Análise de eficiência do Serviço Público de Saúde nos municípios da região Centro-Oeste em 2013

Abstract

Health is an important social object that should receive certain attention, once it can influence others social problems. Managers have the challenge of optimizing health spending by trying to maximize scarce available sources. In this aspect, the general objective of this work is to analyze the public health services supply to the municipalities of the Brazilian Center-West Region, in the year 2013, applying a Data Envelopment Analysis (DEA). Methodologically, the DEA model was used as the statistical procedure, including a bootstrap technique to correct the sample bias. Some tests were used in order to detect outliers and the present rate of return. The analyzed sample included 465 municipalities, considering one input product and four output products. The main results pointed out four municipalities as outliers, which were excluded from the sample. Tests for the returns to scale indicated that the variable returns to scale should be chosen. Regarding efficiency, only 17% of the sample showed out to be efficient. After correcting the bias with the bootstrap technique, this percentage reduces to 16% of efficient municipalities. Among the states, the one that presented better results in relation to the others was Mato Grosso do Sul, followed by Goiás and Mato Grosso. Finally, the results allowed to conclude that the efficiency of the public health sector is not necessarily related to its greater availability of resources or spending.