The process of regionalization of SUS and municipal autonomy in the use of financial resources: an analysis of the state of São Paulo (2009-2014)

Authors

  • Ligia Schiavon Duarte Instituto de Saúde – São Paulo (SP), Brasil. ligia.duarte@uol.com.br
  • Áquilas Nogueira Mendes Universidade de São Paulo (USP), Faculdade de Saúde Pública – São Paulo (SP), Brasil. Pontifícia Universidade Católica de São Paulo (PUC-SP), Programa de Estudos Pós-Graduados em Economia Política e Departamento de Economia – São Paulo (SP), Brasil. aquilasn@uol.com.br
  • Marília Cristina Prado Louvison Universidade de São Paulo (USP), Faculdade de Saúde Pública – São Paulo (SP), Brasil. mariliampl@gmail.com

Keywords:

Health economics. Health care financing. Decentralization. Regional health planning.

Abstract

This article aims to understand the effects that the financing of actions and public programs linked to the health care thematic networks have on the transfers of federal resources to the Municipal Health Fund within the Block of financing of the Medium and High Complexity (MHC), in order to identify to what extent the implementation of these networks restricted the autonomy of municipal entities and which were prioritized in relation to the volume of resources effectively transferred. By and large, one has to question if the transfers linked to thematic networks meant an increase to the resources of the MHC Block, keeping thus the most autonomous portion of use of municipal entities preserved.

Saúde em Debate v. 42 n.116, jan-mar, 2018

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Published

2018-03-31

How to Cite

1.
Duarte LS, Mendes Áquilas N, Louvison MCP. The process of regionalization of SUS and municipal autonomy in the use of financial resources: an analysis of the state of São Paulo (2009-2014). Saúde debate [Internet]. 2018 Mar. 31 [cited 2025 Feb. 5];42(116 jan-mar):25-37. Available from: https://revista.saudeemdebate.org.br/sed/article/view/497

Issue

Vol. 42 No. 116 jan-mar (2018): Janeiro/Março

Section

Original Article