Federal funding of health policy in Brazil: trends and challenges

The article analyzes Federal funding of health policy in Brazil in the 2000s, focusing on the Ministry of Health's budget implementation. Federal spending on health was less unstable between 2000 and 2002 and has expanded since 2006. However, it fluctuated as a share of both the Gross Domestic...

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Main Authors: Cristiani Vieira Machado (Author), Luciana Dias de Lima (Author), Carla Lourenço Tavares de Andrade (Author)
Format: Book
Published: Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz, 2014-01-01T00:00:00Z.
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042 |a dc 
100 1 0 |a Cristiani Vieira Machado  |e author 
700 1 0 |a Luciana Dias de Lima  |e author 
700 1 0 |a Carla Lourenço Tavares de Andrade  |e author 
245 0 0 |a Federal funding of health policy in Brazil: trends and challenges 
260 |b Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz,   |c 2014-01-01T00:00:00Z. 
500 |a 1678-4464 
500 |a 10.1590/0102-311X00144012 
520 |a The article analyzes Federal funding of health policy in Brazil in the 2000s, focusing on the Ministry of Health's budget implementation. Federal spending on health was less unstable between 2000 and 2002 and has expanded since 2006. However, it fluctuated as a share of both the Gross Domestic Product and Gross National Revenue. Federal intergovernmental transfers increased, exceeding 70% in 2007. Meanwhile, the proportion of Federal investments remained low, varying from 3.4% to 6.3%. The highest absolute amount of spending was on specialized outpatient and hospital care. The decade showed a proportionally greater increase in spending on pharmaceutical care. The growing allocation of Federal funds to States in the North and Northeast, especially for primary care and epidemiological surveillance, failed to offset the sharp regional inequalities in per capita Federal spending. The main characteristics of health funding limit Federal health policy governance and pose several challenges for the Brazilian Unified National Health System. 
546 |a EN 
546 |a ES 
546 |a PT 
690 |a Financiación de la Atención de la Salud 
690 |a Política de Salud 
690 |a Gobierno Federal 
690 |a Medicine 
690 |a R 
690 |a Public aspects of medicine 
690 |a RA1-1270 
655 7 |a article  |2 local 
786 0 |n Cadernos de Saúde Pública, Vol 30, Iss 1, Pp 187-200 (2014) 
787 0 |n http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2014000100187&lng=en&tlng=en 
787 0 |n https://doaj.org/toc/1678-4464 
856 4 1 |u https://doaj.org/article/1d2f10d87c734f06b21a7c5af94c353c  |z Connect to this object online.