在Vitória/ES中的公共卫生支出:优先考虑初级保健。

IF 1.2 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Ciencia & saude coletiva Pub Date : 2025-07-01 Epub Date: 2024-06-16 DOI:10.1590/1413-81232025307.17062023
Marilene Gonçalves França, Adriana Ilha da Silva, Robson Zuccolotto
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引用次数: 0

摘要

本研究分析了2009年至2019年Vitória/ES市在卫生行动和服务方面的公共支出,特别是在初级保健方面的公共支出。这是一项定量和文献研究,根据公共卫生预算信息系统的指标分析了卫生支出数据。Vitória的人均平均总支出相当于每位居民每年1,091.84雷亚尔,由于可用收入的减少,减少了7.83%。人均自有资源支出相当于每人每年平均811.02雷亚尔,占人均支出总额的74.28%,是该系统的主要资金来源。在支出方向方面,经常支出占主导地位,损害了资本支出。在各级卫生保健支出方面,基本保健的人均年支出大幅下降(43.47%),占人均卫生支出总额的8.52%。这种情况与欧盟的财政紧缩政策有关,其特点是用于初级保健的资源减少,市政管理部门没有优先考虑这一次级职能。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Public health expenditures in Vitória/ES: priority for primary care.

This study analyzed public spending on health actions and services, especially on primary care, in the municipality of Vitória/ES from 2009 to 2019. It is a quantitative and documentary study that analyzed health expenditure data, based on indicators from the Public Health Budget Information System. The average total expenditure per capita in Vitória corresponded to R$ 1,091.84 per inhabitant per year, with a reduction of 7.83%, caused by the decrease in available revenue. The per capita expenditure on own resources corresponded to an average of R$ 811.02 per inhabitant per year, which represented 74.28% of the total per capita expenditure and was the main source of financing of the system. In terms of the direction of expenditure, there was a predominance of current expenditure to the detriment of capital expenditure. In terms of spending per level of health care, basic care suffered a drastic lowering in per capita spending per year (43.47%), representing 8.52% of total per capita health spending. This scenario is linked to the fiscal austerity policy of the Union, characterized by a reduction in resources for primary care and the lack of priority given to this sub-function by the municipal management.

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来源期刊
Ciencia & saude coletiva
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.
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