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 |
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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 |
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okr-10986-147612021-04-23T14:03:16Z Decentralization of Health Care in Brazil : A Case Study of Bahia World Bank ACCOUNTABILITY ADMINISTRATIVE FUNCTIONS ADMINISTRATIVE PROCEDURES AUTHORITY AUTHORIZATION AUXILIARY NURSES BASIC HEALTH CARE BASIC SERVICES CAPITATION CITIES CLINICS CONSENSUS DECENTRALIZATION DENTAL CARE DEVELOPMENT GOALS DIABETES EXPENDITURE FAMILIES FEDERAL GOVERNMENT FINANCES FINANCIAL SUSTAINABILITY FISCAL GENERAL PRACTICE GENERAL PRACTITIONERS GOVERNMENT OFFICIALS HEALTH CENTERS HEALTH EXPENDITURES HEALTH FACILITIES HEALTH FINANCING HEALTH INDICATORS HEALTH INTERVENTIONS HEALTH OUTCOMES HEALTH PROFESSIONALS HEALTH PROGRAMS HEALTH PROVIDERS HEALTH SECTOR HEALTH SERVICES HEALTH STATUS HEALTH SYSTEM HEALTH SYSTEMS HOSPITAL ADMINISTRATION HOSPITAL ADMINISTRATORS HOSPITAL ADMISSIONS HOSPITAL CARE HOSPITAL SERVICES HOSPITALS HOUSEHOLDS HUMAN RESOURCE HYPERTENSION INFANT MORTALITY INFANT MORTALITY RATE INSTITUTIONAL ARRANGEMENT INSTITUTIONAL CAPACITY LEARNING PROCESS LEGISLATION LEVELS OF GOVERNMENT LIVING CONDITIONS MEDICAL CARE MEDICAL EQUIPMENT MEDICAL SERVICES MEDICINES MUNICIPALITY NATIONAL REFORMS OCCUPANCY OCCUPANCY RATES PATIENT CARE PATIENTS PERFORMANCE INDICATORS PHARMACY PHYSICIANS PREGNANT WOMEN PRIMARY CARE PRIVATE SECTOR PUBLIC EXPENDITURE PUBLIC EXPENDITURES PUBLIC FINANCING PUBLIC HEALTH PUBLIC HEALTH CARE PUBLIC HEALTH EXPENDITURES PUBLIC SECTOR PUBLIC SPENDING RADIATION REPRESENTATIVES RESOURCE ALLOCATION RURAL AREAS SAFETY SOCIAL SECURITY STATE AUTHORITIES STATE BUDGETS STATE GOVERNMENT STATE PARTICIPATION STATE RESOURCES STATE REVENUES SURGERY TOTAL EXPENDITURES URBAN AREAS WORKERS HEALTH CARE DELIVERY; DECENTRALIZATION; GOVERNMENT SPENDING POLICY; ALLOCATION OF RESOURCES; STATE FINANCE; SUBNATIONAL FINANCES; MUNICIPAL SERVICES; HEALTH FINANCING; FAMILY HEALTH; HEALTH CARE REFORM; PUBLIC HEALTH ADMINISTRATION; PUBLIC HEALTH FINANCE; HEALTH CARE QUALITY; ACCESS TO HEALTH CARE; QUALITY OF HEALTH CARE; PAYMENTS SYSTEMS; INCENTIVES; MEDICAL TECHNOLOGY; HEALTH CARE PLANNING; COST CONTROL 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. 2013-08-01T22:10:58Z 2013-08-01T22:10:58Z 2003-05-16 http://documents.worldbank.org/curated/en/2003/05/2360791/brazil-decentralization-health-care-brazil http://hdl.handle.net/10986/14761 English en_US CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank Washington, DC Economic & Sector Work :: Health Sector Review Economic & Sector Work Latin America & Caribbean Brazil |
| repository_type |
Digital Repository |
| institution_category |
Foreign Institution |
| institution |
Digital Repositories |
| building |
World Bank Open Knowledge Repository |
| collection |
World Bank |
| language |
English en_US |
| topic |
ACCOUNTABILITY ADMINISTRATIVE FUNCTIONS ADMINISTRATIVE PROCEDURES AUTHORITY AUTHORIZATION AUXILIARY NURSES BASIC HEALTH CARE BASIC SERVICES CAPITATION CITIES CLINICS CONSENSUS DECENTRALIZATION DENTAL CARE DEVELOPMENT GOALS DIABETES EXPENDITURE FAMILIES FEDERAL GOVERNMENT FINANCES FINANCIAL SUSTAINABILITY FISCAL GENERAL PRACTICE GENERAL PRACTITIONERS GOVERNMENT OFFICIALS HEALTH CENTERS HEALTH EXPENDITURES HEALTH FACILITIES HEALTH FINANCING HEALTH INDICATORS HEALTH INTERVENTIONS HEALTH OUTCOMES HEALTH PROFESSIONALS HEALTH PROGRAMS HEALTH PROVIDERS HEALTH SECTOR HEALTH SERVICES HEALTH STATUS HEALTH SYSTEM HEALTH SYSTEMS HOSPITAL ADMINISTRATION HOSPITAL ADMINISTRATORS HOSPITAL ADMISSIONS HOSPITAL CARE HOSPITAL SERVICES HOSPITALS HOUSEHOLDS HUMAN RESOURCE HYPERTENSION INFANT MORTALITY INFANT MORTALITY RATE INSTITUTIONAL ARRANGEMENT INSTITUTIONAL CAPACITY LEARNING PROCESS LEGISLATION LEVELS OF GOVERNMENT LIVING CONDITIONS MEDICAL CARE MEDICAL EQUIPMENT MEDICAL SERVICES MEDICINES MUNICIPALITY NATIONAL REFORMS OCCUPANCY OCCUPANCY RATES PATIENT CARE PATIENTS PERFORMANCE INDICATORS PHARMACY PHYSICIANS PREGNANT WOMEN PRIMARY CARE PRIVATE SECTOR PUBLIC EXPENDITURE PUBLIC EXPENDITURES PUBLIC FINANCING PUBLIC HEALTH PUBLIC HEALTH CARE PUBLIC HEALTH EXPENDITURES PUBLIC SECTOR PUBLIC SPENDING RADIATION REPRESENTATIVES RESOURCE ALLOCATION RURAL AREAS SAFETY SOCIAL SECURITY STATE AUTHORITIES STATE BUDGETS STATE GOVERNMENT STATE PARTICIPATION STATE RESOURCES STATE REVENUES SURGERY TOTAL EXPENDITURES URBAN AREAS WORKERS HEALTH CARE DELIVERY; DECENTRALIZATION; GOVERNMENT SPENDING POLICY; ALLOCATION OF RESOURCES; STATE FINANCE; SUBNATIONAL FINANCES; MUNICIPAL SERVICES; HEALTH FINANCING; FAMILY HEALTH; HEALTH CARE REFORM; PUBLIC HEALTH ADMINISTRATION; PUBLIC HEALTH FINANCE; HEALTH CARE QUALITY; ACCESS TO HEALTH CARE; QUALITY OF HEALTH CARE; PAYMENTS SYSTEMS; INCENTIVES; MEDICAL TECHNOLOGY; HEALTH CARE PLANNING; COST CONTROL |
| spellingShingle |
ACCOUNTABILITY ADMINISTRATIVE FUNCTIONS ADMINISTRATIVE PROCEDURES AUTHORITY AUTHORIZATION AUXILIARY NURSES BASIC HEALTH CARE BASIC SERVICES CAPITATION CITIES CLINICS CONSENSUS DECENTRALIZATION DENTAL CARE DEVELOPMENT GOALS DIABETES EXPENDITURE FAMILIES FEDERAL GOVERNMENT FINANCES FINANCIAL SUSTAINABILITY FISCAL GENERAL PRACTICE GENERAL PRACTITIONERS GOVERNMENT OFFICIALS HEALTH CENTERS HEALTH EXPENDITURES HEALTH FACILITIES HEALTH FINANCING HEALTH INDICATORS HEALTH INTERVENTIONS HEALTH OUTCOMES HEALTH PROFESSIONALS HEALTH PROGRAMS HEALTH PROVIDERS HEALTH SECTOR HEALTH SERVICES HEALTH STATUS HEALTH SYSTEM HEALTH SYSTEMS HOSPITAL ADMINISTRATION HOSPITAL ADMINISTRATORS HOSPITAL ADMISSIONS HOSPITAL CARE HOSPITAL SERVICES HOSPITALS HOUSEHOLDS HUMAN RESOURCE HYPERTENSION INFANT MORTALITY INFANT MORTALITY RATE INSTITUTIONAL ARRANGEMENT INSTITUTIONAL CAPACITY LEARNING PROCESS LEGISLATION LEVELS OF GOVERNMENT LIVING CONDITIONS MEDICAL CARE MEDICAL EQUIPMENT MEDICAL SERVICES MEDICINES MUNICIPALITY NATIONAL REFORMS OCCUPANCY OCCUPANCY RATES PATIENT CARE PATIENTS PERFORMANCE INDICATORS PHARMACY PHYSICIANS PREGNANT WOMEN PRIMARY CARE PRIVATE SECTOR PUBLIC EXPENDITURE PUBLIC EXPENDITURES PUBLIC FINANCING PUBLIC HEALTH PUBLIC HEALTH CARE PUBLIC HEALTH EXPENDITURES PUBLIC SECTOR PUBLIC SPENDING RADIATION REPRESENTATIVES RESOURCE ALLOCATION RURAL AREAS SAFETY SOCIAL SECURITY STATE AUTHORITIES STATE BUDGETS STATE GOVERNMENT STATE PARTICIPATION STATE RESOURCES STATE REVENUES SURGERY TOTAL EXPENDITURES URBAN AREAS WORKERS HEALTH CARE DELIVERY; DECENTRALIZATION; GOVERNMENT SPENDING POLICY; ALLOCATION OF RESOURCES; STATE FINANCE; SUBNATIONAL FINANCES; MUNICIPAL SERVICES; HEALTH FINANCING; FAMILY HEALTH; HEALTH CARE REFORM; PUBLIC HEALTH ADMINISTRATION; PUBLIC HEALTH FINANCE; HEALTH CARE QUALITY; ACCESS TO HEALTH CARE; QUALITY OF HEALTH CARE; PAYMENTS SYSTEMS; INCENTIVES; MEDICAL TECHNOLOGY; HEALTH CARE PLANNING; COST CONTROL World Bank Decentralization of Health Care in Brazil : A Case Study of Bahia |
| geographic_facet |
Latin America & Caribbean Brazil |
| description |
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. |
| format |
Economic & Sector Work :: Health Sector Review |
| author |
World Bank |
| author_facet |
World Bank |
| author_sort |
World Bank |
| title |
Decentralization of Health Care in Brazil : A Case Study of Bahia |
| title_short |
Decentralization of Health Care in Brazil : A Case Study of Bahia |
| title_full |
Decentralization of Health Care in Brazil : A Case Study of Bahia |
| title_fullStr |
Decentralization of Health Care in Brazil : A Case Study of Bahia |
| title_full_unstemmed |
Decentralization of Health Care in Brazil : A Case Study of Bahia |
| title_sort |
decentralization of health care in brazil : a case study of bahia |
| publisher |
Washington, DC |
| publishDate |
2013 |
| url |
http://documents.worldbank.org/curated/en/2003/05/2360791/brazil-decentralization-health-care-brazil http://hdl.handle.net/10986/14761 |
| _version_ |
1764427963152990208 |