João Gabriel Ribeiro Pessanha Leal, Luciana Dias de Lima, Frederico Bertholini Santos Rodrigues, André Schimidt da Silva
{"title":"针对巴西统一国家卫生系统和2024年巴西市长改选的议会修正案。","authors":"João Gabriel Ribeiro Pessanha Leal, Luciana Dias de Lima, Frederico Bertholini Santos Rodrigues, André Schimidt da Silva","doi":"10.1590/0102-311XEN220924","DOIUrl":null,"url":null,"abstract":"<p><p>In Brazil, as of 2016, there has been an increase in the share of parliamentary amendments (PAs) in the federal budget, transferred from the Brazilian Ministry of Health to municipalities to fund the Brazilian Unified National Health System (SUS). This article analyzes the association between PAs focused on SUS and the reelection of municipal mayors in 2024. The research used public secondary data, involving 2,818 municipalities. The reelection of mayors was related to the per capita average of amendments transferred from the Brazilian National Health Fund, from January 2021 to October 2024. Hierarchical logistic regression was used, controlling individual and political factors of candidates, and socioeconomic and demographic municipal factors. The results indicate a positive and statistically significant association between the increase in resources for health amendments and the probability of reelection of mayors in 2024 in all models and cutoffs. Note that the values of amendments were considerably higher in municipalities with up to 20,000 inhabitants compared to the other municipalities. Possibly, the amendments consolidate the image of city mayors as capable of attracting resources, strengthening their electoral support in a context of quota of federal expenses. The political use of the amendments contrasts with the criteria adopted for the transfer of resources from SUS programs and may weaken the coordination of the Brazilian Ministry of Health.</p>","PeriodicalId":9398,"journal":{"name":"Cadernos de saude publica","volume":"41 4","pages":"e00220924"},"PeriodicalIF":1.9000,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12091854/pdf/","citationCount":"0","resultStr":"{\"title\":\"Parliamentary amendments aimed at the Brazilian Unified National Health System and the reelection of municipal mayors in Brazil in 2024.\",\"authors\":\"João Gabriel Ribeiro Pessanha Leal, Luciana Dias de Lima, Frederico Bertholini Santos Rodrigues, André Schimidt da Silva\",\"doi\":\"10.1590/0102-311XEN220924\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>In Brazil, as of 2016, there has been an increase in the share of parliamentary amendments (PAs) in the federal budget, transferred from the Brazilian Ministry of Health to municipalities to fund the Brazilian Unified National Health System (SUS). This article analyzes the association between PAs focused on SUS and the reelection of municipal mayors in 2024. The research used public secondary data, involving 2,818 municipalities. The reelection of mayors was related to the per capita average of amendments transferred from the Brazilian National Health Fund, from January 2021 to October 2024. Hierarchical logistic regression was used, controlling individual and political factors of candidates, and socioeconomic and demographic municipal factors. The results indicate a positive and statistically significant association between the increase in resources for health amendments and the probability of reelection of mayors in 2024 in all models and cutoffs. Note that the values of amendments were considerably higher in municipalities with up to 20,000 inhabitants compared to the other municipalities. Possibly, the amendments consolidate the image of city mayors as capable of attracting resources, strengthening their electoral support in a context of quota of federal expenses. The political use of the amendments contrasts with the criteria adopted for the transfer of resources from SUS programs and may weaken the coordination of the Brazilian Ministry of Health.</p>\",\"PeriodicalId\":9398,\"journal\":{\"name\":\"Cadernos de saude publica\",\"volume\":\"41 4\",\"pages\":\"e00220924\"},\"PeriodicalIF\":1.9000,\"publicationDate\":\"2025-05-19\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12091854/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Cadernos de saude publica\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1590/0102-311XEN220924\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q3\",\"JCRName\":\"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Cadernos de saude publica","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1590/0102-311XEN220924","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
Parliamentary amendments aimed at the Brazilian Unified National Health System and the reelection of municipal mayors in Brazil in 2024.
In Brazil, as of 2016, there has been an increase in the share of parliamentary amendments (PAs) in the federal budget, transferred from the Brazilian Ministry of Health to municipalities to fund the Brazilian Unified National Health System (SUS). This article analyzes the association between PAs focused on SUS and the reelection of municipal mayors in 2024. The research used public secondary data, involving 2,818 municipalities. The reelection of mayors was related to the per capita average of amendments transferred from the Brazilian National Health Fund, from January 2021 to October 2024. Hierarchical logistic regression was used, controlling individual and political factors of candidates, and socioeconomic and demographic municipal factors. The results indicate a positive and statistically significant association between the increase in resources for health amendments and the probability of reelection of mayors in 2024 in all models and cutoffs. Note that the values of amendments were considerably higher in municipalities with up to 20,000 inhabitants compared to the other municipalities. Possibly, the amendments consolidate the image of city mayors as capable of attracting resources, strengthening their electoral support in a context of quota of federal expenses. The political use of the amendments contrasts with the criteria adopted for the transfer of resources from SUS programs and may weaken the coordination of the Brazilian Ministry of Health.
期刊介绍：
Cadernos de Saúde Pública/Reports in Public Health (CSP) is a monthly journal published by the Sergio Arouca National School of Public Health, Oswaldo Cruz Foundation (ENSP/FIOCRUZ).
The journal is devoted to the publication of scientific articles focusing on the production of knowledge in Public Health. CSP also aims to foster critical reflection and debate on current themes related to public policies and factors that impact populations'' living conditions and health care.
All articles submitted to CSP are judiciously evaluated by the Editorial Board, composed of the Editors-in-Chief and Associate Editors, respecting the diversity of approaches, objects, and methods of the different disciplines characterizing the field of Public Health. Originality, relevance, and methodological rigor are the principal characteristics considered in the editorial evaluation. The article evaluation system practiced by CSP consists of two stages.
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