Equidad y distribución geográfica de recursos financieros en los sistemas de salud / Equity and geographic distribution of financial resources in health systems
Cad. saúde pública
; 18(4): 939-957, jul.-ago. 2002.
Article
en Es
| LILACS
| ID: lil-330963
Biblioteca responsable:
BR526.1
RESUMO
This study focuses on equity in health and specifically the geographic distribution of financial resources. The author reviews the main contemporary theories of social justice and discusses the concept of equity in general and specifically in the health field. Based on the discussion of selected international experiences (United Kingdom, Spain, and Italy), the Resource Allocation Working Party (RAWP) formula used in the United Kingdom is identified as the most adequate distributive methodology, sizing the relative needs based on the population's demographic and epidemiological profiles. Finally, the results are presented from a simulation performed for the Brazilian case, showing that a more equitable geographic distribution of financial resources would require a redistribution favoring the States of the North and Northeast. The article concludes by highlighting that a comparison of actual fund outlays by the Ministry of Health in 1994 and the results of the simulation with the RAWP methodology for the Brazilian case show that the principles written into Brazilian legislation were absent from the geographic distribution of financial resources.
Texto completo:
1
Índice:
LILACS
Asunto principal:
Justicia Social
/
Asignación de Recursos para la Atención de Salud
/
Accesibilidad a los Servicios de Salud
Tipo de estudio:
Health_economic_evaluation
/
Prognostic_studies
Límite:
Female
/
Humans
/
Male
País/Región como asunto:
America do sul
/
Brasil
/
Europa
Idioma:
Es
Revista:
Cad. saúde pública
Asunto de la revista:
SAUDE PUBLICA
/
TOXICOLOGIA
Año:
2002
Tipo del documento:
Article