Brazil - Governance in Brazil's Unified Health System : Raising the Quality of Public Spending and Resource Management

This report on governance in Brazil's unified health system assesses resource allocation and management, planning and budgeting functions, and budget execution at different levels of government for public expenditures on health services. The emphasis is on understanding the incentives generated for service providers, and the overall soundness of the accountabilities established in the public health services expenditure system. The analysis seeks to identify weaknesses of accountabilities for service provision that stem from the structure and process of intergovernmental and provider funding flows and related managerial practices. The paper draws on and enhances an accepted governance tool, public expenditure tracking, in both tracking funding and analyzing the governance and corresponding managerial challenges that impede effective public sector financing. The tracking instrument was applied to a sample of states, municipalities and healthcare facilities in the country in 2004.

Bibliographic Details

Main Author:	World Bank
Format:	Other Financial Accountability Study biblioteca
Language:	English en_US
Published:	Washington, DC 2007-02
Subjects:	ACCESS TO DRUGS, ACCESS TO SERVICES, ACCOUNTABILITY, ADMINISTRATIVE COSTS, ALLOCATION, BEDS, BLOCK GRANTS, BUDGET ALLOCATION, BUDGET ALLOCATIONS, BUDGET CYCLE, BUDGET EXECUTION, BUDGET FORMULATION, BUDGET MANAGEMENT, BUDGET MONITORING, BUDGET PREPARATION, BUDGETARY ALLOCATION, BUDGETING PROCESS, CAPITAL INVESTMENT, CARDIOVASCULAR DISEASES, CLINICS, COMMUNICABLE DISEASES, CORRECTIVE ACTION, COST ACCOUNTING, COST ACCOUNTING SYSTEMS, DEATHS, DECENTRALIZATION, DECISION-MAKING, DECISION-MAKING AUTHORITY, DELIVERY SYSTEMS, DOCTORS, EXPENDITURES ON HEALTH, FEDERAL TRANSFERS, FINANCIAL CONTROL, FINANCIAL FLOWS, FINANCIAL INFORMATION, FINANCIAL MANAGEMENT, FINANCIAL RESOURCES, FINANCIAL SYSTEMS, FINANCING ARRANGEMENTS, GOVERNMENT FINANCES, HEALTH CARE, HEALTH CARE COSTS, HEALTH CARE DELIVERY, HEALTH EXPENDITURE, HEALTH EXPENDITURES, HEALTH FACILITIES, HEALTH FINANCING, HEALTH INDICATORS, HEALTH OUTCOMES, HEALTH PLANS, HEALTH POLICIES, HEALTH PROGRAM, HEALTH PROGRAMS, HEALTH PROMOTION, HEALTH REFORM, HEALTH RESOURCES, HEALTH SECTOR, HEALTH SERVICE, HEALTH SERVICES, HEALTH SPENDING, HEALTH STATUS, HEALTH STATUS INDICATORS, HEALTH SYSTEM, HEALTH UNIT, HEALTH UNITS, HEALTHCARE PROVIDERS, HOSPITAL PERFORMANCE, HOSPITAL SERVICES, HOSPITAL TREATMENT, HOSPITALS, HUMAN RESOURCE MANAGEMENT, HYGIENE, INCOME COUNTRIES, INFANT MORTALITY, INFECTIOUS DISEASES, INFORMATION SYSTEMS, INJURIES, LIFE EXPECTANCY, MEASURABLE RESULTS, MEDICAL SUPPLIES, MEDICINES, MISAPPROPRIATION, MORTALITY, MUNICIPAL GOVERNMENTS, MUNICIPAL LEVEL, MUNICIPAL REVENUES, MUNICIPALITIES, NATIONAL EXPENDITURES, NATIONAL HEALTH, NATIONAL HEALTH SPENDING, NEEDS ASSESSMENT, ORGANIZATIONAL PERFORMANCE, PATIENT, PATIENT CARE, PATIENTS, PAYMENT DELAYS, PERFORMANCE EVALUATION, PERFORMANCE EXPECTATIONS, PERFORMANCE GOALS, PERFORMANCE INDICATORS, PERFORMANCE TARGETS, PERSONNEL MANAGEMENT, POVERTY REDUCTION, PRIMARY CARE, PRIVATE PROVIDERS, PRIVATE SPENDING, PROGRAMS, PUBLIC, PUBLIC ADMINISTRATION, PUBLIC DEBT, PUBLIC ENTITIES, PUBLIC EXPENDITURE, PUBLIC EXPENDITURE TRACKING, PUBLIC EXPENDITURES, PUBLIC HEALTH, PUBLIC HEALTH SERVICES, PUBLIC HOSPITAL, PUBLIC PROVIDERS, PUBLIC RESOURCES, PUBLIC SECTOR, PUBLIC SECTOR FINANCING, QUALITY MANAGEMENT, QUALITY OF PUBLIC SPENDING, QUALITY SERVICE, REGULATORY FRAMEWORK, RESOURCE ALLOCATION, SERVICE DELIVERY, SERVICE PROVIDER, SERVICE PROVIDERS, SERVICE PROVISION, SOCIAL ASSISTANCE, SOCIAL SERVICE, SOCIAL SERVICES, STATE EXPENDITURES, STATE GOVERNMENTS, SYSTEM, TAX, TAX BURDEN, TOTAL EXPENDITURE, WASTE,
Online Access:	http://documents.worldbank.org/curated/en/2007/02/7435672/brazil-governance-brazils-unified-health-system-raising-quality-public-spending-resource-management http://hdl.handle.net/10986/8021
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