Financing needs, spending projection, and the future of health in Brazil

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dc.contributor.authorRocha, Rudi
dc.contributor.authorISABELA BRANDÃO FURTADO
dc.contributor.authorSpinola, Paula
dc.coverage.cidadeNão informadopt_BR
dc.coverage.paisNão Informadopt_BR
dc.creatorRocha, Rudi
dc.creatorSpinola, Paula
dc.date.accessioned2022-10-11T17:19:46Z
dc.date.available2022-10-11T17:19:46Z
dc.date.issued2021
dc.description.otherIn this paper we adopt a growth accounting projection model to estimate and characterize health‐financing needs in Brazil as well as to assess the extent to which financing needs may diverge from spending capacity in the future. We estimate an annual increase of 0.71% in the share of projected financing needs relative to GDP, with excess growth rates being 0.74% and 0.69% for the public and private health sectors, respectively. Institutional reforms and public spending restrictions may leverage public–private segmentation in health financing throughout the next decades, thus potentially leading to losses of equity in the system. Our projections contribute to a scant empirical literature on health financing sustainability in low‐ and middle‐income countries and shed light on the role of spending capacity and institutional constraints over the path towards universal health coverage.pt_BR
dc.format.extentp. 1082-1094pt_BR
dc.format.mediumDigitalpt_BR
dc.identifier.doi10.1002/hec.4241pt_BR
dc.identifier.issn1099-1050pt_BR
dc.identifier.urihttps://repositorio.insper.edu.br/handle/11224/4234
dc.identifier.volume30pt_BR
dc.language.isoInglêspt_BR
dc.publisherJohn Wiley & Sonspt_BR
dc.relation.ispartofHealth Economicspt_BR
dc.rights.licenseO INSPER E ESTE REPOSITÓRIO NÃO DETÊM OS DIREITOS DE USO E REPRODUÇÃO DOS CONTEÚDOS AQUI REGISTRADOS. É RESPONSABILIDADE DOS USUÁRIOS INDIVIDUAIS VERIFICAR OS USOS PERMITIDOS NA FONTE ORIGINAL, RESPEITANDO-SE OS DIREITOS DE AUTOR OU EDITOR.pt_BR
dc.subject.keywordsfiscal constraintspt_BR
dc.subject.keywordshealth expenditurespt_BR
dc.subject.keywordshealth system sustainabilitypt_BR
dc.subject.keywordsprojection modelspt_BR
dc.titleFinancing needs, spending projection, and the future of health in Brazilpt_BR
dc.typejournal article
dspace.entity.typePublication
local.identifier.sourceUrihttps://onlinelibrary.wiley.com/doi/10.1002/hec.4241
local.subject.cnpqCiências da Saúdept_BR
local.typeArtigo Científicopt_BR
relation.isAuthorOfPublication77450827-ffd4-45b8-81c6-40d8600fa7d7
relation.isAuthorOfPublication.latestForDiscovery77450827-ffd4-45b8-81c6-40d8600fa7d7
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