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“HEALTH SECTOR IN BRAZIL”

“HEALTH SECTOR IN BRAZIL”. CURRENT HEALTH SYSTEM IN BRAZIL. SUPPLEMENTARY SERVICE. SUS. PUBLIC SERVICE. PRIVATE SERVICE. REALITY AND PROFILE OF HEALTH SERVICES IN BRAZIL. HEALTH SERVICES IN BRAZIL REGISTERED IN MINISTRY OF HEALTH. MUNICIPAL 66.906 STADUAL 2.972

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“HEALTH SECTOR IN BRAZIL”

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  1. “HEALTH SECTOR IN BRAZIL”

  2. CURRENT HEALTH SYSTEM IN BRAZIL SUPPLEMENTARY SERVICE SUS PUBLIC SERVICE PRIVATE SERVICE

  3. REALITY AND PROFILE OF HEALTH SERVICES IN BRAZIL

  4. HEALTH SERVICES IN BRAZIL REGISTERED IN MINISTRY OF HEALTH • MUNICIPAL 66.906 • STADUAL 2.972 • FEDERAL 436 • PRIVATE 182.210 TOTAL OF PUBLIC ONES: 70.314 TOTAL OF PRIVATE ONES: 182.210 GENERAL TOTAL: 252.524 Source: CNES – April2013

  5. BRAZIL’S HOSPITALS 67% 23% 8% 1% Total: 6.875 Source: CNES – April2013

  6. HOSPITAL’S BEDS IN BRAZIL • SUS: 351.293 • NON SUS: 154.613 • TOTAL: 505.906 Source: CNES – April2013

  7. COMPLEMENTARY SERVICES IN BRAZIL Source: CNES – April2013

  8. EQUIPMENT NUMBERS EQUIPMENTS EXISTING IN USE IMAGE DIAGNOSIS 110.444106.286 INFRASTRUCTURE 68.78766.640 MAINTENANCE OF LIFE 504.522480.819 BY GRAPHYCAL METHODS 38.66636.159 BY OPTICAL METHODS 38.48435.164 OTHERS 96.57892.127 TOTAL 1.279.2661.220.515 Source: CNES – April2013

  9. SUPPLEMENTARY SYSTEM OPERATORS REGISTERED IN ANS CLASSIFICATION TOTAL: 1.538 • ADMINISTRATORS 1% • SELF-MANAGEMENT 15% • MEDICAL COOPERATIVE 20% • DENTAL COOPERATIVE 8% • PHILANTHROPY 6% • GROUP MEDICINE 29% • GROUP ODONTOLOGY 20% • HEALTH SPECIALTY INSURANCE 1% Source: ANS – April2013

  10. TRAINING PROFESSIONALS TO THE HEALTH CARE AREA

  11. TEACHING UNITS IN BRAZIL • MEDICINES COLLEGES 188 • NURSE COLLEGES 755 • HEALTH SERVICE ADMINISTRATION 8 • COMPLEMENTARY GRADUATION IN HEALTH 239 Source: INEP – April2013

  12. PROFESSIONALS IN HEALTH CARE • NURSES 172.563 • TECHNICAL NURSES 278.723 • AUXILIARY NURSES299.209 Source: CNES – April2013

  13. ACTIVE PHISICIANS IN BRAZIL • NORTH17.473 • NORTHEAST69.148 • CENTRAL WEST30.969 • SOUTHEAST222.294 • SOUTH59.755 TOTAL: 399.639 Source: CNES – April2013

  14. PROFESSIONALS IN HEALTH CARE • COMMUNITARIAN AGENTS281.763 • DENTIST SURGEONS136.180 • PHYSIOTHERAPISTS55.314 2.376.748 Source: CNES – April2013

  15. SECTOR ECONOMICAL PROFILE

  16. WHAT WE REPRESENT • 9 % GNP (GROSS NATIONAL PRODUCT) • 400 BILLION OF REAIS / YEAR • 3 MILLION OF DIRECT JOBS • 5 MILLION OF INDIRECT JOBS

  17. EXPENSES PER CAPITA IN DOLLARS 2009 • ARGENTINA 1.387 • BRAZIL 943 • CANADA 4.196 • USA 7.410 • FRANCE 3.934 Source: WHO – April 2012

  18. SUS CREATION • FEDERAL CONSTITUTION OF 1988 • LAW Nº 8080 FROM SEPTEMBER 19TH, 1990 • LAW Nº 8142 FROM DECEMBER 28TH, 1990

  19. SUS CREATION • DECENTRALIZATION • MUNICIPALIZATION • HIERARCHY • REGIONALIZATION

  20. PERFORMED PROCEDURES BY SUS Source: DATASUS – May2013

  21. SUPPLEMENTARY SYSTEM REGULATION LAW Nº 9656JUNE 3RD, 1998

  22. NATIONAL AGENCY OF SUPPLEMENTARY HEALTH ANS CREATED BY LAW Nº 9961 JANUARY 28TH, 2000

  23. PERFORMED PROCEDURES BY THE SUPPLEMENTARY SYSTEM • 263 MILLIONS OF MEDICAL APPOINTMENTS • 7 MILLIONS OF HOSPITALIZATIONS • 240 MILLIONS OF COMPLEMENTARY EXAMS / PROCEDURES Source: ABRAMGE / UNIMEDs 2013

  24. SYSTEMS SURVIVAL • BALANCED RELATIONSHIP • BREAKING PARADIGMS • MISTRUST • UNILATERAL ADVANTAGES • RESPECT BETWEEN THE PARTIES

  25. SYSTEMS SURVIVAL CLIENT OPERATORS PROVIDERS FINANCIAL SYSTEM GOVERN / CONGRESS JUDICIARY POWER SUPPLIERS

  26. HEALTH SYSTEM PRESERVATION RELATIONSHIP BETWEEN ALL ACTORS REGARDING MORALITY, DIGNITY AND ETHICS PRINCIPALS TO PROVIDE HIGH QUALITY ASSISTANCE

  27. “SOCIETY PRODUCED A REVOLUTION IN MEDICINE THAT INCREASED MAN’S LIFE, BUT WASN’T CAPABLE OF MAKING A FINANCIAL REVOLUTION THAT SUSTAINED IT WITH DIGNITY.” John F. Kennedy *1917 †1963

  28. THANK YOU VERY MUCH! JOSÉ CARLOS ABRAHÃO April2013

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