A experiÃncia com o sistema de informaÃÃes sobre orÃamentos pÃblicos em saÃde na gestÃo de municÃpios do estado de Pernambuco: um estudo qualitativo

AUTOR(ES)
DATA DE PUBLICAÇÃO

2009

RESUMO

Decentralizing the management of the Brazilian public healthcare system requires the adequacy of spending on actions. However, the decentralization of funds has not been proportional to the transference of responsibilities to municipalities. Public healthcare financing is unstable, with a lack of fulfillment of Constitutional Amendment 29 (EC29). The SIOPS Public Healthcare Budget Information System was established in order to accompany EC29, monitor and control spending on healthcare as well as to be used as a management tool in decision making and negotiations. Considering the importance of SIOPs to management and with a recent study pointing out that irregularity in the transmission of data to the system decreased between the years 2000 and 2006 in municipalities in the state of Pernambuco (Brazil), the experience of SIOPS as a management support tool was investigated. The present study is nested in a larger study entitled âEvaluation of SIOPS and Training of Municipal Administrators for data updating and qualification in the use of Information Technologyâ from the Political Economics of Healthcare study group (Universidade Federal de Pernambuco). The aim was to analyze the experience of SIOPS as a management tool in 16 municipalities. The concepts of administrators regarding the system, its importance, use and input functioning were investigated. The methodology was content analysis of a structured questionnaire and semistructured interview with municipal secretaries of health carried out from 2006 to 2008. Four of the 16 municipalities made use of the system. Reasons for non-use: repetition of historical role of the municipality as a mere collector of information; belief that the system only serves for monitoring by the Ministry of Health and Accounts Court; lack of skill in handling the system; non-appropriation by the administrator of the information generated. Inputs into the system are carried out in three modalities: municipal service, outsources and mixed (municipal service and outsources). It was concluded most cities do not make use of the SIOPS system. There is no relationship between the type of service that fuels the system and its use, except in two cases in which administrators referred to the service as a factor that helped in the use of information generated by SIOPS. There are needs for continuous education of municipal administrators on the part of state and federal agencies due to the turnover among municipal secretaries; for municipal health boards to demand a more effective stance from administrators in the use of this tool; and for a continuous evaluation of this information system on the municipal, state and federal levels in order to outline strategies that ensure the effective use of this management tool.

ASSUNTO(S)

sus - financiamento siops â gestÃo do sus siops saude coletiva management health financing

ACESSO AO ARTIGO

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