Cooperação Intermunicipal no Brasil: os efeitos dos consórcios públicos de saúde à luz do Institutional Colletive Action
Intermunicipal cooperation is a recurring theme in international literature and commonly used to analyze horizontal relationships in federated systems. In this sense, several partnership actions are signed in order to implement better public policies, or even in order to reduce transaction costs....
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| Formato: | doctoralThesis |
| Idioma: | pt_BR |
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Brasil
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| Endereço do item: | https://repositorio.ufrn.br/jspui/handle/123456789/28347 |
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| Resumo: | Intermunicipal cooperation is a recurring theme in international literature and commonly used
to analyze horizontal relationships in federated systems. In this sense, several partnership
actions are signed in order to implement better public policies, or even in order to reduce
transaction costs. Among these practices, a figure of public consortia in Brazil has been gaining
notoriety since the 1990s, but especially after the Public Consortia Law of 2005, when legal
certainty was provided to participating municipalities. The international literature has been
devoted to analyzing the phenomenon of inter-municipal cooperation, among others, through
the Collective Action approach, however, the focus has been on the inducers of cooperation or
the dimensioning of transaction costs. Therefore, this phenomenon is characteristic of a study
that presents as scale discounts in the regions of intercity cooperation. In this research the
theoretical framework of collective action was used or elaborated, especially the theoretical
framework addressed by Feiock (2007; 2013), called Institutional Collective Action (ICA), in
order to estimate the collective results, but also to verify the relationship of contextual variables
with the results of public policy. In Brazil, the phenomenon of public consortia was formed
mainly in the environment and health sector, so, as a delimitation strategy, it opted for the health
sector. Therefore, the following general objective was established: to verify the difference in
collective results between the municipalities that decided to join a public health consortium in
2009/2010 and the municipalities that did not join public consortia by 2015. Therefore, it is ,
from a deductive, observational, longitudinal retrospective research using the statistical
technique called “difference of differences”. After applying this technique, the results
indicate that participation in the public health consortium improves the provision of health
services, such as number of outpatient visits and number of medical appointments; and reduces
the number of child mortality. Therefore, it can be inferred that long-distance cooperation
generates benefits for participating municipalities and that the ICA contextual variables are
relevant for observing the results of public policy. |
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