Publication: Brazil - Raising the Quality of Public Spending and Resource Management in the Health Sector
Date
2007-09
ISSN
Published
2007-09
Author(s)
Couttolenc, Bernard
La Forgia, Gerard
Matsuda, Yasuhiko
Abstract
The report assesses how the processes of
allocation, transfer, and utilization of resources are
conducted at the different levels of the system. The study
provides valuable information regarding the reality of the
executing units of the system and how these relate to the
central levels. It also seeks to identify problems related
to financial flows, analyze how resources are used at the
local level, and estimate their impact on the efficiency and
quality of health services in general. In this respect, the
study provides a basis for improving the entire cycle of
public resource management processes (i.e., planning,
budgeting, budget execution, input management, and health
service production) in the health sector, which together
help to bolster good governance in health care delivery.
This report referenced in this note assesses resource
allocation and management, planning and budgeting functions,
and budget execution at different levels of government for
public expenditures on health services. The emphasis is on
understanding the incentives generated for service
providers, and the overall soundness of the accountabilities
established in the public health services expenditure
system. The analysis seeks to identify weaknesses of
accountabilities for service provision that stem from the
structure and process of intergovernmental and provider
funding flows and related managerial practices.
Citation
“Couttolenc, Bernard; La Forgia, Gerard; Matsuda, Yasuhiko. 2007. Brazil - Raising the Quality of Public Spending and Resource Management in the Health Sector. en breve; No. 111. © World Bank, Washington, DC. http://openknowledge.worldbank.org/entities/publication/50b71d20-a63f-534e-8881-b4c5c4f814fe License: CC BY 3.0 IGO.”