Expenses with epidemiological surveillance in the municipalities of Santa Catarina
DOI:
https://doi.org/10.16930/2237-766220202967Keywords:
Public Health, Epidemics, Cost Control, Efficiency, Theory of Public Choice.Abstract
Limitation of resources and social prioritization have led public health care to be guided by several debates. However, governments’ choices can often follow individual priorities, as advocated by the public choice theory, especially in the epidemic area, which is strongly influenced by panic and the media. Therefore, the objective here is to analyze the efficiency of public resources applied in epidemiological surveillance in the mitigation of diseases such as AIDS, Dengue fever and Influenza. By means of descriptive statistics, correlation and panel data regression, 240 observations are analyzed in 60 municipalities in the Brazilian state of Santa Catarina for four years. The results indicate that the expenditures explain the occurrences of AIDS and Influenza in the opposite direction to that suggested by the literature (the more expenditures, the more cases of these diseases). On the other hand, cases of the three diseases increase epidemiological costs. Therefore, public administrators’ choices seem to be directed more towards treatment than towards disease prevention, which goes against the Brazilian Unified Health Care System’s precepts, increases the risks of epidemics and can aggravate the crisis in public health care. The discussions demonstrate possible occasional factors such as the lack of temporality in feeding the system and distortions regarding the place of incidence of the cases, which can also lead public administrators to make wrong decisions or diverge from those expected by their voters.References
Albuquerque, A. C. de, Cesse, E. Â. P., Felisberto, E, Samico, I. C., & Frias, P. G. de. (2019). Avaliação de desempenho da regionalização da vigilância em saúde em seis Regiões de Saúde brasileiras. Cadernos de Saúde Pública, 35(2), 1-16. doi:10.1590/0102-311x00065218 DOI: https://doi.org/10.1590/0102-311x00065218
Araújo, V. E. M., Bezerra, J. M. T., Amâncio, F. F., Passos, V. M. A., & Carneiro, M. (2017). Aumento da carga de dengue no Brasil e unidades federadas, 2000 e 2015: análise do Global Burden of Disease Study 2015. Revista Brasileira de Epidemiologia, 20(1), 205-216. doi: 10.1590/1980-5497201700050017 DOI: https://doi.org/10.1590/1980-5497201700050017
Barbosa, L. G. (2013). Análise dos gastos em saúde com as vigilâncias do campo da saúde nos municípios de Minas Gerais: 2005 a 2011. Dissertação de Mestrado, Programa de Mestrado em Saúde Pública, Escola Nacional de Saúde Pública – Fundação Oswaldo Cruz, Rio de Janeiro, RJ, Brasil.
Barreto, M. L., & Souza, L. E. (2015). Saúde coletiva precisa de pesquisa e inovação. Abrasco, 1, 1-18. ISBN: 978-85-85740-05-4
Bein, M. A., Unlucan, D., Olowu, G., & Kalifa, W. (2017). Healthcare spending and heal thoutcomes: evidence from selected East African countries. African Health Sciences, 17(1), 247-254. doi: 10.4314/ahs.v17i1.30 DOI: https://doi.org/10.4314/ahs.v17i1.30
Bousmaha, M. Q., Ventelou, B., & Abu-Zaineh, M. (2016). Medicine and democracy: The importance of institutional quality in the relationship between health expenditure and health outcomes in the MENA region. Health Policy, 120(8), 928-935. doi: 10.1016/j.healthpol.2016.06.005 DOI: https://doi.org/10.1016/j.healthpol.2016.06.005
Buchanan, J. M., & Tullock, G. (1962). The Calculus of Consent: Logical Foundations of Constitutional Democracy. Ann Arbor. MI: University of Michigan Press.
Constituição da República Federativa do Brasil [CRFB] (1988). Recuperado de http://www.planalto.gov.br/ccivil_03/Constituicao/Constituicao.htm
Costa, G. P. C. L., & Gartner, I. R. (2017). O efeito da função orçamentária alocativa na redução da desigualdade de renda no Brasil: uma análise dos gastos em educação e saúde no período de 1995 a 2012. Revista de Administração Pública – RAP, 51(2), 264-293. doi: 10.1590/0034-7612155194. DOI: https://doi.org/10.1590/0034-7612155194
Dermindo, M. P. (2019). Gestão eficiente na saúde pública brasileira. Journal of Management & Primary Health Care, 11. doi:10.14295/jmphc.v11iSup.933 DOI: https://doi.org/10.14295/jmphc.v11iSup.933
Dih-Ling, L., Cheng-Chieh, L., Yun-Ru, L., & Szu-Chieh, C. (2018). Economic cost and burden of dengue during epidemics and non-epidemic years in Taiwan. Journal of Infection and Public Health, 11(2), 215-223. DOI: https://doi.org/10.1016/j.jiph.2017.07.021
Diretoria de Vigilância Epidemiológica [Dive] (2006). O perfil epidemiológico da AIDS. Santa Catarina: Brasil. Recuperado de: http://www.dive.sc.gov.br/conteudos/publicacoes/livros_artigos/O_perfil_epidemiologico_da_AIDS.pdf
Diretoria de Vigilância Epidemiológica [Dive] (2017). Doenças e Agravos. Santa Catarina: Brasil. Recuperado de: http://www.dive.sc.gov.br/index.php/doencas-agravos
Ensor, T., Chhun, C., Kimsun, T., McPake B., & Edoka I. (2017). Impact of health financing policies in Cambodia: 20 year experience. Social Science & Medicine, 177, 118-126. doi: 10.1016/j.socscimed.2017.01.034 DOI: https://doi.org/10.1016/j.socscimed.2017.01.034
Fabre, V. V., Scheeffer, F., Dallabona, L. F., & Kroetz, M. (2018). Analysis of expenditures with environmental management on the political-ideological behavior of managers, from the point of view of the theory of political choices. Brazilian Journal of Development, 4(2), 514-531.
Gujarati, D. (2006). Econometria básica (4a ed.). Trad. Maria José Cyhlar Monteiro, Rio de Janeiro: Elsevier.
Halici-Tülüce, N. S., Dogan, I., & Dumrul, C. (2016). Is income relevant for health expenditure and economic growth nexus? International Journal of Health Economics and Management, 16(1), 23-49. doi: 10.1007/s10754-015-9179-8 DOI: https://doi.org/10.1007/s10754-015-9179-8
Holmes, S., & Sunstein, C. R. (2000). The cost of rights: why liberty depends on taxes. New York: Norton.
Lapsley, I., & Wright, E. (2004). The diffusion of management accounting innovations in the public sector: a research agenda. Management Accounting Research, 15, 355-374. DOI: https://doi.org/10.1016/j.mar.2003.12.007
Lei n. 8.080, de 19 de setembro de 1990. (1990). Dispõe sobre as condições para a promoção, proteção e recuperação da saúde, a organização e o funcionamento dos serviços correspondentes e dá outras providências. Recuperado de http://www.planalto.gov.br/ccivil_03/Leis/L8080.htm
Lins, J. G. M. G, Ciríaco, J. S., & Anjos, O. R., (2019). Avaliando o impacto do financiamento federal no controle epidemiológico da dengue no Brasil. Revista Brasileira de Economia de Empresas, 19(2), 23-38.
Liu, X., & Mills, A. (2002). Financing reforms of public health services in China: lessons for other nations. Social Science & Medicine, 54, 1691-1698. DOI: https://doi.org/10.1016/S0277-9536(01)00337-9
McKibbin, W. J. & Roshen, F. (2020). The Global Macroeconomic Impacts of COVID-19: Seven Scenarios. CAMA, Centre for Applied Macroeconomic Analysis, Working Paper, 19. doi: 10.2139/ssrn.3547729 DOI: https://doi.org/10.2139/ssrn.3547729
Mladenovi, I., Milovancevi, M., Mladenovi, S. S., Marjanovi V., & Petkovi, B. (2016). Analyzing and management of healthcare expenditure and gross domestic product (GDP) growth rate by adaptive neuro-fuzzy technique. Computers in Human Behavior, 64, 524-530. doi: 10.1016/j.chb.2016.07.052 DOI: https://doi.org/10.1016/j.chb.2016.07.052
Morais, L. M. D., Vicente, E. F. R., & Souza, G. P. (2016). Efeitos da Lei de Responsabilidade Fiscal sobre a tendência de despesas públicas do estado de Santa Catarina: evidências no período 1995-2010 segundo critérios da OCDE1. Revista da CGU, 8(12), 311-350. DOI: https://doi.org/10.36428/revistadacgu.v8i12.38
Naseem, A., Rashid, A., & Kureshic, N. I. (2014). E-health: effect on health system efficiency of Pakistan. Ann Saudi Med, 34(1), 59-64. doi: 10.5144/0256-4947.2014.59 DOI: https://doi.org/10.5144/0256-4947.2014.59
Pan, J., & Liu, G. G. (2012). The determinants of Chinense Provincial Government health expenditure: evidence from 2002-2006 data. Health Economics, 21, 757-777. doi: 10.1002/hec.1742 DOI: https://doi.org/10.1002/hec.1742
Preaud, E., Durand, L., Macabeo, B., Farkas, N., Sloesen, B., Palache, A., Shupo, F., & Samson, S. I. (2014). Annual public health and economic benefits of seasonal influenza vaccination: European estimate. BMC Public Health, 14(1), 813-824. doi:10.1186/1471-2458-14-13 DOI: https://doi.org/10.1186/1471-2458-14-813
Santos, N. J. S., Tayra, A., Silva, S. R., Buchalla, C. M., & Laurenti, R. (2002). As mudanças no perfil da epidemia e perspectivas da vigilância epidemiológica. Revista Brasileira de Epidemiologia, 5(3), 286-310. DOI: https://doi.org/10.1590/S1415-790X2002000300007
Secretaria do Tesouro Nacional [STN]. (2017). Manual de Contabilidade Aplicado ao Setor Público. (7a ed.), Brasília: Brasil.
Temporão, J. G. (2009). O enfrentamento do Brasil diante do risco de uma pandemia de influenza pelo vírus A (H1N1). Epidemiologia e Serviços de Saúde, 18(3), 201-204. DOI: https://doi.org/10.5123/S1679-49742009000300001
Worrall, E., Rietveld, A., & Delacollette, C. (2004). The burden of malária epidemic and cost-effectiveness of intervention in epidemic situation in Africa. The American Journal of Tropical Medicine and Hygiene, 71(2), 136-140. DOI: https://doi.org/10.4269/ajtmh.2004.71.136
Younsi, M., Chakroun, M., & Nafluma, A. (2016). Robust analysis of the determinants of healthcare expenditure growth: evidence from panel data for low-, middle- and high-income countries. The International journal of health planning and management, 31(4), 580-601. doi: 10.1002/hpm.2358 DOI: https://doi.org/10.1002/hpm.2358
Zhu, Q., & Wang, X. (2011). Structural changes of public expenditures in China. Journal of Public Budgeting – Accounting & Financial Management, 23(4), 569-587. DOI: https://doi.org/10.1108/JPBAFM-23-04-2011-B006
Published
How to Cite
Issue
Section
License
The copyright for articles published in this journal belongs to the author (s), with first publication rights assigned to Revista Catarinense da Ciência Contábil. Due to appearing in this publicly accessible journal, articles are free to use, with mandatory recognition of the original authorship and initial publication in this magazine and for educational and non-commercial applications. The magazine chose to use published works for non-commercial purposes, including the right to submit or work for publicly accessible databases. The content of published articles is the sole and exclusive responsibility of the authors. - The author (s) authorize (s) a publication of the article in the journal; - The author (s) guarantee (s) that a contribution is original and unpublished and that it is not being evaluated in another magazine (s); - A magazine is not responsible for the opinions, ideas and concepts emitted in the texts, for the full responsibility of the author (s); - It is reserved to the editors or the right to make textual adjustments and to adjust the article to the publication rules.
This work is licensed under a Creative Commons Atribuição-NãoComercial-CompartilhaIgual 4.0 Internacional.
