Evolution of the equity of the brazilian health system from the perspectives of spending and financing: period 1988-2000

Abstract

At the beginning of the 90s, Brazil was among the countries with the worst income and wealth distribution according to the Gini coefficient. In 1988, the return to democracy of the country culminated in the promulgation of a Federal Constitution which established a national public health system of universal access .This study analyzed whether the degree of equity evolved from the introduction of the Unified Health System in 1988 to 2000, given that inequality remained at high levels during this period. For this, the degree of equity of the Unified Health System has been analyzed from the perspectives of financing and the spending indicators by region. Despite the fact that there have been noticeable health inequalities between regions, the comparison of health indicators shows that inequalities decreased during the period analyzed.

Keywords

• economía de la salud • equidad • desigualdad • Brasil