Evolução na utilização e nos gastos de uma operadora de saúde

Translated title of the contribution: Evolution in the use and the expenditures of a healthcare provider

André Luís de Castro Moura Duarte, Felippe de Medeiros Oliveira, Anderson de Andrade Santos, Bento Fortunato Cardoso dos Santos

    Research output: Contribution to journalArticlepeer-review

    1 Citation (Scopus)
    17 Downloads (Pure)


    Brazil’s aging population and the rising number of people reliant upon the country’s supplementary healthcare system have elicited the concern of public and private managers regarding the increase in healthcare costs. In this paper, the costs per gender, per type of medical expenses and per age group of a major Brazilian self-managed healthcare provider between 2007 and 2013 were analyzed. This healthcare provider is of interest because, besides portraying a single condition of revenue growth restricted to the existing contributors, it also replicates the demographic profile expected for Brazil in 2050, when approximately one-third of its population will be over 60 years of age. The analyses confirm the current literature as they show an increase in healthcare plan usage by the elderly and the difference between admission rates by gender. They also reveal an increase in average length of stay in hospital and the increase in medical costs far above inflation, especially for materials and medicines. It is hoped that this study will help scholars and others interested in comparisons of medical expense trends, especially by age and sex, and that it encourages further collaboration on the sustainability of health insurance providers in Brazil.

    Translated title of the contributionEvolution in the use and the expenditures of a healthcare provider
    Original languagePortuguese
    Pages (from-to)2753-2762
    Number of pages10
    JournalCiencia e Saude Coletiva
    Issue number8
    Publication statusPublished - 2017


    • Aging population
    • Gender
    • Health services
    • Hospital cost evolution
    • Self-managed provider

    ASJC Scopus subject areas

    • Health Policy
    • Public Health, Environmental and Occupational Health


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