Analysis of payment models applied to federal funding from the perspective of the Brazilian Health System
BJHE - Brazilian Journal of Health Economics
;
14(Suplemento 1)Fevereiro/2022.
Artigo
em Inglês
|
LILACS-Express
| LILACS
| ID: biblio-1366708
ABSTRACT
Objective:
This study aims at identifying the payment methods existing in the Unified Health System referring to federal transfers to Primary Health Care (PHC) and Specialized Health Care.Methods:
A quantitative and analytical study was carried out, developed in three stages survey of all types of transfers from the Union; classification of each transfer category according to the types of payment methods and measurement of the participation of each payment methods, according to the financing components analyzed, in relation to the net values transferred.Results:
Federal transfers were classified into seven payment methods. For PHC, in 2020, approximately R$ 21.7 billion was calculated, including resources destined for the pandemic, and R$ 20.9 billion without considering resources to face the COVID-19 pandemic. More than 50% of the amounts used were classified as capitation, in both cases. For specialized health care, in 2019, around R$ 48.5 billion were calculated, and in 2020 more than R$ 49.2 billion. For the two years, more than 70% of the funds were allocated to fee for service.Conclusions:
This study allowed for an expansion in knowledge about the allocation of resources referring to transfers from the Union to states, the Federal District and municipalities. As the payment methods are related to productivity, access and quality of the health service, knowing and identifying the most appropriate payment methods for each situation contributes to the achievement of the goals and to the mitigation of eventual losses of efficiency in the healthcare systems.
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País/Região como assunto:
América do Sul
/
Brasil
Idioma:
Inglês
Revista:
BJHE - Brazilian Journal of Health Economics
Ano de publicação:
2022
Tipo de documento:
Artigo
País de afiliação:
Brasil
Instituição/País de afiliação:
Coordination of Cost Management, Department of Health Economics, Investments, and Development, Executive Secretariat, Ministry of Health/BR
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Coordination of Monitoring and Qualification of Health Price Management, Department of Health Economics, Investments, and Development], Executive Secretariat, Ministry of Health/BR
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Coordination of the Information System on Public Health Budgets, Department of Health Economics, Investments, and Development, Executive Secretariat, Ministry of Health/BR
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General Coordination of Health Economics, Department of Health Economics, Investments, and Development, Executive Secretariat, Ministry of Health/BR
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General Coordination of Planning and Programming of Health Actions, Department of Regulation, Evaluation and Control, Specialized Health Care Secretariat, Ministry of Health/BR
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