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The political economy of health services provision and access in Brazil

Author: Andrew Sunil Rajkumar; Maureen L Cropper
Publisher: Washington, D.C. : World Bank, Development Research Group, Infrastructure and Environment Team, [2005]
Series: Policy research working papers, 3508.
Edition/Format:   Print book : International government publication : EnglishView all editions and formats
Summary:
"Mobarak, Rajkumar, and Cropper examine the impact of local politics and government structure on the allocation of publicly subsidized (SUS) health services across municipios (counties) in Brazil, and on the probability that uninsured individuals who require medical attention actually receive access to those health services. Using data from the 1998 PNAD survey they demonstrate that higher per capita levels of SUS  Read more...
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Additional Physical Format: Online version:
Rajkumar, Andrew Sunil.
Political economy of health services provision and access in Brazil.
Washington, D.C. : World Bank, Development Research Group, Infrastructure and Environment Team, [2005]
(OCoLC)647417097
Material Type: Government publication, International government publication, Internet resource
Document Type: Book, Internet Resource
All Authors / Contributors: Andrew Sunil Rajkumar; Maureen L Cropper
OCLC Number: 57743778
Notes: "February 2005"--Cover.
Description: 33 pages : illustrations ; 28 cm.
Series Title: Policy research working papers, 3508.
Responsibility: Ahmed Mushfiq Mobarak, Andrew Sunil Rajkumar, Maureen Cropper.

Abstract:

"Mobarak, Rajkumar, and Cropper examine the impact of local politics and government structure on the allocation of publicly subsidized (SUS) health services across municipios (counties) in Brazil, and on the probability that uninsured individuals who require medical attention actually receive access to those health services. Using data from the 1998 PNAD survey they demonstrate that higher per capita levels of SUS doctors, nurses, and clinic rooms increase the probability that an uninsured individual gains access to health services when he or she seeks it. The authors find that an increase in income inequality, an increase in the percentage of the population that votes, and an increase in the percentage of votes going to left-leaning candidates are each associated with higher levels of public health services. The per capita provision of doctors, nurses, and clinics is also greater in counties with a popular local leader and in counties where the county mayor and state governor are politically aligned. Administrative decentralization of health services to the county decreases provision levels and reduces access to services by the uninsured unless it is accompanied by good local governance. This paper is a product of the Infrastructure and Environment Team, Development Research Group"--World Bank web site.

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