Análise da Participação dos Entes Federativos - União, Estado e Municípios - No Financiamento do SUS, nos Municípios com 50.000 a 100.000 Habitantes, da Região de Saúde de Campinas, no Período de 2012 A 2014

Abstract

Because of the decentralization of the management of public health and the absence of a reform of its financing, the municipalities started to significantly increase the volume of its own funds invested in this area. In this context, this study aimed to analyze the participation of federal entities - Federal, State and Municipalities - the financing of the Unified Health System (SUS) in the municipalities with 50,000 to 100,000 inhabitants, the Metropolitan Health Region of Campinas, from 2012 to 2014. An integrative literature review and survey data were carried out on the municipalities on the Public Budget using the Health System information. Seven articles were selected and analyzed in full. In relation to the data collected, it was found out that municipalities, state and Union fulfilled what determines the Law n° 141/2012; the three federal entities increased health expenses from one year to another; there was an increase of municipal resources at the local health expenditure and a decrease of Union involvement, and the participation of the State wasn’t significant enough. Thus, health financing, by the Union needs to be corrected and should state resources participate in a more significant way, being extremely necessary discussion of new sources of resources to allow more public investment increase in health.