Percepção da execução orçamentária na gestão dos serviços de saúde pública(Perceptions of budget execution in the management of public health services)

[e-2504]: https://doi.org/10.5281/zenodo.15096795

Autores

Palavras-chave:

Percepções; Execução orçamentária; Gestão; Serviços; Saúde pública.

Resumo

Resumo: A gestão da saúde pública enfrenta desafios na execução orçamentária, afetando a qualidade e a cobertura dos serviços devido à má gestão. Objetivo: Determinar as percepções dos funcionários públicos sobre a execução orçamentária na gestão do orçamento da saúde pública. Método: Abordagem mista, para a percepção dos trabalhadores com pelo menos três meses de trabalho na gestão da saúde pública; foram avaliadas as dimensões da gestão orçamentária. Resultados: Foram identificados percentuais máximos e mínimos na execução orçamentária dos serviços de saúde para superar deficiências como desconhecimento das normas, descompasso entre despesas, metas e falhas nos pagamentos, afetando a eficiência. Conclusões/contribuição: Conhecer as percepções dos funcionários públicos sobre a execução orçamentária (por dimensões) da gestão orçamentária da saúde pública fornecerá argumentos para otimizar os recursos financeiros.                                                                                                                                                       

Referências

Aguilar Chávez, F.A., Delgado Sánchez, C.I., De la Cruz Montoya, D., & Saldaña Barboza, A. (2023). Understanding digital skills and applying them to learning in the post-Covid-19 era. GESTIONES . https://doi.org/10.5281/zenodo.14018785

Barrenechea, R., & Encinas, D. (2022). Peru 2021: Democracy by default. Rev. Ciencia . Polít (Santiago), 42(2), 407–438. https://doi.org/10.4067/S0718-090X2022005000115

Brito Quintana, P.E., & Bardález del Águila, C.A. (2023). The Commodification of Health in Peru: Health, Law, or Business? (1st ed.). Lima: Peruvian Medical Association.

Cano, D.M., Santa-Cruz, L.M., & Calcina-Cuevas, S. (2023). The impact of public investment and its contribution to the economic development of San Román Province, Puno, 2007–2021. Journal of High Andean Research, 25(3). http://dx.doi.org/10.18271/ria.2023.531

Castillo-Fiestas, KP, Bravo- Huivin , EK, & Rivas-Madrid, FP (2021). Management by Processes in the Competitiveness of an SME in the Gastronomic Sector. Proceedings of the LACCEI International Multi conference. https://doi.org/10.18687/LACCEI2021.1.1.126

De la Cruz Montoya, D., Delgado Sánchez, C.I., Espinoza Vásquez, G., Juárez-Gutiérrez, R.E., Galindo Caro, R., & Albarrán Cachay, A.P. (2024). Transparency in budget management and strategic planning with organizational learning for results-based management [ Transparency in budget management and Strategic planning with organizational learning for results-based management ]. MANAGEMENT. https://doi.org/10.5281/zenodo.13150776

Galindo Caro, R., De la Cruz Montoya, D., Gamero Tinoco, M.E., Hernández Torres, A.M., & Albarrán Cachay, A.P. (2023). Benefits of local concerted strategic planning and teaching accountability in budget management for users . MANAGEMENTS. https://doi.org/10.5281/zenodo.13621897

García, F., & Mendoza, T. (2022). Managers' perceptions of budget execution in public hospitals: A comparative analysis. Management and Public Health, 45(1), 56-68.

Gonzales Ttito , Y.M., Jara Zuñiga , R.W., Melgar Begazo, A.E., & Albarrán Cachay, A.P. (2023). Reflections: Analysis of management and investment in educational infrastructure, towards multifunctional designs for the prevention of health emergencies. GESTIONES. https://doi.org/10.5281/zenodo.14545080

San Martín Regional Government. (2021). Directive for the implementation of Process Management in the San Martín Regional Government. Directive No. 001-2021-GRSM/GRPyP-SGDI. RER No. 142-2021-GRSM/GR. July 23, 2021. Available at: https://www.regionsanmartin.gob.pe/OriArc.pdf?id=121060

López, R., & Martínez, L. (2022). The relationship between the perception of financial resources and the effectiveness of public health services. Journal of Health Policy, 29(4), 203-217.

López Regalado, O., Panduro Salas, A., Judá Muñoz Chávez, G., & Soto Espichan, AA (2023). Staff management and executive leadership for sports activities and mental health in students . MANAGEMENTS. https://doi.org/10.5281/zenodo.14047853

Ministry of Economy and Finance. (2023). Public Sector Budget Bill for Fiscal Year 2024. Lima: MEF. https://www.mef.gob.pe/es/?option=com_content&language=es-ES&Itemid=101156&lang=esES&view=article&id=7932

Ministry of Economy and Finance. (2024). Budget Execution Directive. Directorial Resolution No. 0009-2024-EF/50.01. Approves Directive No. 0001-2024-EF/50.01. Lima: Ministry of Economy and Finance. Available at: https://www.mef.gob.pe/es/normatividad-sp-9867/por-instrumento/directivas/32621-direvctiva-n-0001-2024-ef-50-01/archivo

Moreno Muro, JP, Caján Villanueva, M., Chavez Taipe , Y.V., Hernández Torres, A.M., Ramos León, L., & Zapata Bellido, M.J. (2023). Artificial intelligence and the management of the university curriculum by competencies . MANAGEMENT. https://doi.org/10.5281/zenodo.13738948

World Health Organization. (2010). The World Health Report: Financing health systems: The path to universal coverage. Geneva: WHO. https://apps.who.int/iris/handle/10665/44373

Peru, Executive Branch. (2021). Emergency Decree No. 012-2020. Extraordinary measures within the framework of the national emergency due to COVID-19 to strengthen the prevention, control, surveillance, and response systems of the National Health System. Official Gazette El Peruano. https://spij.minjus.gob.pe/spij-ext-web/#/detallenorma/H1276240

Office of the President of the Council of Ministers . (2022). National Policy for the Modernization of Public Management by 2030. Supreme Decree No. 103-2022-PCM. Lima: Office of the President of the Council of Ministers . Available at: https://www.gob.pe/institucion/pcm/normas-legales/3361746-103-2022-pcm

Roberts, M. (2023). Polycrisis and depression in the 21st century . Michael Roberts Blog. https://thenextrecession.wordpress.com/2023/01/05/polycrisis-and-depression-in-the21st-century/

Rojas Krugger , J.C., & Ugaz Roque, N. (2024). Strategic Planning and Organizational Management of Human Potential for Planning Sports Activities and Managing Stress . to Plan Sports Activities and Manage Stress]. MANAGEMENTS. https://doi.org/10.5281/zenodo.14583682

Ramos-Moreno, E.W., & Torres Paredes, M.J. (2023). Strategic planning and process management for planning sports activities for the benefit of the population. GESTIONES. https://doi.org/10.5281/zenodo.14574753

Sánchez, M., & Pérez, J. (2022). Impact of budget execution on public health services in Latin America. Latin American Journal of Public Health, 34(2), 123-134.

Vargas Montejo, C., & Salas Sánchez, A. (2023). Compliance with budgetary regulations and psychomotor management of hospital staff during COVID-19. GESTIONES. https://doi.org/10.5281/zenodo.14583591

Villar, E., Francke, P., & Loewenson , R. (2024). Learning from Peru: Why a macroeconomic star failed tragically and unequally on Covid-19 outcomes . SSM-Health Systems, 2, 100007. https://doi.org/10.1016/j.ssmhs.2023.100007

Zúñiga Olivares, Miguel Armando. (2024). Public budget for health in Peru in the period 2019-2024. Annals of the Faculty of Medicine, 85(3), 277-286. Epub September 30, 2024. https://doi.org/10.15381/anales.v85i3.27538

Marmot , M., & Friel , S. (2008). global health Equity : Evidence for Action on the social determinants of health . Journal of Epidemiology & Community Health , 62 (12), 1095-1097.

Savedoff, W.D., de Ferranti, D., Smith, A.L., & Fan, V. (2012). Political and economic aspects of the transition to universal health coverage. The Lancet, 380(9845), 924-932.

Luca, L., & Paul, O. (2019). Price setting and price regulation in health care lessons for advancing universal health coverage. OECD Publishing.

Hutchinson, E., Balabanova , D., & McKee, M. (2021). We need to talk about corruption in health systems . International Journal of Health Policy and Management, 10(3), 153–158. https://doi.org/10.34172/ijhpm.2020.201

Frenk, J., & Gómez-Dantes, O. (2019). Health systems in Latin America: The search for universal health coverage. Health Affairs, 38(3), 444–450. https://doi.org/10.1377/hlthaff.2018.0527

Kruk, ME, Gage, AD, Arsenault, C., Jordan, K., Leslie, HH, Roder-DeWan, S., ... & Pate, M. (2018). High-quality health systems in the Sustainable Development Goals era: Time for a revolution. The Lancet Global Health , 6(11), e1196–e1252. https://doi.org/10.1016/S2214-109X(18)30386-3

Savedoff , W. D. (2010). Transparency and Corruption in the Health Sector: A Conceptual Framework and Ideas for Action in Latin American and the Caribbean . Inter-American Development Bank. https://doi.org/10.18235/0009374

Publicado

2025-03-27

Como Citar

Torres Paredes, M. J., Juro Saavedra, D., & Ramos Cortegana, C. del P. (2025). Percepção da execução orçamentária na gestão dos serviços de saúde pública(Perceptions of budget execution in the management of public health services): [e-2504]: https://doi.org/10.5281/zenodo.15096795. GESTIONES, 5(1), [e–2504]: (1. Recuperado de https://gestiones.pe/index.php/revista/article/view/93