Associação do repasse federal de custeio na Atenção Primária em Saúde sobre as internações por condições sensíveis à APS nos municípios brasileiros nos anos 2010 a 2019.

Abstract

In the present study, we sought to analyze the association of federal funding transfers in Primary Care (PHC) for Brazilian municipalities, on PHC-sensitive conditions, in the period 2010-2019. It is assumed that a greater transfer of funding resources to primary care actions, and consequently their expansion, would affect the quality of health services and reduced hospitalizations for ICSAP. To this end, a contextualization of PHC was carried out based on a literature review, as well as a characterization of PHC and its scope, such as number of teams, federal funding transfers, municipal health expenditures, as well as information regarding hospitalizations due to ICSAP. The methodology chosen was the econometric model of panel data, with ICSAP as the dependent variable and the federal funding transfer as the variable of interest, added to control variables indicated in the literature capable of representing other factors that may have a significant influence on fluctuations in indicators of hospital admissions. The results of the estimated models indicate that all explanatory variables were statistically significant, and with expected results for the general and specific objectives that were intended to be studied, regarding the correlation of federal funding transfers for PHC on ICSAP. The result found indicates that the federal transfer of funding negatively affects ICSAP, to a greater or lesser extent, according to population size.