摘要：The inadequacy of public services in Brazil today constrains the country’s economic growth and social development. The volume of government expenditure is not the principal bottleneck: at over 40 percent of GDP, Brazil’s total public spending is already much higher than that of comparable middle-income countries. The vital question is how to get greater value for public money. As a federal country, improving service delivery in Brazil calls for strengthening the incentives and institutional capacities at the sub-national level, precisely where the country faces its greatest institutional development challenges. A new report1 examines how particular managerial innovations have been applied in two locations in Brazil to deliver improved public healthcare services.
