditures in the state capitals. All capitals showed a statistically significant positive correlation. The lowest coefficient was observed in the capital Macapá (Amapá) (r = 0.860) and the highest in Fortaleza (Ceará) (r = 0.997). Belo Horizonte was the capital that had the highest annual increase in transfers from SUS (an average of R $ 67.91 per year), whereas Teresina was the one that had the highest annual increase in health expenditures among capitals (an average of R $ 55.42 per annum). The complexity and quantity of procedures offered to the population were added, thus the municipal counterpart is being overloaded.