Avaliação da eficiência dos gastos com a saúde pública no Rio Grande do Sul por meio da análise envoltória de dados

Abstract

This study aims to evaluate the performance of public efficiency through the analysis in the health sector of the municipalities of the State of Rio Grande do Sul. Therefore, the Data Envelopment Analysis (DEA) was used as measurement method, which measures the relative efficiency between comparable units. This research focused the use of variables that best represent the resources used by service units, either outpatients or beds available. The study was conducted with data from the Economics and Statistics Foundation (FEE), DATASUS and SICONFI, for the year 2014. From this information, one input variable (expenditure on health) and four output variables (hospital beds, assists hospital outpatient, immunizations and basic health care with health) were used. The research evaluated 100 counties and showed that efficiency does not exceed 30%, in other words, 70% of the cities are inefficient. Thus, the study showed that small counties with fewer resources generally were ineffective. However, this result is not valid in a comprehensive way, some were also considered effective. In order to reach their needs, it is necessary to plan the health policies accordingly, aiming the reduce of the discrepancies between the counties of the state.