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Brazil without Misery Plan: the fragile revenue available in the municipalities of Minas Gerais state for the proposed funding of Primary Care

This paper analyzes the economic and financial sustainability required to cover the goals of Primary Care in the municipalities of Minas Gerais state selected by the Federal Government to work in health under Brazil without Misery Plan (BSM). To develop the study, we investigated the databases of Siops/MS, Sage/MS and IBGE. Data were processed by statistical methods in order to deliver the results. To characterize the problem, population sizes were adopted. The indicators used were created by Pereira et al. (2006). Others indicators used were tested by Mendes (2010). The research was structured in three dimensions: resources originating from available revenues and SUS transfers; municipal health expenditure, with respective allocation; and federal transfers to Primary Care, with coverage of structural action lines. Results show that for municipalities with up to 50,000 inhabitants, 95.2% of total, to broaden their targets or lines of action proposed in the plan, they will need to enhance their capacity to tax or raise additional resources in other spheres, given the meager margin of available revenues in which they operate and the high levels of coverage in Primary Care already reached using mainly their constitutional and legal shipments.

public policies; health policy; public management; health expenditures; Brasil sem Miséria plan


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