The differential impact of economic recessions on health systems in middle-income settings: a comparative case study of unequal states in Brazil.
Lucas Salvador AndriettaMaria Luiza LeviMario César SchefferMaria Teresa Seabra Soares de Britto E AlvesBruno Luciano Carneiro Alves Luciano de OliveiraGiuliano RussoPublished in: BMJ global health (2020)
Our case study suggests that in a complex heterogeneous system, economic recessions reverberate unequally across its parts, as the effects are mediated by private spending, structure of the market and adjustments in public financing. Policies aimed at mitigating the effects of recessions in LMICs will need to take such differences into account.