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The present study analyzed the effects of austerity and economic crisis on the financing of oral health, provision and use of public services and access to exclusively dental plans in Brazil, from 2003 to 2018. A retrospective, descriptive study was carried out, with a quantitative approach. Data were collected from the National Health Funding database, the National Supplementary Health Agency, the Strategic Management Support Room, and from the e-manager system. The federal fund-to-fund transfer was increasing from 2003 to 2010 and remained stable from 2011 to 2018. The supply decreased at the end of the period, with reduced coverage of the first programmatic dental appointment, average supervised tooth brushing and number of endodontic treatments. Against the background of the public financial crisis, exclusively dental plan companies expanded the market from 2.6 million users in 2000 to 24.3 million in 2018, with a profit of more than R$ 240 million. Fiscal austerity has a strong influence on the use of public dental services in Brazil, which can benefit the private market and widen inequalities. [ABSTRACT FROM AUTHOR]

Background: Brazil's national oral health policy, established in 2004, is considered the largest public policy in this segment worldwide. Objective: To analyze the National Oral Health Policy of Brazil under the theory of the cycle of public policies. Methods: This was a qualitative study based on the policy cycle, which sought to analyze the cycle of the Brazilian National Oral Health Policy. Two methods were used to collect the data: the documentary analysis and the performance of semi-structured interviews. Results: Although the oral health problems of the Brazilian population have long been recognized, it was in 2003 that a window of opportunity was opened for this topic to occupy the agenda of priorities of the Federal Government. Established in 2004, the policy has advanced in coverage of basic and specialized services in the national territory, serving priority populations. From the year 2016, however, one can perceive its stagnation given the Brazilian political-economic conjuncture. Conclusions: The results of the interventions show a considerable improvement in the oral health indicators; and an increase in the population coverage served by oral health services and services, facts that recommend the continuity of the policy. [ABSTRACT FROM AUTHOR]

This article aims to analyze the application of public resources for health services and its relationship to population size of the municipalities of the state of Pernambuco through a survey that is quantitative, descriptive, analytical and retrospective and uses secondary data pertaining to the historical series from 2012 to 2017. The data were collected from the Information System on Public Budgets for Health and by the use of the Cidades@ tool of the Brazilian Institute of Geography and Statistics. The statistical analysis was carried out using the Stata software package. On examining average spending, it was observed that the most significant breaches of the mandatory minimum percentage of 15% occurred from year 2012 through 2016. As regards the historical series of the average application of financial resources, it was found that in 2016 there was a decline in all municipalities. It was observed that the small municipalities of the mesoregions of Zona da Mata, Agreste and Sertão presented the highest average percentages, which demonstrates the dependence between these and other entities in the state, thereby highlighting the need to improve the management of financial resources. [ABSTRACT FROM AUTHOR]

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Public expenditure in health and its relationship with the population of the municipalities of the state of Pernambuco, Brazil, is analyzed. Current descriptive, analytic and retrospective study used secondary data for the 2009-2013 period, collected from the Information System on Public Expenditures in Health and from Cidades@ of the Brazilian Institute of Geography and Statistics. Statistical analysis was undertaken with Microsoft Excel for Mac® 2011. Comparison of averages of financial resources in health between groups of municipalities according to their population showed statistically significant differences in all the years under analysis, except for 2013. The greater the population in the municipality, the smaller the percentage impact of financial resources in health within the public administration. Small municipalities had the highest average percentages and revealed that health is a burdensome sector demanding special attention by the public administrator. [ABSTRACT FROM AUTHOR]

Copyright of Saúde e Sociedade is the property of Universidade de Sao Paulo, Faculdade de Saude Publica and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Archives of Dental Science / Arquivos em Odontologia is the property of Universidade Federal de Minas Gerais, Faculdade de Odontologia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)