Análise da autocorrelação espacial de eficiência dos recursos públicos para o setor saúde do estado do Paraná

Abstract

This research aimed to analyze the efficiency of public health in the state of Paraná and their respective municipalities identifying which regional municipalities are part. Demographic indicators were, considered Socioeconomic, Mortality, resources and coverage. The aim of this study is to verify the efficiency of municipal districts in the management of public health by making use of statistical analysis technical evaluation data envelopment Free Housing Disposal. Based on this assessment, and assuming that investing in health is, achieved by influencing the level of certain local development, it sought to evaluate the spatial distribution of the level of efficiency through Exploratory Spatial Data Analysis (ESDA). To achieve the overall goal, this study has the following objectives conducting a bibliographic study on the role of health in the economy, there was a survey of public health data in the State of Paraná municipalities for 2010, assessed the efficiency, identified the most efficient and least efficient municipalities and checked if there is concentration among municipalities. This research is justified by the need for a study on the investment efficiency analysis performed in the public health sphere of Paraná. In extension, the data and the results raised will benefit society as a theoretical knowledge, signaling to the managers of this sector the level at which public health state of Paraná is, and thus help in a more efficient allocation of available resources, and direction of state policy development. This study is, characterized, as a descriptive study, based on secondary and mainly quantitative data. It was found in general, that there is a concentration of municipalities, ie there is spatial autocorrelation between the municipal districts, both presenting high value of efficiency, and those who had low value. With respect to indicators studied, there was a smaller number of efficient municipalities regarding coverage indicators, but also a greater number of inefficient municipalities, especially a bottleneck in coverage indicators. In addressing the mortality indicators, all municipal districts were efficient. Already in the approaches of demographic, socioeconomic and resources has been identified efficient and inefficient municipalities. Since the State of Paraná presents municipalities considered efficient and inefficient, as well, the study concludes that a greater contribution of the state and health managers is necessary for the health indicators in order to ensure better quality of service to population, in order to achieve a better development of municipalities, and consequently the state.