Business Monitor International


Understanding Brazil's Regional Health Markets

Published 09 August 2013

  • 139 pages
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Understanding Brazil's Regional Health Markets

Executive Summary

Economic: The Brazilian economy experienced real growth of around 2.9% in 2011, to be valued at US$2,485 billion, with average per capita GDP of US$12,889. Brazil is currently the world's 7th largest economy, between France (US$2,773 billion) and the UK (US$2,436 billion). Per capita GDP ranges from around US$4,089 in the Northeast region to US$25,250 in the federal district, which comprises the nation's capital, Brasilia.

Demography: At 194.7 million, the population of Brazil is the fifth largest in the world, behind China, India, USA and Indonesia. Average population growth is around 1.1% per annum. Around 21.6% of the population reside in São Paulo state, while Minas Gerais is home to around 10.3% and 8.4% live in the state of Rio de Janeiro. The 2010 census identified 14.1 million people aged 65 or older, equivalent to 7.4% of the population

Healthcare Expenditure:In 2011, Brazil spent R$368.2 billion (US$219.8 billion) on healthcare, equivalent to 8.8% of GDP. Private spending accounted for 52.7% of the total, more than half of which was out of pocket spending. Public health spending amounted to US$115.8 billion. Per capita health spending was around US$1,140..

Primary Care:The main delivery system for primary care in Brazil is the Family Health Programme. The programme aims to provide free vaccinations and basic healthcare to the community. Primary care is provided at health centres, basic health units, specialist clinics, independent doctors' practices, polyclinics, health posts and mobile units.

Hospital Care:Brazil has 6,704 hospitals and 456,067 beds, equivalent to 2.4 beds per thousand population. Brazil's hospital network treats treat more than 11 million inpatients annually under the country's unified health system (SUS). Some of Brazil's private hospitals are attracting health tourists, particularly in São Paulo, which has gained international recognition for high quality healthcare.

Medical personnel:Brazil has 284,612...

A forensic analysis with statistics on national and regional health infrastructure and provision. An essential source of highly detailed business data.

Brazil’s healthcare system has improved enormously over the last 10 years due to increased funding. Per capita increases reflect the strength of the Brazilian economy: In 2001 per capita health spending was US$231 but had risen by 2011 to US$1,140.


Any assessment of Brazil must consider the recent improvements and changes as well as identifying the challenges that are influencing the development of the health market throughout the country.

  • How is the population and wealth regionally distributed?
  • Which provinces produce the highest levels of GDP?
  • To what degree does the rich south east region skew analysis of Brazil’s financial and health infrastructure?
  • How is healthcare delivered?
  • What role is played by the growing private health insurance sector?

Identifying real opportunities in Brazil’s expanding health economy requires detailed knowledge of the economic performance and health infrastructure at a regional level. Being able to see that in the context of the neighbouring regions as well as the national picture, brings focus to areas of opportunity and need.

Rich in statistics, charts and maps, this new 106-page report from Espicom Understanding Brazil’s Regional Health Markets delivers real insights into regional health needs and opportunities.

Drill down into Brazil’s regional health markets and better understand the opportunities and challenges

Brazil has made great strides in improving the health of its citizens yet, in common with other emerging markets, distribution of health services is uneven, with wide disparities between regions.

  • Economy: The Brazilian economy experienced real growth of around 2.9% in 2011, to be valued at US$2,485 billion, with average per capita GDP of US$12,889. Brazil is currently the world’s 7th largest economy, between France (US$2,773 billion) and the UK (US$2,436 billion).
  • Demography: At 194.7 million, the population of Brazil is the fifth largest in the world. Average population growth is around 1.1% per annum. Around 21.6% of the population reside in São Paulo state and 8.4% live in the state of Rio de Janeiro. The 2010 census identified 14.1 million people aged 65 or older, equivalent to 7.4% of the population.
  • Healthcare Expenditure: In 2011, Brazil spent R$368.2 billion (US$219.8 billion) on healthcare, equivalent to 8.8% of GDP. Private spending accounted for 52.7% of the total, more than half of which was out-of-pocket spending. Public health spending amounted to US$115.8 billion. Per capita health spending was around US$1,140.

Focus on health expenditure

It is critical for medical and pharmaceutical companies to understand the sometimes confusing funding of healthcare in Brazil.

Health expenditure comprises public health expenditure, private health insurance and private out-of-pocket health expenditure. A high proportion of public health expenditure goes towards expensive and complex services, including hospital admissions and diagnostic & therapy services.

In recent years, however, public expenditure has shifted towards primary care services and the level of access to ambulatory and hospital care has diminished as public financial resources have not increased at the same level. In 2008, the latest year for which data is available, public health expenditure represented 3.8% of GDP, equal to R$108.9 billion (US$59.3 billion). Federal expenditure represented 44.7% of the total, equal to R$48.7 billion (US$26.5 billion). State and municipal expenditure showed an upwards trend between 2000 and 2008.

A flourishing private health insurance sector
Alongside the Brazilian health system there is a strong private health insurance sector which, in recent years, has been increasing. There were 1,452 insurers providing medical services to 23% of the population as of June 2010, equal to 44 million people. Brazil is the second largest insurance market in the world, after the USA.

THE NORTH/SOUTH DIVIDE – UNDERSTANDING REGIONAL WEALTH AND HEALTHCARE DISTRIBUTION

Southeast Brazil...
...is the second smallest region in terms of area but also the wealthiest, contributing around 55.3% of the country’s total GDP and accommodating 42.1% of Brazil’s inhabitants.

The region is the industrial centre of Brazil and important for medical companies: for example around two thirds of the country’s pharmaceutical manufacturing units are based in the region, employing around 67,900 people, with production valued at US$13 billion in 2009.
Northeast Brazil...
...covers an area of 1.6 million km2 and has the lowest regional GDP per capita in Brazil, at around US$4,089; less than half the national average.

Maranhão is one of the poorest states in Brazil. GDP per capita is below average, at US$3,134 in 2009, compared with US$4,089 across the region. The state has a below average ratio of medical personnel, with 0.6 doctors and 0.4 nurses per thousand population. There are 209 hospitals and 13,874 hospital beds, equivalent to 2.1 per 000’ population.

 

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