Análise das mudanças normativas na aplicação de recursos próprios em ASPS

Abstract

The National Health Fund - FNS is the financial manager of resources destined to the Unified Health System (SUS) in the federal sphere, being responsible for transfers to the States, the Federal District and the municipalities, so that these federative entities carry out, in a decentralized manner, health actions and services, as well as investments in the service network and in healthcare and hospital coverage, within the scope of SUS. With the publication of Ordinance No. 3,992 / 2017, the federal funds destined to the financing of public health actions and services (ASPS) started to be organized and transferred in the fund modality, transferred in two blocks, costing and investment, in order to give greater freedom for managers to use resources at the local level. Thus, this study aimed to analyze the impact of normative changes in the transfer of SUS resources on the application of own resources and the actions and services of primary care. Secondary data obtained by the SUS Informatics Department (DATASUS) and the Ministry of Health Information System on Public Budgets in Health (SIOPS) were used. Na analysis was performed comparing the application of own resources, before and after Ordinance No. 3,992 / 2017, based on SIOPS data. The changes brought about by the ordinance have not altered more or less the application of own resources in ASPS by the municipalities, which has remained constant, and above the minimum required by LC 141/2012, over the past few years.