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Relative deficit of health services in Brazilian states and regions

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  • Gasparini, Carlos Eduardo
  • Ramos, Francisco S.

Abstract

The paper analyzes the allocation of health services to Brazilian states and regions. A relative service deficit indicator is constructed to achieve that goal, using equity-based criteria, which means equality of access for equal need. The Data Envelopment Analysis (DEA) is used to estimate the best service availability frontier for equal need. The results show great differences in the availability of health services among Brazilian states and regions. In regional terms, the situation of the South is the best one, whereas the North experiences the worst deficit of health services. These disparities highlight the importance of deficit assessment as an instrument to guide public action, especially in the Brazilian context, where the coverage and availability of health services is a constitutional rule.

Suggested Citation

  • Gasparini, Carlos Eduardo & Ramos, Francisco S., 2004. "Relative deficit of health services in Brazilian states and regions," Brazilian Review of Econometrics, Sociedade Brasileira de Econometria - SBE, vol. 24(1), May.
    • Handle: RePEc:sbe:breart:v:24:y:2004:i:1:a:2704
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    References listed on IDEAS

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    1. Façanha, Luís Otávio & Resende, Marcelo & Marinho, Alexandre, 1997. "Brazilian Federal Universities: Relative Efficiency Evaluation and Data Envelopment Analysis," Revista Brasileira de Economia - RBE, EPGE Brazilian School of Economics and Finance - FGV EPGE (Brazil), vol. 51(4), October.
    2. Jaume Puig, 1999. "Radial measures of public services deficit for regional allocation of public funds," Economics Working Papers 439, Department of Economics and Business, Universitat Pompeu Fabra.
    3. A. Charnes & W. W. Cooper & E. Rhodes, 1981. "Evaluating Program and Managerial Efficiency: An Application of Data Envelopment Analysis to Program Follow Through," Management Science, INFORMS, vol. 27(6), pages 668-697, June.
    4. Charnes, A. & Cooper, W. W. & Golany, B. & Seiford, L. & Stutz, J., 1985. "Foundations of data envelopment analysis for Pareto-Koopmans efficient empirical production functions," Journal of Econometrics, Elsevier, vol. 30(1-2), pages 91-107.
    5. R. D. Banker & A. Charnes & W. W. Cooper, 1984. "Some Models for Estimating Technical and Scale Inefficiencies in Data Envelopment Analysis," Management Science, INFORMS, vol. 30(9), pages 1078-1092, September.
    6. Jaume Puig, 1999. "Radial measures of public services deficit for regional allocation of public funds," Working Papers, Research Center on Health and Economics 439, Department of Economics and Business, Universitat Pompeu Fabra.
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    Cited by:

    1. Pedro V. Amaral & Alan T. Murray, 2016. "Equity in regional access to renal dialysis in Brazil," Regional Science Policy & Practice, Wiley Blackwell, vol. 8(1-2), pages 27-44, March.
    2. Masayoshi Hayashi, 2011. "The effects of medical factors on transfer deficits in Public Assistance in Japan: a quantile regression analysis," International Journal of Health Economics and Management, Springer, vol. 11(4), pages 287-307, December.

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