Cross-sectoral assessment of public policies in health and the environment: Scenario of the municipalities in the state of Sao Paulo |
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| Affiliation: | 1. School of Economics, Business Administration and Accounting at Ribeirão Preto, University of São Paulo, Brazil;2. Federal University of Uberlândia, School of Business and Management − FAGEN, Uberlândia, Minas Gerais, Brazil;3. Faculdade de Economia, Administração e Contabilidade, Bloco B2, Sala 74, Brazil;1. Prevention Research Center, Arnold School of Public Health, 921 Assembly Street, University of South Carolina, Columbia, SC 29208, United States;2. Department of Exercise, Arnold School of Public Health, 921 Assembly Street, University of South Carolina, Columbia, SC 29208, United States;3. Department of Health Promotion, Education and Behavior, Arnold School of Public Health, 915 Greene Street, University of South Carolina, Columbia, SC 29208, United States;1. Department of Philosophy, Sociology, Education and Applied Psychology, University of Padova, Via Venezia 8, Padova, Italy;2. Social Service Melzo and Liscate,Via Vittorio Emanuele, Melzo (Mi), 20066, Italy;1. RTI International, 307 Waverley Oaks Road, Suite 101, Waltham, MA 02452, USA;2. Division of Cancer Prevention and Control, Centers for Disease Control and Prevention, 4770 Buford Highway, NE, Mailstop K-76, Atlanta, GA 30341-3717, USA;3. RTI International, 307 Waverley Oaks Road, Waltham, MA 02452, USA;4. Philadelphia Department of Public Health, Health Center 4, 4400 Haverford Avenue, Philadelphia, PA 19104, USA;1. Human Services Research Institute, Cambridge, MA, United States;2. Department of Psychiatry, Harvard Medical School, Cambridge, MA, United States;3. Department of Economics, Southern New Hampshire University, Manchester, NH, United States;4. Temple University Collaborative on Community Inclusion for Individuals with Psychiatric Disabilities, Philadelphia, PA, United States;1. Department of Preventive and Social Medicine, University of Otago, P.O. Box 56, Dunedin, 9054, New Zealand;2. Division of Health Sciences, University of Otago, P.O. Box 56, Dunedin, 9054, New Zealand;3. College of Education, University of Otago, P.O. Box 56, Dunedin, 9054, New Zealand;4. Department of Biochemistry, University of Otago, P.O. Box 56, Dunedin, 9054, New Zealand |
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| Abstract: | From the identification of the current and rising demand for integrated solutions by government players, especially at the stage of evaluation of public policies, this paper carried out an cross-sectoral outcome assessment of local government cost-effectiveness in the fields of health and environment. The analysis is based on the amount of resources allocated by each of the 645 municipalities in the state of São Paulo, to each field, involving consolidated evaluation indicators (IDSUS and IAA, respectively). This study required the prior distribution of municipalities in clusters within homogeneous groups previously proposed in IDSUS calculation methodology. The results suggest that the addressed areas are intimately connected, indicating that larger (and better) environmental investments can produce promising outcomes toward health performance. Therefore, there is a demand for integrated public policies in the context of environmental health. Also, there is the indication that the resource management and the proper allocation thereof may be more relevant than the total amount spent; and that lower cost-effectiveness values do not necessarily demonstrate high scores in the assessed performance indicators. |
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| Keywords: | Cross-sectoral assessment Environmental health Public indicators Public expenditure |
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