Public Expenditure on Health in Bahia: exploring evidence of inequalities

ABSTRACT The article analyzes the public expenditures on the Unified Health System in municipalities, regions and macro-regions of Bahia, from 2009 to 2012. Data were analyzed with the aid of National Health Accounts model. It was verified an increase of 28% in the expenses declared by the municipalities, in the quadrennium. The expenditures were concentrated in the macro-regions with the highest installed capacity. However, compared to the population of these localities, inputs proved to be still insufficient. Half of the health regions did not reach the average per capita spending of the state. The distribution of resources fairly and effectively requires knowledge of the health needs of the population, monitoring and rational use.摘要 本文分析了2009至2012年巴西巴伊亚州各市镇、卫生区域及宏观区域的统一卫生系统（Unified Health System）公共卫生支出情况。研究依托国家卫生账户模型（National Health Accounts model）开展数据分析，结果表明：该四年周期内，各市镇申报的卫生支出增长28%。卫生支出主要集中于卫生设施配置水平最高的宏观区域，但对比这些区域的人口规模，卫生资源投入仍显不足；有半数卫生区域未达到全州人均卫生支出平均水平。要实现卫生资源的公平高效配置，需充分掌握人群健康需求、开展动态监测并做到资源合理使用。