Healthcare in Brazil
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Healthcare in Brazil “Excellence and Innovation in health care in Brazil - Private sector” Miguel Cendoroglo Neto COO and Medical Director, Albert Einstein Jewish Hospital , Brazil. The healthcare sector in Brazil represents 8.9% of GDP. Market size(1). Funding (1).

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Healthcare in Brazil “Excellence and Innovation in health care in Brazil - Private sector” Miguel Cendoroglo Neto

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Healthcare in brazil excellence and innovation in health care in brazil private sector miguel cendoroglo neto

Healthcare in Brazil

“Excellence and Innovation in health care in Brazil - Private sector”

Miguel CendorogloNeto

COO and Medical Director, Albert Einstein Jewish Hospital, Brazil


Healthcare in brazil excellence and innovation in health care in brazil private sector miguel cendoroglo neto

The healthcare sector in Brazil represents 8.9% of GDP

Market size(1)

Funding (1)

Population Coverage (2)

Contracting

Service Providers

Physicians

US$ 213 billion

Public:

45.7%

75,3%

Single Health System (SUS)

Self-management

Pharmaceutical and healthcare industry equipment

Insurers

Cooperatives

Private:

54.3%

Hospitals

Managed Care Organization (MCO)

MIGRATION

Medical Diagnostics

24,7%

Private

  • 7thLargest Economy in the World - US$2.4 trillion (2012)

  • 5thLargest Population in the World - 201 million (July 2013)

    • - 84% of the population concentrated in urban areas

  • 5thLargest country in geographical area - 8,514,877 sq km

  • 1988 Constitution:

    - Healthcare is an universal right of every citizen and a responsibility of the State. Access is universal (Unified Health Care System – SUS), with no fees or copayments.

  • A Country of Contrasts:

    • – Some top quality institutions and

    • – Very poor income distribution, though improving

In 2011

Source: ANS, LAFIS, IBGE, WHO, Booz Allen & Hamilton; 2011 – WHO; 2012 - ANS, IBGE


Healthcare in brazil excellence and innovation in health care in brazil private sector miguel cendoroglo neto

Health Care in Brazil

  • 90% of population use SUS:

    • 29% use exclusively SUS services

    • 62% uses SUS and private services

    • 9% of population use only private services

  • Hospitals: 6,756 (Private/Public)

  • Beds: 448,954 (2.2/1000 hab) (Private/Public)

  • Physicians: 388,015 (2.0/1000 hab)

  • 11.7 million hospital admissions/year

Fortaleza

Recife

Brasilia

Salvador

Rio de Janeiro

São Paulo


Healthcare facts

Healthcare Facts:

  • Good coverage of Primary Health Care: Vaccines, Basic Care, Infant Mortality Rate decreasing

  • Unequal access to acuity care

  • Brazil is the 1st country in public transplantations in the world; 2nd in total transplantations

  • Unequal access to high complexity procedures

  • Unequal access to healthcare as a whole across regions

Physicians per 1,000 people

Infant mortality rate

(probability of dying between birth and age 1 per 1000 live births)

Solid organs: heart, liver, pancreas, lung, kidney

Amapá

0.95

Pará

0.84

Maranhão

0.71

-74% in 22 years

+75% in 9 years

Distrito Federal

4.09

RJ

3.62

São Paulo

2.64

Rio Grande do Sul

2.37

Source: WHO, National System of Transplants, Brazil Federal Council of Medicine


Healthcare in brazil excellence and innovation in health care in brazil private sector miguel cendoroglo neto

Stroke incidence is higher in less affluent areas of the city of Sao Paulo (green, yellow and red areas of the upper right graph), where the distribution of hospitals with CT-scan devices is lower than in the more affluent areas.


Healthcare in brazil excellence and innovation in health care in brazil private sector miguel cendoroglo neto

Albert Einstein is a private, non profit network, with activities in 5 main areas (hospital, diagnostics and preventive medicine, social responsibility, education and research) carried out through its units distributed around the city of São Paulo

Paraisópolis

Morumbi

Perdizes/Higienópolis

M’Boi Mirim

Alphaville

Jardins

Ibirapuera

Francisco Morato

Paulista

Vila Mariana

C O N S U L T O R I A E G E S T Ã O


Albert einstein hospital is a reference in latin america

Albert Einstein Hospital is a reference in Latin America

Joint Commission Accredited since 1999. Only Stroke Center accredited in Latin America

AméricaEconomía - Best hospital in Latin America for the 5th consecutive year

Planetree Designation

1460 liver transplants, 2579 solid organ transplants

Leadership in Robotic Surgery

Centers of Excellence with published outcomes in orthopedics, cardiology, neurology and oncology

Reference Spine Center for top health insurance in Brazil

First Hybrid Cardiac Operating Room in Latin America

Physician-Hospital Relationship Program – Model in Brazil (meritocracy)

Comprehensive Patient Flow Program - first in Brazil


Projects to support the institutional development of public health system proadi sus

Projects to Support the Institutional Development of Public Health System (PROADI-SUS)

  • Application of 100% tax exemptions for Projects to Support the Development Institutional of Public Health System (PROADI-SUS), divided into:

  • Projects: minimum of 70% of the resources in partnerships with the Ministry of Health

  • Services: maximum of 30% of the resources in partnerships with the State or Municipal Health Departments

Studies of Technology Acquisition

Researches of Public Interest in Health

Human Resources Training

Development of Technical and Operation Management in Health Services


Healthcare in brazil excellence and innovation in health care in brazil private sector miguel cendoroglo neto

The activities of the Public Sector already represent a significant share of the activities of the Institution

30% - Services


Healthcare in brazil excellence and innovation in health care in brazil private sector miguel cendoroglo neto

Einstein performed 26% of the liver transplants in the state of SP, with survival rates 18p.p. higher than the best centers in the country and similar to the US. Leader in adult liver transplant performed in the world in 2010

80%

62%

+18p.p. in 3 years

Cost per MELD quartile

(Average cost per transplant = R$ 85,147 or USD 43,000)

Total Liver Transplants

Global Survival Results

70% - Projects


Healthcare in brazil excellence and innovation in health care in brazil private sector miguel cendoroglo neto

Can we do more?


Healthcare in brazil excellence and innovation in health care in brazil private sector miguel cendoroglo neto

Can we do more?

X


Healthcare in brazil excellence and innovation in health care in brazil private sector miguel cendoroglo neto

Can we do better?


Healthcare in brazil excellence and innovation in health care in brazil private sector miguel cendoroglo neto

Support for ICU patients in public hospitals (PROADI-SUS)

1st opinion program (decision support) for critically ill patients at 24 hospitals - 2012-2014. Program already in operation in four hospitals

> 300 pacientes already seen

Videoconferencing and telepresence


Healthcare in brazil excellence and innovation in health care in brazil private sector miguel cendoroglo neto

Reduction in mortality rates after implementation of a telemedicine program (specialist telepresence) for Stroke, MI and Sepsis at Hospital Moyses Deutsch (JardimAngela, Sao Paulo)

Myocardial Infarction

Ischemic Stroke

75,6%

43,8%

43,8%

Sepsis or septic shock

16,2%

16,2%


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