[The criteria for the apportionment of financial resources in the SUS to reduce regional inequalities: a normative analysis].

IF 1.2 4区医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Ciencia & saude coletiva Pub Date : 2025-10-20 eCollection Date: 2025-01-01 DOI:10.1590/1413-812320242911.01612024

Gisela da Costa Mascarenhas, Joana Angélica Oliveira Molesini, Maria Célia Delduque, Sandra Mara Campos Alves, Ximena Pamela Claudia Díaz Bermúdez

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引用次数: 0

Abstract

Brazilian legislation establishes that the federative allocation of financial resources should be based on the search for regional equity to overcome social inequalities. The objective of this study is the documentary analysis of the criteria for allocation of financial resources of the SUS.

Methodology: The 13 legislative and infralegislative frameworks, published between 1988 and 2023, available in three official databases, were used.

Results: Intra-textual incoherence and inter-textual disarticulations were found that impact the calculation of the values for decentralized financing of the SUS.

Conclusions: In the period studied, the apportionment of resources did not meet the criteria defined in the constitutional and infra-constitutional provisions. Once the legal criteria were selected, the infralegal norms were normative substitutes for calculating the amount to be decentralized, mainly in the form of incentives.

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[在单一货币体系中分配财政资源以减少地区不平等的标准：规范分析]。

巴西立法规定，联邦财政资源的分配应以寻求区域公平为基础，以克服社会不平等。本研究的目的是对单一系统的财政资源分配标准进行文献分析。方法：使用了1988年至2023年期间出版的13个立法和立法框架，这些框架存在三个官方数据库中。结果：发现文本内不连贯和文本间脱节影响了SUS分散融资价值的计算。结论：在所研究的期间，资源的分配不符合宪法和宪法规定规定的标准。一旦选定了法律标准，非法规范就成为计算要下放的数额的规范性替代办法，主要是以奖励的形式。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Ciencia & saude coletiva PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

3.60

自引率

11.80%

发文量

533

审稿时长

12 weeks

期刊介绍： Ciência & Saúde Coletiva publishes debates, analyses, and results of research on a Specific Theme considered current and relevant to the field of Collective Health. Its abbreviated title is Ciênc. saúde coletiva, which should be used in bibliographies, footnotes and bibliographical references and strips.