Financing needs, spending projection, and the future of health in Brazil
© 2021 John Wiley & Sons Ltd..
In 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.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2021 |
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| Erschienen: |
2021 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:30 |
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| Enthalten in: |
Health economics - 30(2021), 5 vom: 15. Mai, Seite 1082-1094 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Rocha, Rudi [VerfasserIn] |
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| Links: |
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| Themen: |
Fiscal constraints |
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| Anmerkungen: |
Date Completed 29.10.2021 Date Revised 29.10.2021 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1002/hec.4241 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| 520 | |a In 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 | ||
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