{
  "abstract": "Parliamentary amendments are an important mechanism for health resource allocation in Brazil, but little is known about the characteristics of actors involved in mobilizing these resources. This national cross-sectional web-based survey included 276 respondents, each reporting on the usual amendment allocation pattern of a parliamentary office in 2025. The outcome was categorized as higher-magnitude (> BRL 1,000,000; n = 124) or lower-magnitude (≤ BRL 1,000,000; n = 152). Associations with individual, institutional, political, and allocation-related variables were examined using multivariable logistic regression with backward selection based on the Akaike information criterion. Higher-magnitude allocations were associated with relevance attributed to party affiliation (adjusted Odds Ratio [aOR = 2.80], 95% Confidence Interval [95% CI 1.46-5.55]), prioritization of capital investment (aOR = 1.79, 95% CI 1.07-3.02), and representation by a professional advisory intermediary (aOR = 1.94, 95% CI 1.16-3.29). Extroverted personality profile (aOR = 0.36, 95% CI 0.15-0.81), an advisory position within the parliamentary office (aOR = 0.51, 95% CI 0.28-0.92), and prioritization of higher-complexity care (aOR = 0.58, 95% CI 0.34-0.97) were inversely associated with higher-magnitude allocation. The final model showed moderate apparent discrimination (AUC = 0.716). Reported amendment magnitude was associated with political alignment, allocation strategy, and intermediary characteristics. These exploratory findings should be interpreted in light of the cross-sectional design, purposive sampling, and respondent-reported outcome.",
  "abstract_shown": true,
  "affiliations": [
    "Department of Surgery, Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP, Brazil.",
    "Department of Gastroenterology, Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP, Brazil. Electronic address: marcio.facanali@usp.br.",
    "Department of Gynecology and Obstetrics, Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP, Brazil."
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 5,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Mariana G Magon"
    },
    {
      "affs": [
        1
      ],
      "name": "Marcio R Facanali"
    },
    {
      "affs": [
        2
      ],
      "name": "José Maria Soares"
    },
    {
      "affs": [
        0
      ],
      "name": "Sarah Emmely Fazanaro"
    },
    {
      "affs": [
        0
      ],
      "name": "Everson L A Artifon"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/9vaf61efsgm4s.bib",
  "cited_by": 0,
  "doi": "10.1016/j.clinsp.2026.101198",
  "fulltext_url": "https://europepmc.org/articles/PMC13693351",
  "id": "9vaf61efsgm4s",
  "issns": [
    "1807-5932",
    "1980-5322"
  ],
  "landing_url": "https://europepmc.org/article/MED/42880130",
  "language": "eng",
  "licence": "CC-BY",
  "licence_label": "CC BY",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "2003|Healthcare Systems and Reforms"
    ]
  ],
  "openalex": "W7221825042",
  "pdf_url": "https://europepmc.org/articles/PMC13693351?pdf=render",
  "pmcid": "PMC13693351",
  "pmid": "42880130",
  "published": "2026-10-14",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/9vaf61efsgm4s.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:18:46Z",
      "native_id": "MED:42880130",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42880130"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "journal-openalex:F27",
      "subfield": "general"
    }
  ],
  "title": "Determinants of parliamentary health funding allocation in Brazil: A national cross-sectional study.",
  "title_text": "Determinants of parliamentary health funding allocation in Brazil: A national cross-sectional study.",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:18:46Z",
  "url": "https://research.draconitic.com/paper/9vaf61efsgm4s",
  "venue": "Clinics (Sao Paulo, Brazil)",
  "versions": []
}