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Hospitalization, mortality and public healthcare expenditure in Brazil during the COVID-19 crisis: vulnerabilities in the spotlight
Nascimento, Israel Júnior Borges do; Oliveira, Ana Luíza Matos de; Diniz, Paulo Henrique Costa; Leite, Maria de Fatima; Oliveira, Graziella Lage.
  • Nascimento, Israel Júnior Borges do; Universidade Federal de Minas Gerais. School of Medicine and University Hospital. Belo Horizonte. BR
  • Oliveira, Ana Luíza Matos de; Faculdade Latino-Americana de Ciências Sociais. São Paulo. BR
  • Diniz, Paulo Henrique Costa; Universidade Federal de Minas Gerais. School of Medicine and University Hospital. Department of Internal Medicine. Belo Horizonte. BR
  • Leite, Maria de Fatima; Universidade Federal de Minas Gerais. Institute of Biological Sciences. Department of Physiology and Biophysics. Belo Horizonte. BR
  • Oliveira, Graziella Lage; Universidade Federal de Minas Gerais. School of Medicine. Department of Social and Preventive Medicine. Belo Horizonte. BR
São Paulo med. j ; 140(2): 290-296, Jan.-Feb. 2022. tab, graf
Article in English | LILACS | ID: biblio-1366045
ABSTRACT
ABSTRACT

BACKGROUND:

Multiple opinion-based communications have highlighted the actions of the Brazilian government during the pandemic. Nevertheless, none have appraised public data to identify factors associated with worsening of the healthcare system.

OBJECTIVE:

To analyze and collate data from public health and treasury information systems in order to understand the escalating process of weakening of Brazilian healthcare and welfare since the beginning of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic. DESIGN AND

SETTING:

Secondary data study conducted using multiple public databases administered by the Brazilian federal government.

METHODS:

We processed information from multiple national databases and appraised health and economic-related data.

RESULTS:

Based on our analyses, there were substantial reductions in inpatient hospital admissions and in the numbers of patients seeking primary care services, along with a decrease in immunization coverage. Moreover, we observed a considerable decline in government transfers to hospital services (reduction of 82.0%) and a diminution of public outlays in several healthcare-related subfunctions ("hospital and outpatient care", "primary care", "prophylactic and therapeutic support" and "epidemiological surveillance"). We observed an increase in the overall mortality rate over the period analyzed, especially regarding all group-based diseases. Notably, there were remarkable differences among geographic, racial, gender and other parameters, thus revealing the impact of vulnerabilities on COVID-19 outcomes.

CONCLUSION:

This assessment of documentation of public expenditure and the shrinkage of investment in sensitive areas of the healthcare system in Brazil emphasized areas that still require collective attention in order to guarantee national welfare.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: COVID-19 Type of study: Health economic evaluation / Prognostic study Country/Region as subject: South America / Brazil Language: English Journal: São Paulo med. j Journal subject: Cirurgia Geral / Ciˆncia / Ginecologia / Medicine / Medicina Interna / Obstetr¡cia / Pediatria / Sa£de Mental / Sa£de P£blica Year: 2022 Type: Article Affiliation country: Brazil Institution/Affiliation country: Faculdade Latino-Americana de Ciências Sociais/BR / Universidade Federal de Minas Gerais/BR

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Full text: Available Index: LILACS (Americas) Main subject: COVID-19 Type of study: Health economic evaluation / Prognostic study Country/Region as subject: South America / Brazil Language: English Journal: São Paulo med. j Journal subject: Cirurgia Geral / Ciˆncia / Ginecologia / Medicine / Medicina Interna / Obstetr¡cia / Pediatria / Sa£de Mental / Sa£de P£blica Year: 2022 Type: Article Affiliation country: Brazil Institution/Affiliation country: Faculdade Latino-Americana de Ciências Sociais/BR / Universidade Federal de Minas Gerais/BR