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Understanding Brazil's
Regional Health
Markets

Access hard-to-source granular market data with this June 2012 report from Espicom Business Intelligence

June 12th 2012

106

£455 / $725 / €540

Online, PDF

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.


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.


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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