Inter-regional performance of the public health system in a high-inequality country.

Previous cross-country studies have revealed a relationship between health and socio-economic factors. However, multinational studies that use aggregate figures could obfuscate the actual situation in each individual region, or even in each individual federal unit, mainly in a developing country tha...

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Autor principal:	Maria Cristina Gramani
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2014
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/9371c00a416145fcaae688b8adb230be
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spelling	oai:doaj.org-article:9371c00a416145fcaae688b8adb230be2021-11-18T08:36:43ZInter-regional performance of the public health system in a high-inequality country.1932-620310.1371/journal.pone.0086687https://doaj.org/article/9371c00a416145fcaae688b8adb230be2014-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/24466201/?tool=EBIhttps://doaj.org/toc/1932-6203Previous cross-country studies have revealed a relationship between health and socio-economic factors. However, multinational studies that use aggregate figures could obfuscate the actual situation in each individual region, or even in each individual federal unit, mainly in a developing country that spans a continent and has large socioeconomic inequalities. We conducted a within-country study, in Brazil, of health system performance that examined data in the four perspectives that most strongly affect the performance of public health systems: financial, customer, internal processes and learning&growth. After estimating the interregional health system performance from each perspective, we identified the determinants of inefficiency (i.e., the factors that have the greatest potential for improvement in each region). The results showed that the major determinants of inefficiency in the less efficient regions (N and NE) are concentrated in the perspective of learning&growth (the number of health professionals and the number of graduates with a health-related undergraduate degree) and, in the regions with the best performance (S and SE) the major determinants of inefficiency are concentrated in the financial perspective (spending on health care and the amount paid for hospitalization).Maria Cristina GramaniPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 9, Iss 1, p e86687 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Maria Cristina Gramani Inter-regional performance of the public health system in a high-inequality country.
description	Previous cross-country studies have revealed a relationship between health and socio-economic factors. However, multinational studies that use aggregate figures could obfuscate the actual situation in each individual region, or even in each individual federal unit, mainly in a developing country that spans a continent and has large socioeconomic inequalities. We conducted a within-country study, in Brazil, of health system performance that examined data in the four perspectives that most strongly affect the performance of public health systems: financial, customer, internal processes and learning&growth. After estimating the interregional health system performance from each perspective, we identified the determinants of inefficiency (i.e., the factors that have the greatest potential for improvement in each region). The results showed that the major determinants of inefficiency in the less efficient regions (N and NE) are concentrated in the perspective of learning&growth (the number of health professionals and the number of graduates with a health-related undergraduate degree) and, in the regions with the best performance (S and SE) the major determinants of inefficiency are concentrated in the financial perspective (spending on health care and the amount paid for hospitalization).
format	article
author	Maria Cristina Gramani
author_facet	Maria Cristina Gramani
author_sort	Maria Cristina Gramani
title	Inter-regional performance of the public health system in a high-inequality country.
title_short	Inter-regional performance of the public health system in a high-inequality country.
title_full	Inter-regional performance of the public health system in a high-inequality country.
title_fullStr	Inter-regional performance of the public health system in a high-inequality country.
title_full_unstemmed	Inter-regional performance of the public health system in a high-inequality country.
title_sort	inter-regional performance of the public health system in a high-inequality country.
publisher	Public Library of Science (PLoS)
publishDate	2014
url	https://doaj.org/article/9371c00a416145fcaae688b8adb230be
work_keys_str_mv	AT mariacristinagramani interregionalperformanceofthepublichealthsysteminahighinequalitycountry
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Inter-regional performance of the public health system in a high-inequality country.

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