Assessment of health technical efficiency in the cities of the Rota dos Bandeirantes health region of the state of São Paulo, Brazil.

Abstract:

:Although administrators unanimously agree that the Brazilian Unified Health System (SUS) is underfunded, it is also unanimous that there are problems in the efficiency of expenditures management. From this perspective, this study assessed the health technical efficiency in the seven cities of the Rota dos Bandeirantes health region of the state of São Paulo, Brazil, from 2009 to 2012, through the Health Technical Efficiency Index. This index includes structure and results indicators, mainly from the goals and indicators agreement system, and it is collected from the database of the SUS Informatics Department. It was identified that only one city reached high health technical efficiency, while the other cities presented low efficiency. It was concluded that cities with higher income available and higher per capita expenditures achieved the best health indicator results and, therefore, better health technical efficiency indexes. However, some cities, even though small in structure, obtained better results than neighboring cities, which shows structure management efficiency. Thus, the resource represented an essential condition for efficiency, however not sufficient. :Embora haja uma unanimidade nas falas dos gestores que o Sistema Único de Saúde é subfinanciado, é unânime também o fato de haver problemas na eficiência da gestão dos gastos. Nesta perspectiva, este estudo faz uma avaliação da eficiência técnica em saúde dos sete municípios da região de saúde Rota dos Bandeirantes do estado de São Paulo no período de 2009 a 2012, utilizando-se o Índice de Eficiência Técnica em Saúde. Este índice é composto por meio de indicadores estruturais e indicadores de resultados, oriundos principalmente, do sistema de pactuação de metas e indicadores e coletados da base de dados do Departamento de Informática do SUS. Identificou-se que apenas o município de Barueri atingiu alta eficiência técnica em saúde, enquanto que os demais apresentaram baixa eficiência. Concluiu-se que os municípios com maior receita disponível e maior gasto per capita atingiram os melhores resultados nos indicadores de saúde e, portanto, melhores índices de eficiência técnica em saúde. Todavia alguns municípios, mesmo com uma pequena estrutura, atingiram resultados melhores que seus vizinhos, demostrando eficiência na gestão de sua estrutura e, desta forma, o recurso mostrou-se como condição necessária para que haja eficiência, porém, não suficiente.

journal_name

Cien Saude Colet

journal_title

Ciencia & saude coletiva

authors

Santos-Neto JAD,Mendes ÁN,Pereira AC,Paranhos LR

doi

10.1590/1413-812320182410.32232017

subject

Has Abstract

pub_date

2019-09-26 00:00:00

pages

3793-3803

issue

10

eissn

1413-8123

issn

1678-4561

pii

S1413-81232019001003793

journal_volume

24

pub_type

杂志文章
  • Management of Primary Care: a challenge for international cooperation in health.

    abstract::The need to resolve immediate problems in basic healthcare systems and the decisions that must be made in the daily management of healthcare centers must reach beyond awareness of common sense, and be reinforced by the evidence sought in scientific knowledge that will provide a new look at the facts and phenomena that...

    journal_title:Ciencia & saude coletiva

    pub_type: 杂志文章

    doi:10.1590/1413-81232017227.06232017

    authors: Fonseca LE,Figueiredo MCB,Porto CSBM

    更新日期:2017-07-01 00:00:00

  • [External control of fluoride levels in the public water supply in Lages, Santa Catarina State, Brazil].

    abstract::The purpose of this study is a monthly assessment of fluoride levels in the public water supply in Lages, Santa Catarina State, Brazil. This town was divided into ten regions, where water samples were collected from October 2004 to September 2005. Two samples were drawn from each region and sent to the Fluoride Health...

    journal_title:Ciencia & saude coletiva

    pub_type: 杂志文章

    doi:10.1590/s1413-81232007000300023

    authors: Toassi RF,Kuhnen M,Cislaghi GA,Bernardo JR

    更新日期:2007-05-01 00:00:00

  • [Prevalence and alcohol user profile in adult population in a south Brazilian city].

    abstract::This is an observational cross-sectional survey which included 707 individuals from a south Brazilian city (Joaçaba, in Santa Catarina State) aiming to know the alcohol user prevalence as well as the profile of the user. The results showed that 45.5% (322) of that population consume alcohol on regular basis and had us...

    journal_title:Ciencia & saude coletiva

    pub_type: 杂志文章

    doi:10.1590/s1413-81232010000300010

    authors: Bortoluzzi MC,Traebert J,Loguercio A,Kehrig RT

    更新日期:2010-05-01 00:00:00

  • [Ethics and values in professional training in health: a case study].

    abstract::The scope of this research was to analyze the ethical dimension of the training of health professionals, specifically in Dentistry. Interviews were conducted with teachers, in addition to observation of academic activities and focus groups with students of two undergraduate courses. Data analysis revealed some element...

    journal_title:Ciencia & saude coletiva

    pub_type: 杂志文章

    doi:10.1590/s1413-81232013001000028

    authors: Finkler M,Caetano JC,Ramos FR

    更新日期:2013-10-01 00:00:00

  • [Educational nutritional intervention as an effective tool for changing eating habits and body weight among those who practice physical activities].

    abstract::The scope of this study was to evaluate the effectiveness of two methods of educational nutritional intervention together with women who practice regular physical activities by fostering the adoption of healthy eating habits. The study population consisted of 52 women aged between 19 and 59 who frequented the Academia...

    journal_title:Ciencia & saude coletiva

    pub_type: 杂志文章,随机对照试验

    doi:10.1590/s1413-81232013000200006

    authors: Teixeira PD,Reis BZ,Vieira DA,Costa Dd,Costa JO,Raposo OF,Wartha ER,Netto RS

    更新日期:2013-02-01 00:00:00

  • [Reproducibility of a scale for oral health among children and adolescents HIV+/AIDS].

    abstract::The aim of this study was to investigate the intraobserver reproducibility of a Portuguese version scale used to evaluate aspects of oral health among children and adolescents HIV+. The scale was proposed by Balbo and a questionnaire was applied in two occasions, within a one week period, to 27 children and adolescent...

    journal_title:Ciencia & saude coletiva

    pub_type: 杂志文章

    doi:10.1590/s1413-81232010000400032

    authors: Campos JA,Loffredo Lde C

    更新日期:2010-07-01 00:00:00

  • [Study of intrinsic risk factors for falls in institutionalized elderly people].

    abstract::The objective of this research was to identify intrinsic risk factors that predispose elderly people living in long-term institutions in the city of Goiânia (GO) to falls. The present descriptive transversal study was carried out in six long-term institutions for seniors in the city of Goiânia. The investigated sample...

    journal_title:Ciencia & saude coletiva

    pub_type: 杂志文章

    doi:10.1590/s1413-81232008000400017

    authors: de Menezes RL,Bachion MM

    更新日期:2008-07-01 00:00:00

  • [The conception of aging based on Kurt Lewin's psychological field theory and group dynamics].

    abstract::The study sought to reflect on the applicability of Kurt Lewin's psychological field theory to the conception of aging. It involved a reflexive approach to the use of Kurt Lewin's field theory to define and legitimize the experience of aging, and as a strategy for qualifying health professionals as mediators in the dy...

    journal_title:Ciencia & saude coletiva

    pub_type: 杂志文章

    doi:10.1590/1413-81232018248.30192017

    authors: Beleza CMF,Soares SM

    更新日期:2019-08-05 00:00:00

  • [Boletim Epidemiológico Paulista (Paulista Epidemiologic Bulletin)--persistent trajectory].

    abstract::The Paulista Epidemiologic Bulletin (Bepa), created in 2004 is a monthly publication from the Coordinating Office of Diseases Control (CCD), from the State Office of Health of Sao Paulo (SES-SP) responsible for planning and executing actions of health promotion and preventing any risks and diseases throughout the cove...

    journal_title:Ciencia & saude coletiva

    pub_type: 杂志文章

    doi:10.1590/1413-81232015207.07172015

    authors: Aranda CM,Schiavon LN,Rehder S

    更新日期:2015-07-01 00:00:00

  • [Prevalence and violence-associated factors in the work environment of female prison guards in Brazil].

    abstract::This article aims to estimate the prevalence and violence-associated factors in the work environment of female correctional officers in Brazil. A cross-sectional, analytical study was conducted in 15 female correctional facilities in Brazil's five regions. Pearson's chi-square test was performed. The Odds Ratio and Co...

    journal_title:Ciencia & saude coletiva

    pub_type: 杂志文章,多中心研究

    doi:10.1590/1413-81232017229.11092017

    authors: Ferreira MJM,Macena RHM,Mota RMS,Pires RDJ Neto,Silva AMCD,Vieira LJES,Kendall BC,Kerr LRFS

    更新日期:2017-09-01 00:00:00

  • Determinants of low birth weight in the children of adolescent mothers: a hierarchical analysis.

    abstract::This study aimed to identify the determinants of low birth weight (LBW) amongst children of adolescent mothers through a hierarchical approach in a cross-sectional study of 751 adolescents attended at a public hospital in Rio de Janeiro. Sociodemographic data, prenatal care, and biological and maternal obstetric condi...

    journal_title:Ciencia & saude coletiva

    pub_type: 杂志文章

    doi:10.1590/1413-81232018238.13972016

    authors: Belfort GP,Santos MMAS,Pessoa LDS,Dias JR,Heidelmann SP,Saunders C

    更新日期:2018-08-01 00:00:00

  • [Body image among adolescents: the association between nutritional status and physical activity].

    abstract::The aim of this article is to verify the association between nutritional status and physical activity with the perception of body image satisfaction in a sample of adolescents from Curitiba, State of Paraná. The sample consisted of 844 adolescents of 11 to 17 years of age. The level of physical activity was evaluated ...

    journal_title:Ciencia & saude coletiva

    pub_type: 杂志文章

    doi:10.1590/1413-812320202510.30442018

    authors: Fantineli ER,Silva MPD,Campos JG,Malta Neto NA,Pacífico AB,Campos W

    更新日期:2020-10-01 00:00:00

  • Caregiver's oral health literacy is associated with prevalence of untreated dental caries in preschool children.

    abstract::The aim of this study was to evaluate the relationship between oral health literacy (OHL) among caregivers and untreated dental caries among preschoolers. A cross-sectional study was conducted involving 415 preschool children and their caregivers from Curitiba, Brazil. The children were examined for dental caries and ...

    journal_title:Ciencia & saude coletiva

    pub_type: 杂志文章

    doi:10.1590/1413-81232018247.18752017

    authors: Montes GR,Bonotto DV,Ferreira FM,Menezes JVNB,Fraiz FC

    更新日期:2019-07-22 00:00:00

  • [Quality of food: perceptions of 'Bolsa Familia' program participants].

    abstract:INTRODUCTION:This study deals with perceptions of beneficiaries of the 'Bolsa Familia' Program, in Curitiba, southern Brazil, about their feeding habits. OBJECTIVE:To understand the perceptions of participants of the 'Bolsa Família' Program on the quality of their food. METHOD:A qualitative study based on the critica...

    journal_title:Ciencia & saude coletiva

    pub_type: 杂志文章

    doi:10.1590/s1413-81232012000300015

    authors: Uchimura KY,Bosi ML,Lima FE,Dobrykopf VF

    更新日期:2012-03-01 00:00:00

  • [Healthy behavior patterns and levels of schooling in Brazil: time trend from 2008 to 2013].

    abstract::This study analyzed data from the telephone-based Surveillance System of Risk and Protective Factors for Chronic Non-Communicable Diseases (VIGITEL) to assess the prevalence of clusters of healthy behavior patterns (non-smoker, non-alcohol-drinker, regular leisure-time physical activity and recommended consumption of ...

    journal_title:Ciencia & saude coletiva

    pub_type: 杂志文章

    doi:10.1590/1413-81232015214.09742015

    authors: Camelo Ldo V,de Figueiredo RC,Oliveira-Campos M,Giatti L,Barreto SM

    更新日期:2016-04-01 00:00:00

  • Cognitive assessment instruments used in elderly Brazilians in the last five years.

    abstract::Detecting and monitoring cognitive deficits in elderly populations are necessary, as they can impact individuals´ functionality. This integrative review aims to analyze the scientific production on the use of cognitive assessment instruments in Brazilian elderly individuals through articles published in the last five ...

    journal_title:Ciencia & saude coletiva

    pub_type: 杂志文章,评审

    doi:10.1590/1413-81232018247.20862017

    authors: Martins NIM,Caldas PR,Cabral ED,Lins CCDSA,Coriolano MDGWS

    更新日期:2019-07-22 00:00:00

  • Questioning the concept of risk in ethical guidelines for research in the humanities and social sciences in Public Health.

    abstract::This article discusses the use of the concept of risk in ethical guidelines directed to research in the humanities and social sciences (CHS), suggesting an alternative to that concept. In Public Health field (PH), risk assumes a peculiar semantics, closely linked to the idea of calculation and predictability, accordin...

    journal_title:Ciencia & saude coletiva

    pub_type: 杂志文章

    doi:10.1590/1413-81232015209.11392015

    authors: Bosi ML

    更新日期:2015-09-01 00:00:00

  • [The influence of Social Security legislation changes on the profile of the granting of disability benefits for mental disorders].

    abstract:UNLABELLED:This article is a preliminary study on possible influences of legal regulation changes (Copes and PP) on the result of initial expertise examination in Juiz de Fora (State of Minas Gerais, Brazil), following a request for social benefits due to a mental disorder. METHOD:retrospective analysis of data drawn ...

    journal_title:Ciencia & saude coletiva

    pub_type: 杂志文章

    doi:10.1590/s1413-81232011000400018

    authors: Siano AK,Ribeiro LC,Santiago AE,Ribeiro MS

    更新日期:2011-04-01 00:00:00

  • Service users' perceptions of the Mais Médicos (More Doctors) Program in the Municipality of Mossoró, Brazil.

    abstract::The Mais Médicos (More Doctors) Program (MMP), which was launched in 2013, sought to provide doctors to work in primary health care in priority areas within the Brazilian Unified Health System (SUS). This article analyzes the perception of MMP service users through the results of a qualitative study that consisted of ...

    journal_title:Ciencia & saude coletiva

    pub_type: 杂志文章

    doi:10.1590/1413-81232015219.18022016

    authors: Silva TR,Silva Jdo V,Pontes AG,Cunha AT

    更新日期:2016-09-01 00:00:00

  • [Reasons why pregnant women did not vaccinate against influenza A H1N1].

    abstract::Pregnant women constitute a risk group for any infection due to their low immunity condition. This is a descriptive study with a qualitative approach, grounded in the Theory of Social Representations that sought to understand the reasons why pregnant women did not vaccinate against influenza A (H1N1). The study includ...

    journal_title:Ciencia & saude coletiva

    pub_type: 杂志文章

    doi:

    authors: Pereira BF,Martins MA,Barbosa TL,e Silva CS,Gomes LM

    更新日期:2013-06-01 00:00:00

  • [Instrument for assessment of best practices in school food and nutrition units: from design to validation].

    abstract::The scope of this study was to elaborate and validate an assessment tool for Best Practices in School Food and Nutrition Units. For this purpose a survey was conducted in the city of Santos (São Paulo - Brazil), in two stages: 1) Preparation of a Checklist for Best Practices in School Food and Nutrition Units (BPAE ch...

    journal_title:Ciencia & saude coletiva

    pub_type: 杂志文章

    doi:10.1590/s1413-81232013000400006

    authors: Stedefeldt E,da Cunha DT,Silva Júnior EA,da Silva SM,de Oliveira AB

    更新日期:2013-04-01 00:00:00

  • [Food advertising: advice or merely stimulation of consumption?].

    abstract::Current advertising messages for food products deserve special attention, since they indicate that the media has played a central role in shaping new eating habits. The food industry, seeking to serve a new customer segment (increasingly preoccupied with health and physical well-being), and with a specific interest in...

    journal_title:Ciencia & saude coletiva

    pub_type: 杂志文章

    doi:10.1590/s1413-81232011001000023

    authors: Marins BR,de Araújo IS,Jacob Sdo C

    更新日期:2011-09-01 00:00:00

  • Birth in prison: pregnancy and birth behind bars in Brazil.

    abstract::The high vulnerability of incarcerated women is worsened when they are pregnant and give birth during imprisonment. This article traces the profile of incarcerated women living with their children in female prison units of the capitals and metropolitan regions of Brazil and describes pregnancy and childbirth condition...

    journal_title:Ciencia & saude coletiva

    pub_type: 杂志文章

    doi:10.1590/1413-81232015217.02592016

    authors: Leal Mdo C,Ayres BV,Esteves-Pereira AP,Sánchez AR,Larouzé B

    更新日期:2016-06-01 00:00:00

  • [Evaluation of the decentralization of epidemiologic surveillance to the Team of the Family Health Program].

    abstract::The aim of this study is to evaluate the decentralization of Epidemiologic Surveillance actions to the Family Health Program in a city in the state of Bahia, Brazil. The research was conducted as a case study, using adapted techniques of thematic and evaluative analysis. In face of the need to adopt a model for this a...

    journal_title:Ciencia & saude coletiva

    pub_type: 杂志文章

    doi:10.1590/s1413-81232008000600028

    authors: Santos SS,de Melo CM

    更新日期:2008-11-01 00:00:00

  • [Organic food and educational actions in schools: diagnosis for health and nutrition education].

    abstract::This research involved a diagnosis of the educational actions and organic food of the Taste and Awareness Project (Projeto Sabor e Saber, PSS) in a state school in Florianopolis, Brazil. Based on a qualitative approach, a semi-structured interview, documentation analysis and focal groups were used for data collection....

    journal_title:Ciencia & saude coletiva

    pub_type: 杂志文章

    doi:10.1590/s1413-81232010000100009

    authors: da Cunha E,de Sousa AA,Machado NM

    更新日期:2010-01-01 00:00:00

  • [The meaning that health professionals attribute to promotion of the health of adolescents].

    abstract::This article analyzes the meanings attributed to practices that promote adolescent health by 47 professionals from the Family Health Program in Fortaleza in the State of Ceará. It is a qualitative study in which semi-structured interviews enabled the production of data, subsequently organized according to content anal...

    journal_title:Ciencia & saude coletiva

    pub_type: 杂志文章

    doi:10.1590/s1413-81232012000500021

    authors: Santos AA,Silva RM,Machado Mde F,Vieira LJ,Catrib AM,Jorge HM

    更新日期:2012-05-01 00:00:00

  • Association between chronic diseases and handgrip strength in older adults residents of Florianópolis - SC, Brazil.

    abstract::This paper aims to verify the association between chronic diseases and handgrip strength (HS) in the older adults of Florianópolis, SC. This is a cross-sectional analysis of a longitudinal population-based study. HS was measured by dynamometer. Independent variables included 10 chronic diseases and falls. Simple and m...

    journal_title:Ciencia & saude coletiva

    pub_type: 杂志文章

    doi:10.1590/1413-81232018235.19742016

    authors: Confortin SC,Danielewicz AL,Antes DL,Ono LM,d'Orsi E,Barbosa AR

    更新日期:2018-05-01 00:00:00

  • [Dietary risk patterns for non-communicable chronic diseases and their association with body fat - a systematic review].

    abstract::The article seeks to review studies on unhealthy eating patterns for chronic non-communicable diseases (NCD) and its association with body fat in adults, published between 2005 and 2012. The articles were systematically reviewed by two independent researchers in Medline, Lilacs, and Scielo using the following key word...

    journal_title:Ciencia & saude coletiva

    pub_type: 杂志文章,评审

    doi:10.1590/1413-81232014195.14572013

    authors: Azevedo EC,Diniz Ada S,Monteiro JS,Cabral PC

    更新日期:2014-05-01 00:00:00

  • [Development and validation of a social vulnerability index applied to public policies of the Unified Health System (SUS)].

    abstract::The article outlines the development and initial validation of a Social Vulnerability Index (SVI) including five social determinants of risk to health and demonstrates its application in the financing of primary care by the Unified Health System (SUS) in the State of Rio Grande do Sul. Municipal indicators of vulnerab...

    journal_title:Ciencia & saude coletiva

    pub_type: 杂志文章

    doi:10.1590/1413-81232014199.12012013

    authors: Drachler Mde L,Lobato MA,Lermen JI,Fagundes S,Ferla AA,Drachler CW,Teixeira LB,Leite JC

    更新日期:2014-09-01 00:00:00

  • [Perception of health among the Guarany Mbyá ethnic group and health care].

    abstract::The article results from a qualitative research on the perception of health of the Guarany Mbyá ethnic group held in 3 villages in the South of Brazil. The cultural characteristics of the group were surveyed in the literature, observed in fieldwork and confirmed in the 20 open interviews conducted with community membe...

    journal_title:Ciencia & saude coletiva

    pub_type: 杂志文章

    doi:10.1590/s1413-81232011000700024

    authors: Von Held Ade A,Lopes MS,de Sá SM,Porto Dde O

    更新日期:2011-01-01 00:00:00