When to trying harder and not just spending more makes the whole difference: the case of public health in municipalities of São Paulo

Authors

  • Marco Antonio Carvalho Teixeira Fundação Getulio Vargas de São Paulo Author
  • Gustavo Andrey de Almeida Fernandes Fundação Getulio Vargas de São Paulo Author
  • Rafael Oliveira Leite Fundação Getulio Vargas de São Paulo Author

DOI:

https://doi.org/10.4025/enfoque.v36i1.32467

Abstract

The purpose of this article is to investigate the effectiveness of current the model of public spending in health in Brazil at the municipal level, using data from Sao Paulo, the richest state in the country. After a brief introduction, discussing the development of the SUS and the Brazilian accounting system, we go into further detail about how public spending is done in the sector. In short, we seek to assess whether an increase in spending on health as well as the effort of the public manager, measured by its ability to expand the tax base, improve the quality of public health, measured with the infant mortality rate. The results show that the commitment of the public administrator is a relevant factor and that increases in total spending does not lead to better performance.

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Author Biographies

  • Marco Antonio Carvalho Teixeira, Fundação Getulio Vargas de São Paulo
    Doutor em Ciências Sociais e Professor do departamento de gestão pública da FGVSP.
  • Gustavo Andrey de Almeida Fernandes, Fundação Getulio Vargas de São Paulo
    Doutor em Economia pela USP e professor do Departamento de Gestão Pública da Fundação Getulio Vargas de São Paulo (FGVSP).
  • Rafael Oliveira Leite, Fundação Getulio Vargas de São Paulo
    Administrador Público e Pesquisador do Centro de Estudos em Administração Pública e Governo da Fundação GetulioVargas de São Paulo (FGVSP).

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Published

2017-01-20

Issue

Vol. 36 No. 1 (2017)

Section

Original Articles

License

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How to Cite

Teixeira, M. A. C., de Almeida Fernandes, G. A., & Leite, R. O. (2017). When to trying harder and not just spending more makes the whole difference: the case of public health in municipalities of São Paulo. Enfoque: Reflexão Contábil, 36(1), 123-138. https://doi.org/10.4025/enfoque.v36i1.32467