财政紧缩和市政卫生支出:一个中断的时间序列研究
Leo Ramos Maia1, Mônica Rodrigues Campos2, Débora Castanheira3
1Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Programa de Pós-Graduação em Saúde Pública. Rio de Janeiro, Brasil.
Revista de saude publica
|September 25, 2024
概括
财政紧缩政策 (PAF) 最初减少了市政卫生支出,特别是自有资金. 较大的市政当局经历了对联邦和自有医疗基金的长期负面影响.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 财政政策分析 财政政策分析
背景情况:
- 巴西的财政紧缩政策 (PAF) 旨在减少公共支出.
- 了解它对医疗保健等基本服务的影响至关重要.
- 市镇的规模和资金来源各不相同,这可能导致差异性影响.
研究的目的:
- 分析财政紧缩政策 (PAF) 对巴西市政府卫生支出的影响.
- 检查人口规模和资金来源 (联邦转移与自身资源) 如何影响这些影响.
主要方法:
- 间断时间序列分析 (2010-2019) 检查了卫生总支出,联邦转移和自身/州资源.
- 按人口分类的市镇:小型 (≤100,000),中型 (101,000-400,000) 和大型 (>400,000).
- 数据来源于公共卫生预算信息系统 (SIOPS).
主要成果:
- 在2015年上半年,PAF在全国范围内对卫生总支出和自身/国家资源产生了负面影响.
- 小市政府减少了总支出;大市政府减少了自身/国家资源;中等市政府减少了两者.
- 联邦转移最初基本上没有受到影响,但大型市政当局在2015年后看到自己的/州和联邦资源持续减少.
结论:
- 该PAF的主要直接影响是减少了市政自有/国家卫生资源.
- 从2015年到2019年,大型市政当局面临着持续的负面影响,影响了自身来源和联邦卫生资金.
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