Crise econômica e disparidades no gasto, oferta e utilização de serviços públicos e privados de saúde no Brasil no período entre 2011 e 2019

• Autor(a) principal: Danielle Conte Alves Riani Costa
• Data de Publicação: 2022
• Outros Autores: Jessica Pronestino de Lima Moreira, Artur Monte Cardoso, Leonardo Vidal Mattos, Lucas Salvador Andrietta, Ligia Bahia
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Cadernos de Saúde Pública
• Texto Completo: https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7919
• topic: Seguro Saúde; Sistemas Públicos de Saúde; Acesso aos Serviços de Saúde; Orçamentos; Recessão Econômica

This study sought to analyze the repercussions of the economic crisis on the public and private sectors of the Brazilian health system and perform a trend analysis of economic and care indicators, based on secondary data from official public sources related to spending, the economic performance of health plans and insurance, and the supply and use of services. The results showed stagnation of public spending on health, as well as reduction of per capita public spending and of access to public health services. On the contrary, in a context of falling income and employment, health plans retained customers, increased revenues, profits, and their care production. The positive performance of companies, before and after the crisis, can be explained by the trend of maintaining public subsidies for the private sector and by financialized business strategies. We conclude that the actions of the Brazilian government during the crisis deepened the restriction of resources to the public sector and favored the expansion of private services, which thus contributed to increase the discrepancy in access to public and private health services in the country.