title: [Share of health care activities in the Brazilian economy: information on Health Accounts from 2000 to 2007].
abstract: OBJECTIVE
  To describe the share of health care activities in the Brazilian economy between 2000 and 2007 in terms of economic value added and creation of jobs.
  
  
  METHODS
  Secondary data from the Brazilian Institute of Geography and Statistics (IBGE) for the years 2000 to 2007 were employed. The following health care activities were analyzed: public health, production of private health services and private social services, health insurance, the pharmaceutical industry, medical equipment manufacturing, and medical and pharmaceutical product sales. The share of each activity in the total economy and in the health care sector was calculated, as well as the percentage share of value-added components from the perspective of income for health care activities and the real growth in value added by health care activity. To complement the analysis, the average income of workers and the number of jobs per activity were established.
  
  
  RESULTS
  The participation of the health care sector in the economy ranged from 5.2% to 5.8%. The share of public health increased from 1.7% to 2.0%, and that of private healthcare services fell from 2.4% to 2.2%. The average annual growth of 3.5% for the sector was close to the 3.4% annual growth recorded for the economy. The share of medical and pharmaceutical product commerce in the sector increased from 9.1% to 13.2%. The activities with the highest accumulated growth were: manufacture of medical/hospital devices (42.7%), public health (39.4%), and health insurance (35.8%). Health care represented 4.1% of jobs in the economy in 2000 vs. 4.4% in 2007, with 1 million new jobs. Income from labor represented 6.7% of the total economy in 2000 and 7.5% in 2007.
  
  
  CONCLUSIONS
  The health care sector has an important stake in the Brazilian economy, although this share is still lower than that observed in high-income countries. The rising share of public services in the sector's added value, the relative growth of medical and pharmaceutical product sales margins, and a real growth below the average for the pharmaceutical industry should be monitored.
authors.affiliation: Fundação Oswaldo Cruz, Escola Nacional de Saúde Pública Sérgio Arouca, Núcleo de Tecnologia e Logística em Saúde, Rio de Janeiro (RJ), Brasil. angelicabsantos@ensp.fiocruz.br
authors.forename: Maria Angelica Borges
authors.initials: MA
authors.lastname: dos Santos
authors.forename: Ricardo Montes
authors.initials: RM
authors.lastname: de Moraes
authors.forename: Tássia Gazé
authors.initials: TG
authors.lastname: Holguin
authors.forename: Rebeca de La Rocque
authors.initials: Rde L
authors.lastname: Palis
mesh_terms: D001938:Brazil; D003695:Delivery of Health Care / Q000191:economics*; D005102:Health Expenditures / Q000706:statistics & numerical data*; D006801:Humans; D013997:Time Factors