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Abstract

This perspective paper presents an in-depth analysis of the demographic shifts and changing disease burden in Brazil, exploring their profound impact on future healthcare trends and expenditure requirements. Brazil, with its vast and diverse population, is witnessing significant demographic transformations, including an aging populace and a notable shift in disease patterns. These changes are steering the country towards a heightened burden of chronic non-communicable diseases, even as it continues to grapple with existing infectious diseases. Using data extracted from the Institute for Health Metrics and Evaluation database and published in the 2017 Global Disease Burden Study, the paper examines current demographic trends in Brazil, emphasizing the increasing proportion of the elderly and the consequent rise in age-associated health conditions, such as cardiovascular diseases, diabetes, and cancers. It highlights the implications of these shifts on the healthcare system, particularly the increased demand for long-term healthcare services and the challenge of providing comprehensive care within Brazil's existing healthcare infrastructure. This transition poses significant challenges in healthcare financing and resource allocation, necessitating strategic healthcare planning and substantial investments. This paper also explores potential strategies for addressing these emerging healthcare challenges. It advocates for the strengthening of primary healthcare services, investment in preventive healthcare measures, and the integration of advanced healthcare technologies. It provides projections for future healthcare expenditures in Brazil and highlights the need for efficient and targeted healthcare spending, aligned with the evolving demographic and disease profiles. Additionally, it underscores the importance of a multi-faceted approach involving government, private sector, and community collaboration for a robust and sustainable healthcare system.

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2025-07-31
2025-12-16
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References

  1. Miranda G.M.D. Public policies challenges on the background of demographic transition and social changes in Brazil. Interface Comunicacao Saude Educ. 2016 21 309 320 10.1590/1807‑57622016.0136
    [Google Scholar]
  2. JSdN Anderson S Schneider. Brazilian demographic transition and the strategic role of youth. Espace Popul. Soc. 2014 2014 2-3 10.4000/eps.5774
    [Google Scholar]
  3. Willaarts B. Pardo I. Urbanization, socio-economic changes and population growth in Brazil: Dietary shifts and environmental implications. XXVII IUSSP International Population Conference Busan, South Korea 2013 1 18
    [Google Scholar]
  4. Jakovljevic M. Westerman R. Sharma T. Lamnisos D. Aging and global health. Handbook of Global Health. Springer 2021 73 102 10.1007/978‑3‑030‑45009‑0_4
    [Google Scholar]
  5. Coelho-Filho J.M. Oriá R.B. Giacomin K.C. Brito G.A. Santos M. Aran V. Healthy living and active aging in Latin America and the Caribbean countries: Biological, demographic, and epidemiological challenges. Aging. Elsevier 2023 113 157 10.1016/B978‑0‑12‑823761‑8.00019‑7
    [Google Scholar]
  6. Hambleton I.R. Caixeta R. Jeyaseelan S.M. Luciani S. Hennis A.J. The rising burden of non-communicable diseases in the Americas and the impact of population aging: A secondary analysis of available data. Lancet Reg Health Am 2023 21 100483 10.1016/j.lana.2023.100483 37065858
    [Google Scholar]
  7. Victora C.G. Barreto M.L. do Carmo Leal M. Health conditions and health-policy innovations in Brazil: The way forward. Lancet 2011 377 9782 2042 2053 10.1016/S0140‑6736(11)60055‑X 21561659
    [Google Scholar]
  8. Schmidt M.I. Duncan B.B. Silva G.A. Chronic non-communicable diseases in Brazil: Burden and current challenges. Lancet 2011 377 9781 1949 1961 10.1016/S0140‑6736(11)60135‑9 21561658
    [Google Scholar]
  9. Malta D.C. Gomes C.S. Veloso G.A. Noncommunicable disease burden in Brazil and its states from 1990 to 2021, with projections for 2030. Public Health 2024 236 422 429 10.1016/j.puhe.2024.09.006 39305660
    [Google Scholar]
  10. Castro M.C. Massuda A. Almeida G. Brazil’s unified health system: The first 30 years and prospects for the future. Lancet 2019 394 10195 345 356 10.1016/S0140‑6736(19)31243‑7 31303318
    [Google Scholar]
  11. Miranda G.M.D. Mendes A.C.G. Silva A.L.A. Population aging in Brazil: Current and future social challenges and consequences. Rev. Bras. Geriatr. Gerontol. 2016 19 3 507 519 10.1590/1809‑98232016019.150140
    [Google Scholar]
  12. Vos T. Lim S.S. Abbafati C. Global burden of 369 diseases and injuries in 204 countries and territories, 1990–2019: A systematic analysis for the Global Burden of Disease Study 2019. Lancet 2020 396 10258 1204 1222 10.1016/S0140‑6736(20)30925‑9 33069326
    [Google Scholar]
  13. Safiri S. Kolahi A.A. Smith E. Global, regional and national burden of osteoarthritis 1990-2017: A systematic analysis of the Global Burden of Disease Study 2017. Ann. Rheum. Dis. 2020 79 6 819 828 10.1136/annrheumdis‑2019‑216515 32398285
    [Google Scholar]
  14. Vollset S.E. Goren E. Yuan C.W. Fertility, mortality, migration, and population scenarios for 195 countries and territories from 2017 to 2100: A forecasting analysis for the Global Burden of Disease Study. Lancet 2020 396 10258 1285 1306 10.1016/S0140‑6736(20)30677‑2 32679112
    [Google Scholar]
  15. Veras R.P. Brazil is getting older: Demographic changes and epidemiological challenges. Rev. Saude Publica 1991 25 6 476 488 10.1590/S0034‑89101991000600010 1843238
    [Google Scholar]
  16. Rasella D. Aquino R. Barreto M.L. Impact of income inequality on life expectancy in a highly unequal developing country: The case of Brazil. J. Epidemiol. Community Health 2013 67 8 661 666 10.1136/jech‑2012‑201426 23637304
    [Google Scholar]
  17. Castanheira H.C. Kohler H-P. It is lower than you think it is: recent total fertility rates in Brazil and possibly other Latin American countries. 2015 Available from: https://repository.upenn.edu/entities/publication/ed3d71c4-c93c-4cc2-aca9-df60540a1818
  18. Goldani A.M. Completing the fertility transition. 2009 Available from: https://www.un.org/development/desa/pd/sites/www.un.org.development.desa.pd/files/files/documents/2020/Jan/un_2002_population_bulletin_48-49_en.pdf
  19. Wagner F.E. Ward J.O. Urbanization and migration in Brazil. Am. J. Econ. Sociol. 1980 39 3 249 259 10.1111/j.1536‑7150.1980.tb01276.x
    [Google Scholar]
  20. Rasella D. Basu S. Hone T. Paes-Sousa R. Ocké-Reis C.O. Millett C. Child morbidity and mortality associated with alternative policy responses to the economic crisis in Brazil: A nationwide microsimulation study. PLoS Med. 2018 15 5 e1002570 10.1371/journal.pmed.1002570 29787574
    [Google Scholar]
  21. Hone T. Saraceni V. Medina Coeli C. Primary healthcare expansion and mortality in Brazil’s urban poor: A cohort analysis of 1.2 million adults. PLoS Med. 2020 17 10 e1003357 10.1371/journal.pmed.1003357 33125387
    [Google Scholar]
  22. Tran T.K. Gottvall K. Nguyen H.D. Ascher H. Petzold M. Factors associated with antenatal care adequacy in rural and urban contexts-results from two health and demographic surveillance sites in Vietnam. BMC Health Serv. Res. 2012 12 1 40 10.1186/1472‑6963‑12‑40 22335834
    [Google Scholar]
  23. Rocha R. Furtado I. Spinola P. Financing needs, spending projection, and the future of health in Brazil. Health Econ. 2021 30 5 1082 1094 10.1002/hec.4241 33690930
    [Google Scholar]
  24. Lozano R. Fullman N. Mumford J.E. Measuring universal health coverage based on an index of effective coverage of health services in 204 countries and territories, 1990–2019: A systematic analysis for the Global Burden of Disease Study 2019. Lancet 2020 396 10258 1250 1284 10.1016/S0140‑6736(20)30750‑9 32861314
    [Google Scholar]
  25. Khalilian R. Rezai A. Wireless body area network (WBAN) applications necessity in real time healthcare. 2022 IEEE Integrated STEM Education Conference (ISEC) Princeton, NJ, USA, 26-26 March 2022 371 374 10.1109/ISEC54952.2022.10025199
    [Google Scholar]
  26. Khalilian R. Rezai A. Mesrinejad F. Secure wireless body area network (WBAN) communication method using new random key management scheme. Int J Secur Its Appl 2016 10 11 13 22 10.14257/ijsia.2016.10.11.02
    [Google Scholar]
  27. Lloyd-Sherlock P. Giacomin K. de Carvalho P.F. de Sousa Q.N.F. Integrated long‐term care partnerships between government social care and health agencies in Brazil: The Belo Horizonte model. Int. Soc. Secur. Rev. 2022 75 3-4 103 120 10.1111/issr.12309
    [Google Scholar]
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