Decentralization of Health Care in Brazil : A Case Study of Bahia
This report is a case study analyzing key issues--coverage, equity, sustainability--faced by the Brazilian health system in the state of Bahia, in the context of national reforms geared to the decentralization of health care. Thus, the report exami...
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| Format: | Health Sector Review |
| Language: | English en_US |
| Published: |
Washington, DC
2013
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| Online Access: | http://documents.worldbank.org/curated/en/2003/05/2360791/brazil-decentralization-health-care-brazil http://hdl.handle.net/10986/14761 |
| Summary: | This report is a case study analyzing
key issues--coverage, equity, sustainability--faced by the
Brazilian health system in the state of Bahia, in the
context of national reforms geared to the decentralization
of health care. Thus, the report examines the instruments
and the incentives in the system to: 1) improve the coverage
of the key health interventions that influence the basic
health outcomes of the population; 2) reduce the inequality
in the distribution of publicly financed health care; and
3)) improve the fianncial sustainability of the health
sector through greater efficiency and through improved
mechanisms for cost control. Special attention is paid to
implementation in Bahia of the latest and most ambitious of
the national reforms based on those objectives: the
Operational Regulations for Health Care, issued in early
2001 and referred to in this report by its Brazilian
acronym, NOAS. NOAS is expected to have a significant impact
on the organization of public health care over the next
several years. Its main features are described in the
Introduction. The structure of the report is as follows: the
report has four chapters dealing, respectively, with public
sector financing sources and allocation mechanisms in Bahia;
Basic health care issues; reforming complex care; and
conclusions, recommendation, and options for reform. There
are two annexes. the first describes the key issues in
health outcomes, and the epidemiological and demographic
profile of the state. The second annex summarizes a benefit
incidence study of public expenditures in Bahia. |
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