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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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  • Dantas, Marina Kolland
  • Oliveira, Lilian Ribeiro de
  • Ferolla, Luna Marquez
  • Paschoalotto, Marco Antônio Catussi
  • Lopes, José Eduardo Ferreira
  • Passador, João Luiz
  • Passador, Claudia Souza

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.

Suggested Citation

  • Dantas, Marina Kolland & Oliveira, Lilian Ribeiro de & Ferolla, Luna Marquez & Paschoalotto, Marco Antônio Catussi & Lopes, José Eduardo Ferreira & Passador, João Luiz & Passador, Claudia Souza, 2017. "Cross-sectoral assessment of public policies in health and the environment: Scenario of the municipalities in the state of Sao Paulo," Evaluation and Program Planning, Elsevier, vol. 65(C), pages 30-39.
    • Handle: RePEc:eee:epplan:v:65:y:2017:i:c:p:30-39
    DOI: 10.1016/j.evalprogplan.2017.06.003
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    References listed on IDEAS

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    1. Hendriks, Anna-Marie & Habraken, Jolanda & Jansen, Maria W.J. & Gubbels, Jessica S. & De Vries, Nanne K. & van Oers, Hans & Michie, Susan & Atkins, L. & Kremers, Stef P.J., 2014. "‘Are we there yet?’ – Operationalizing the concept of Integrated Public Health Policies," Health Policy, Elsevier, vol. 114(2), pages 174-182.
    2. David M. Konisky & Neal D. Woods, 2012. "Measuring State Environmental Policy," Review of Policy Research, Policy Studies Organization, vol. 29(4), pages 544-569, July.
    3. Tubbing, Luuk & Harting, Janneke & Stronks, Karien, 2015. "Unravelling the concept of integrated public health policy: Concept mapping with Dutch experts from science, policy, and practice," Health Policy, Elsevier, vol. 119(6), pages 749-759.
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    Cited by:

    1. Renan Felinto de Farias Aires & Camila Cristina Rodrigues Salgado, 2022. "A Multi-Criteria Approach to Assess the Performance of the Brazilian Unified Health System," IJERPH, MDPI, vol. 19(18), pages 1-13, September.

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