Análise da eficácia e eficiência das políticas públicas de saúde em Montes Claros no âmbito do Sistema Único de Saúde (SUS): uma análise comparada

Abstract

The aim of this study was to analyze the effectiveness and efficiency of public health policies in the city of Montes Claros under the Unified Health System (SUS). In Brazil, the main implementer and maintainer of public health actions is the Unified Health System (SUS), whose conceptual and operational bases were released in the arts. 198 and 200 respectively of the Constitution of 1988. This research approach is quantitative, descriptive and documentary basis using measurements and statistical techniques for measuring correlations and scattering, as well as Data envelopment analysis (DEA). The municipality budgetary difficulties (especially when analyzing spending per capita), although the results in terms of absolute production be considered satisfactory. The results in terms of compliance with agreed targets are considered highly unsatisfactory, reaching the worst outcome. The use of resources during production processes at the levels of primary, secondary and tertiary is considered efficient only when comparing the city to the other analyzed, the assessment of cross-efficiency indices of all the municipalities analyzed Montes Claros presents as the second worse in terms of efficiency. The analyzed data showed that the management of the local health system needs to reevaluate the procedures of planning, execution, control and evaluation of public health policies, once it becomes apparent improper use of public resources, in terms of low rates effectiveness and efficiency (general) detected.