Primary Health Care: continuity and change in public health at the Federal District

Kashiwakura, Helder Kiyoshi; Gonçalves, Andréa de Oliveira; Silva, Rosane Maria Pio da

doi:10.1590/0103-1104201611104

Helder Kiyoshi Kashiwakura

Universidade de Brasília (UnB), Departamento de Ciências Contábeis e Atuariais - Brasília (DF), Brasil. hkiyoshi@yahoo.com.br

Andréa de Oliveira Gonçalves

Universidade de Brasília (UnB), Departamento de Ciências Contábeis e Atuariais, Programa de Pós-Graduação em Ciências Contábeis e Programa de Pós-Graduação em Gestão Pública - Brasília (DF), Brasil. andreagon@unb.br

Rosane Maria Pio da Silva

Universidade de Brasília (UnB), Departamento de Ciências Contábeis e Atuariais - Brasília (DF), Brasil. rosanemaria.pio6@gmail.com

Conflict of interests: non-existent

	2005	2006	2007	2008	2009	*% PHC^ * % PHC – Percentage of Primary Health Care in relation to total expenditure.**
Committed expenditure with PHC	48,80	47,16	13,28	6,92	43,89
Expenditure with PHC as percentage of total expenditure with health	4,71%	3,68%	0,81%	0,41%	2,75%
Expenditure with PHC as percentage of previous year		96,64%	28,16%	52,10%	634,14%
Paid expenditure with PHC	48,80	44,91	10,79	5,86	32,63
Total committed expenditure with health	1.036,82	1.281,31	1.648,14	1.675,95	1.596,60
Total expenditure with health as percentage of previous year		123,58%	128,63%	101,69%	95,27%
	2010	2011	2012	2013	2014	*% PHC^ * % PHC – Percentage of Primary Health Care in relation to total expenditure.**
Committed expenditure with PHC	87,40	45,29	40,70	38,48	43,24
Expenditure with PHC as percentage of total expenditure with health	4,84%	2,08%	1,62%	1,02%	1,36%	2,33
Expenditure with PHC as percentage of previous year	199,2%	51,8%	89,9%	94,5%	112,4%
Paid expenditure with PHC	37,91	33,44	18,88	25,55	32,25
Total committed expenditure with health	1.806,21	2.180,15	2.515,92	3.768,07	3.186,49
Total expenditure with health as percentage of previous year	113,1%	120,7%	115,4%	149,8%	84,6%

	2005	2006	2007	2008	2009	*% APS^ * % PHC – Percentage of Primary Health Care in relation to total expenditure.**
Committed expenditure with PHC	2.044,21	1.790,99	2.703,94	2.993,01	3.099,33
Percentage of expenditure with PHC in relation to total expenditure with health	6,98%	5,29%	7,13%	6,66%	6,20%
Expenditure with PHC as percentage of previous year		87,61%	150,97%	110,69%	103,55%
Total committed expenditure with health	29.289,84	33.853,92	37.912,78	44.945,94	49.983,57
Percentage of total expenditure with health in relation to previous year		115,58%	111,99%	118,55%	111,21%
	2010	2011	2012	2013	2014	*% APS^ * % PHC – Percentage of Primary Health Care in relation to total expenditure.**
Committed expenditure with PHC	3.633,50	3.725,98	1.993,16	2.331,44	2.381,67
Percentage of expenditure with PHC in relation to total expenditure with health	6,48%	6,29%	3,12%	3,39%	2,89%	5,44
Percentage of expenditure with PHC in relation to previous year	117,24%	102,55%	53,49%	116,97%	102,15%
Total committed expenditure with health	56.056,72	59.215,66	63.812,41	68.799,75	82.293,72
Percentage of expenditure with health in relation to previous year	112,15%	105,64%	107,76%	107,82%	119,61%

Code Sub-function	Name of Sub-function	2005	2006	2007	2008	2009	Average / Total
1	ADMINISTRATIVE SUB-FUNCTIONS	624,35	794,56	965,77	966,07	872,45
	Percentage of administrative sub-functions in relation to total expenditure with health	0,6022	0,6201	0,586	0,5764	0,5464	53,78%
122	General Administration	607,21	777,92	929,51	920,31	806,73
126	Information Technology	0,00	0,00	14,58	23,59	43,86
128	Human Resources (HR) education	17,15	16,65	21,68	22,13	21,81
	Expenditure with HR education as percentageof total expenditure with health	0,0165	0,013	0,0132	0,0132	0,0137	1,42%
131	Social Communication	0	0	0	0,04	0,05
2	RELATED SUB-FUNCTIONS	406,69	464,01	607,37	642,89	721,96
301	Primary Health Care (PHC)	48,80	47,16	13,28	6,92	43,89
	Percentage of PHC in relation to total of related actions	0,12	0,12	0,12	0,12	0,0608	5,39%
	Percentage of PHC in relation to total expenditure with health	0,0471	0,0368	0,0081	0,0041	0,0275	2,33%
	Expenditure with PHC as percentage of previous year		96,64%	28,16%	52,10%	634,1%
302	Hospital and Outpatient Care	351,54	404,85	580,08	611,46	659,89
	Percentage of Hospital and Outpatient Care in relation to total of related actions	0,86	0,87	0,96	0,95	0,91	165,3%
303	Prophylactic and Therapeutic Support	5,51	6,62	9,32	11,36	10,43
304	Sanitary Surveillance	0,68	3,09	2,86	5,39	3,90
305	Epidemiologic Surveillance	0,15	2,29	1,82	7,76	3,85
3	COMPLEMENTARY INFORMATION	5,78	22,74	75,00	66,98	2,19
xxx	Other	5,62	22,50	74,69	66,98	2,19
	Total expenditure with health	1.036,82	1.281,31	1.648,14	1.675,95	1.596,60
	Percentage of expenditure in relation to previous year		123,58%	128,63%	101,6%	95,27%
Code Sub-function	Name of Sub-function	2010	2011	2012	2013	2014	Average / Total
1	ADMINISTRATIVE SUB-FUNCTIONS	898,43	1.301,59	1.475,91	2.669,98	2.157,17
	Percentage of administrative sub-functions in relation to total expenditure with health	0,4974	0,597	0,5866	0,7086	0,677	53,78%
122	General Administration	843,65	1.230,72	1.395,90	2.620,66	2.078,48
126	Information Technology	30,27	40,34	45,57	3,88	18,10
128	Human Resources (HR) education	24,44	30,53	34,44	45,44	60,29
	Expenditure with HR education as percentage of total expenditure with health	0,0135	0,014	0,0137	0,0121	0,0189	1,42%
131	Social Communication	0,07	0,00	0,00	0,00	0,30
2	RELATED SUB-FUNCTIONS	905,05	868,95	1.031,31	1.079,97	962,33
301	Primary Health Care (PHC)	87,40	45,29	40,70	38,48	43,24
	Percentage of PHC in relation to total of related actions	0,0966	0,0521	0,0395	0,0356	0,0449	5,39%
	Percentage of PHC in relation to total expenditure with health	0,0484	0,0208	0,0162	0,0102	0,0136	2,33%
	Expenditure with PHC as percentage of previous year	199,16%	51,82%	89,86%	94,54%	112,3%	88,59%
302	Hospital and Outpatient Care	797,82	661,03	631,16	664,29	581,41
	Percentage of Hospital and Outpatient Care in relation to total of related actions	0,88	0,76	0,61	0,62	0,6	80,31%
303	Prophylactic and Therapeutic Support	12,65	143,51	211,90	202,55	155,83
304	Sanitary Surveillance	4,12	8,01	5,31	10,32	18,02
305	Epidemiologic Surveillance	3,02	5,11	21,94	37,46	27,83
306	Food and Nutrition	0,05	6,01	120,30	126,87	136,00
3	COMPLEMENTARY INFORMATION	2,73	9,61	8,70	18,12	66,99
xxx	Other	2,59	9,32	8,70	18,12	66,99
	Total expenditure with health	1.806,21	2.180,15	2.515,92	3.768,07	3.186,49
	Percentage of expenditure in relation to previous year	113,13%	120,70%	115,40%	149,7%	84,57%	307%

Code	Name	2005	2006	2007	2008	2009	Average / Total
1	ADMINISTRATIVE SUB-FUNCTIONS	6.408,32	7.749,22	8.321,77	10.462,36	12.021,87
	Percentage of administrative sub-functions in relation to total expenditure with health	0,2188	0,2289	0,2195	0,2328	0,2405	22,6%
121	Planning and Budgeting	5,29	1,52	314,15	3,43	43,22
122	General Administration	6.176,30	7.495,56	7.722,01	9.311,21	10.479,70
124	Internal Control	0,73	0,39	0,24	0,66	0,15
126	Information Technology	54,50	63,33	70,98	851,77	1.125,40
128	Human Resources (HR) education	166,81	178,86	200,33	203,00	250,50
	Expenditure with HR education as percentage of total expenditure with health	0,0057	0,0053	0,0053	0,0045	0,005	0,49%
131	Social Communication	4,70	9,57	14,06	41,58	42,39
2	RELATED SUB-FUNCTIONS	19.135,44	22.674,94	25.129,79	29.533,80	33.473,79
301	Primary Health Care (PHC)	2.044,21	1.790,99	2.703,94	2.993,01	3.099,33
	Percentage of PHC in relation to total of related actions	0,1068	0,079	0,1076	0,1013	0,0926	7,79%
	Percentage of PHC in relation to total expenditure with health	0,0698	0,0529	0,0713	0,0666	0,062	5,44%
	Expenditure with PHC as percentage of previous year		87,61%	150,97%	110,69%	103,55%
302	Hospital and Outpatient Care	15.065,82	18.585,32	19.719,46	23.332,07	27.044,72
	Percentage of Hospital and Outpatient Care in relation to total of related actions	0,79	0,82	0,78	0,79	0,81	81,5%
303	Prophylactic and Therapeutic Support	1.207,57	1.457,07	1.919,99	2.236,17	2.378,21
304	Sanitary Surveillance	136,29	150,51	134,09	152,23	117,83
305	Epidemiologic Surveillance	227,52	252,96	255,83	376,21	450,90
306	Food and Nutrition	454,03	438,09	396,48	444,11	382,79
3	COMPLEMENTARY INFORMATION	3.746,08	3.429,76	4.461,23	4.949,79	4.487,91
xxx	Other	3.171,76	2.812,95	3.867,59	4.366,51	3.786,74
	Total of expenditure with health	29.289,84	33.853,92	37.912,78	44.945,94	49.983,57
	Percentage of expenditure with health in relation to previous year		115,58%	111,99%	118,55%	111,21%

Code	Name	2010	2011	2012	2013	2014	Average / Total
1	ADMINISTRATIVE SUB-FUNCTIONS	13.925,75	15.858,92	17.983,70	20.822,75	20.306,88
	Percentage of administrative sub-functions in relation to total expenditure with health	0,2484	0,2678	0,2818	0,3027	0,2468	22,59%
121	Planning and Budgeting	48,38	140,83	761,02	63,35	51,98
122	General Administration	12.084,26	13.716,43	16.667,38	20.348,69	19.721,51
123	Financial Administration	87,30	1,42	0,00	20,59	22,54
124	Internal Control	0,24	31,83	0,61	0,73	9,36
126	Information Technology	1.392,10	1.593,69	128,94	90,79	191,48
128	Human Resources (HR) education	265,99	331,76	375,99	241,31	258,57
	Expenditure with HR education as percentage of total expenditure with health	0,0047	0,0056	0,0059	0,0035	0,0031	0,49%
131	Social Communication	47,48	42,97	49,78	57,29	51,45
2	RELATED SUB-FUNCTIONS	37.077,44	38.361,66	43.112,22	46.400,30	58.416,77
301	Primary Health Care (PHC)	3.633,50	3.725,98	1.993,16	2.331,44	2.381,67
	Percentage of PHC in relation to total of related actions	0,098	0,0971	0,0462	0,0502	0,0408	7,79%
	Percentage of PHC in relation to total of expenditure with health	0,0648	0,0629	0,0312	0,0339	0,0289	5,44%
	Expenditure with PHC as percentage of previous year	117,24%	102,55%	53,49%	116,97%	102,15%
302	Hospital and Outpatient Care	29.882,14	31.158,84	36.114,25	39.197,80	50.097,14
	Percentage of Hospital and Outpatient Care in relation to total of related actions	0,81	0,81	0,84	0,84	0,86	81,48%
303	Prophylactic and Therapeutic Support	2.457,95	2.665,53	4.172,43	3.900,06	4.931,24
304	Sanitary Surveillance	195,30	146,38	82,54	118,66	112,39
305	Epidemiologic Surveillance	507,08	426,86	448,26	597,97	667,32
306	Food and Nutrition	401,47	238,07	301,58	254,36	227,01
3	COMPLEMENTARY INFORMATION	5.053,52	4.995,08	2.716,49	1.576,70	3.570,07
xxx	Other	4.610,81	4.560,68	2.349,11	1.159,26	3.072,79
	Total of expenditure with health	56.056,72	59.215,66	63.812,41	68.799,75	82.293,72
	Percentage of expenditure with health in relation to previous year	112,15%	105,64%	107,76%	107,82%	119,61%	280,96%

[1] Conflict of interests: non-existent

Brasil

Brasil

Primary Health Care: continuity and change in public health at the Federal District

ABSTRACT