- Brazil devoted less of its public budget to health (10.5%) than most OECD countries in 2019, well below the average of 15.3%.
- Health spending in Brazil is expected to increase to 12.6% of GDP by 2040 (up from 9.6% in 2019) and could be made more efficient in areas like primary healthcare, hospital care, pharmaceuticals, long-term care and governance.
- By 2050, in Brazil 21.9% of the population is expected to be 65 years or older, up from 8.9% in 2017. Brazil needs to anticipate the future long-term care needs of an ageing population.
- Brazil should better use health data to follow the patients throughout episodes of care, to regularly monitor healthcare quality and performance.
- In Brazil, around 90% of pharmaceutical spending is financed by out-of-pocket payments. Gaps in pharmaceutical coverage remain an important issue that affects poor and disadvantaged people disproportionally.
- There is an urgent need for better prevention and an improved public health strategy, notably to address the increase in overweight and harmful alcohol consumption in recent years:
- Heavy episodic drinking among adults has almost tripled in six years, from 5.9% in 2013 to 17.1% in 2019
- Overweight increased by 12.5 % between 2006 and 2016, the fourth largest growth rates behind only Costa Rica, Japan and Korea
Health expenditure from public sources as a share of total government expenditure, 2019 (or latest year)
Note: Government expenditure includes expenditure by government schemes and social health insurance.
Source: OECD (2021), OECD Reviews of Health Systems: Brazil 2021, OECD Reviews of Health Systems.
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