Public spending on health in the face of COVID-19:
statistical analysis from municipalities of Santa Catarina
DOI:
https://doi.org/10.26512/gs.v14i1.45243Keywords:
Public healt; , Covid-19; , Santa Catarina.Abstract
The study aimed to evaluate the possible influence of the local public health structure and the expenditures directed to combating the pandemic in the municipalities of Santa Catarina, with the attenuation of mortality and the advancement of vaccination. We use data from 2019 to 2021, from the 295 municipalities in Santa Catarina, applying the multiple linear regression method, and with the inclusion of important socioeconomic and demographic variables, according to the subject’s literature. The results indicate that the public health structure, used as a proxy for public health expenditure, and the expenditures directed at fighting Covid-19 were able to attenuate mortality. In turn, only the public health structure was decisive for the advancement of vaccines. Regarding the other variables inserted, it is noteworthy that municipalities with greater social vulnerability had higher mortality and places with greater numbers of elderly people had better vaccination rates. These results are in agreement with findings from previous work. Although more research is needed on the subject with robust statistical methods, there is an indication that, in order to face new epidemic waves in the country, it is necessary to have a better basic health structure for challenges that may still arise.
Downloads
References
Universidade de Johns Hopkins. Mortality Analyses in the Most Affected Countries. Available from: https://coronavirus.jhu.edu/data/mortality.
Grasselli G, Pesenti A, Cecconi M. Critical care utilization for the COVID-19 outbreak in Lombardy, Italy: early experience and forecast during an emergency response. Jama. 2020; 323(16), 1545-1546.
Santos L. SUS-30 anos: um balanço incomodo? Ciência & Saúde Coletiva 2018; 23(6), 2043-2050.
Roubaud F, Razafindrakoto M, Saboia J, dos Reis Castilho M, Pero V. The municipios facing COVID-19 in Brazil: socioeconomic vulnerabilities, transmission mechanisms and public policies. DIAL 2020; Working Papers DT/2020/12.
Lui L, Lima L, Aguiar R, Machado J, Albert C. A potência do SUS no enfrentamento à Covid-19: alocação de recursos e ações nos municípios brasileiros. Trabalho, Educação e Saúde. 2022; 20.
Castro-Alves J, Silva L, Lima J, Ribeiro-Alves M. Were the socio-economic determinants of municipalities relevant to the increment of COVID-19 related deaths in Brazil in 2020? Plos One. 2022; v. 17, n. 4, p. e0266109.
Miranda P, Koeller P, Zucoloto G, Machado W, De Negri F. Aspectos socioeconômicos da Covid-19: o que dizem os dados do Município do Rio de Janeiro? Ipea 2020 NT Nº 72.
Cifuentes-Faura, J. COVID-19 Mortality Rate and Its Incidence in Latin America: Dependence on Demographic and Economic Variables. Int. J. of Env. Res. and Public Health 2021 v. 18, n. 13.
Daoust J. Elderly people and responses to COVID-19 in 27 Countries. Plos One. 2020; v. 15, n.
Lai CC, Wang JH, Ko WC, Yen MY, Lu MC, Lee CM, Hsueh PR; Society of Taiwan Long-term Care Infection Prevention and Control. COVID-19 in long-term care facilities: An upcoming threat that cannot be ignored. J Microbiol Immunol Infect. 2020; v. 53, n.3, p. 444-446.
Carozzi F, Provenzano S, Roth S. Urban density and COVID-19. Institute of Labor Economics, IZA DP No. 13440. 2020.
Chen Y, Assefa Y. The heterogeneity of the COVID-19 pandemic and national responses: an explanatory mixed-methods study. BMC public health. 2021; v. 21, n. 1, p. 1-15.
Fernandes G, Pereira B. Os desafios do financiamento do enfrentamento à COVID-19 no SUS dentro do pacto federativo. Revista de Administração Pública. 2020; v. 54, p. 595-613.
Elola-Somoza F, Bas-Villalobos M, Pérez-Villacastín J, Macaya-Miguel C. Public healthcare expenditure and COVID-19 mortality in Spain and in Europe. Revista Clínica Española (English Edition). 2021; v. 221, n. 7, p. 400-403.
Giovanella L, Vega R, Tejerina- Silva H. ¿Es La atención primaria de salud integral parte de la respuesta a la pandemia de Covid-19 en Latinoamérica? Trab Educ e Saúde 2021;19.
Secretaria do Estado da Saúde de Santa Catarina – SES/SC. Vacinômetro SC. Available from: https://www.coronavirus.sc.gov.br/vacinometro.
Instituto Brasileiro de Geografia e Estatística – IBGE. MUNIC – Pesquisa de Informações Básicas Municipais. Available from: https://www.ibge.gov.br/estatisticas/sociais/saude/10586-pesquisa-de-informacoes-basicas-municipais.html.
Santos L. Limite de Gasto com Pessoal na Área de Saúde: a Lei de Responsabilidade Fiscal. Centro Bras. de Estudos de Saúde, 2014. Available from: em: https://cebes.org.br/limite-de-gasto-com-pessoal-na-area-de-saude-a-lei-de-responsabilidade-fiscal/5161.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 ELECTRONIC JOURNAL MANAGEMENT AND HEALTH
This work is licensed under a Creative Commons Attribution-NoDerivatives 4.0 International License.
I declare that this article is original and has not been submitted for publication in any other national or international journal, either in whole or in part. I further declare that once published in the Electronic Journal Management and Health published by the University of Brasília, it will never be submitted by me or any of the other coauthors to any other means of scientific dissemination.
Through this instrument, in my name and in the name of the other coauthors, may I soon copy the copyright of the article to Electronic Journal Management and Health and declare that I am aware that failure to comply with this commitment will subject the violator to penalties and penalties Law of Protection of Rights Authorities (Nº9609, of 02/19/98).