Economic evaluation from an analysis of financial investments related to different levels of health care

Abstract

The objective of this study was to detail the investments for Primary Health Care and Medium and High Complexity. The research was based on the data collection, referring to the city of Piracicaba, state of São Paulo, in the last ten years. Financial resources earmarked for Primary Care increased 240% from 2006 to 2017. Meanwhile, resources for Medium and High Complexity increased by 379% over the same period. After surveying these data we can show that comparing per year, the expenditure in 2006 was 3.4 times higher with MAC in relation to PHC. In 2017 the amount spent with MAC becomes 5.3 times, which reflects how much more has been spent with MAC in detriment of Primary Care. It is expected that the investment will be higher in Medium and High complexity due to the technologies used, but what would result in an improvement in this investment and in health itself would be the strengthening of Primary Care Units, as this would reduce the demand for hospitalizations and the advancement of pathologies.