Banca de DEFESA: ALEX BRUNO FERREIRA MARQUES DO NASCIMENTO

Uma banca de DEFESA de DOUTORADO foi cadastrada pelo programa.
STUDENT : ALEX BRUNO FERREIRA MARQUES DO NASCIMENTO
DATE: 06/12/2019
TIME: 09:00
LOCAL: NEPSA II, Auditório 3
TITLE:

Intermunicipal Cooperation in Brazil: the results of public health consortia in light of the Institutional Colletive Action

KEY WORDS:

Intermunicipal Cooperation. Public Consortium. Health. Institutional Collective Action. Difference in Differences

PAGES: 144
BIG AREA: Ciências Sociais Aplicadas
AREA: Administração
SUMMARY:

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.

BANKING MEMBERS:
Interna - 2413052 - ANNE EMILIA COSTA CARVALHO
Externo à Instituição - ANTONIO SERGIO ARAUJO FERNANDES - UFBA
Externo à Instituição - EDUARDO JOSÉ GRIN - FGV
Presidente - 1754953 - HIRONOBU SANO
Externo à Instituição - HUGO MARCO CONSCIÊNCIA SILVESTRE - UNILAB