Transferências intergovernamentais e eficiência dos gastos públicos em saúde no estado do Piauí: uma análise do período de 2022 a 2024

Abstract

This study comparatively analyzes the allocation of public health resources in the State of Piauí between 2022 and 2024, with emphasis on the evolution of federal intergovernmental transfers carried out through the fund-to-fund model and the distribution of resources among the financing blocks of the Unified Health System (SUS). The research adopts a mixed methodological approach, combining quantitative analysis of secondary data obtained from official sources, such as the National Health Fund (FNS), with qualitative analysis of normative and institutional documents. The results indicate a cumulative growth of 21.2% in federal transfers during the analyzed period, particularly in the primary care and SUS management blocks. Nevertheless, inequalities persist in resource allocation, with continued predominance of the medium- and high-complexity block and underprioritization of strategic areas such as health surveillance and pharmaceutical assistance. It is concluded that, despite advances in financial volume, significant challenges remain regarding management efficiency, integration among financing blocks, and equity in the application of public health resources.