“Efficiency in SUS”: a response from the authors of the book “SUS: the efficiency debate” – 13/01/2023 – Saúde em Público

On December 26, 2022, the Saúde em Público weblog from Folha de S. Paulo revealed an article by Ricardo de Oliveira commenting on our book “SUS the debate round efficiency” revealed this 12 months by Fiocruz Publisher.

Despite the laudable concerns – for which we’re expressly grateful – the article is flawed, misrepresenting its objective.

Since the debate on effectiveness in the Unified Health System (SUS) is of public significance and might help in the formulation, implementation and analysis of well being insurance policies, we want to make the following clarification to the readers of this prestigious journal.

One of the primary premises of our book is that efficiency in some circumstances in SUS is impaired by the lack of funding in the system. This is kind of totally different from saying that potential inefficiencies can not or shouldn’t be assessed, measured and overcome.

Thus, we’re stunned by the consideration attributed to us “(…) that inadequate funding doesn’t permit to evaluate the effectiveness of the software of assets in the SUS”.

It was by no means stated this: on the opposite, in the very presentation of the book we acknowledged “our curiosity in learning efficiency in SUS”.

It must be famous that we’ve already produced quite a few works on efficiency analysis in SUS and different well being programs, together with books and nationwide and worldwide scientific journals. It would due to this fact be pointless to write down a book about a scorching subject on the public coverage agenda, if we felt that it will not be attainable to guage the effectiveness of the software of assets in the SUS.

We are open to train criticism and self-criticism, however at this second it appeared necessary to us to make clear our curiosity in the analysis of the effectiveness of the Brazilian well being system, in addition to to contribute to the scientific and technical improvement of this technique with out renouncing the constitutional premise that well being is a social proper in our nation.

Alexandre Marinho is an economist with a PhD from the Graduate School of Economics at the Getulio Vargas Foundation (EPGE-FGV), planning and analysis technician at the Institute of Applied Economic Studies (Ipea) and affiliate professor at the State University of Rio de Janeiro (UERJ). Carlos Octavio Oque-Reyes is an economist and holds a PhD from the Instituto de Medicina Social Hesio Cordeiro (IMS-UERJ). Planning and Research Technician at the Institute for Applied Economic Research (Ipea).

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