Navegando por Palavras-chave "Supplemental Health"
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- ItemAcesso aberto (Open Access)Características demográficas dos idosos vinculados ao sistema suplementar de saúde no Brasil(Faculdade de Saúde Pública da Universidade de São Paulo, 2008-06-01) Veras, Renato Peixoto; Caldas, Célia Pereira; Araujo, Denizar Vianna [UNIFESP]; Kuschnir, Rosana; Mendes, Walter; Universidade do Estado do Rio de Janeiro Universidade Aberta da Terceira Idade; Universidade Federal de São Paulo (UNIFESP); Fundação Oswaldo Cruz Escola Nacional de Saúde PublicaOBJECTIVE: To assess health coverage of elderly people receiving supplementary health care and these users' sociodemographic characteristics. METHODS: Descriptive study of elderly population living in Brazil and in the states of São Paulo and Rio de Janeiro in 2006. Data was collected from the National Supplementary Care Beneficiary Information System and the National Household Sample Survey. The following variables were studied: gender, age, distribution by federal unit, category of health insurance, type of contract and plan segmentation. RESULTS: Higher coverage of the general population was seen in the age groups 70-79 years (26.7% and 80 years and more (30.2%). Of those aged 80 years and more, 33% had private health plans among women and 25.9% among men. Nearly 80% of health insurance beneficiaries were living in southeastern and southern Brazil, of which 55% were in Rio-São Paulo axis. Health maintenance organizations covered a higher proportion of younger compared to elderly population (39% and 34.5%, respectively) and self-management care plans covered a significantly higher proportion of elderly compared to younger population in Brazil (22.8% and 13.8%, respectively). CONCLUSIONS: Elderly health care coverage was significantly high and age groups over 70 years showed the highest coverage rates among the Brazilian population, especially among women.
- ItemAcesso aberto (Open Access)A regulamentação do setor de saúde suplementar no Brasil: a reconstrução de uma história de disputas(Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz, 2007-09-01) Carvalho, Eurípedes Balsanufo; Cecilio, Luiz Carlos de Oliveira [UNIFESP]; Hospital do Servidor Público Estadual de São Paulo; Universidade Federal de São Paulo (UNIFESP)This paper reconstructs the dispute between the main social actors with direct interests in the regulation of private health care in Brazil during the period immediately prior to the passage of Act 9.656/98, highlighting the divergences between these actors in relation to 28 central topics for shaping the regulatory framework prevailing in the country since 1998. The material used in the description and systematization of the positions in the regulatory dispute resulted from an empirical, descriptive, comparative study based on document analysis and interviews with key actors. The study systematizes the main points of controversy and consensus among the various actors, particularly highlighting the many points of agreement between proposals by medical organizations and those of users' organizations and consumer defense institutes, thereby suggesting the possibility of establishing an ethical and political bloc committed to the defense of improved health care as opposed to sheer market logic.