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Fatores associados à posse de planos privados de saúde médico e odontológico na população infantil: análise transversal da coorte de nascidos vivos de Ribeirão Preto (SP) e São Luís (MA); Factors associated with the possession of private medical and dental health plans in the child population: a cross-sectional analysis of a birth cohort of Ribeirão Preto (SP) and São Luís (MA)

Sena, Marina Fernandes de
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Tese de Doutorado Formato: application/pdf
Publicado em 22/02/2013 PT
Relevância na Pesquisa
56.23%
O mercado de planos privados de saúde apresenta papel de destaque no sistema de saúde no Brasil. Segundo a Pesquisa Nacional por Amostra de Domicílio (PNAD), em 2008, mais de 45,7 milhões de pessoas, cerca de 24% da população brasileira, estava coberta por algum plano de saúde. Melhor facilidade de acesso e utilização dos serviços de saúde por parte dos seus beneficiários pode consistir em um fator que contribua para a expansão do mercado de planos privados de saúde. No Brasil, a abordagem a respeito da posse de planos privados de saúde para crianças é ainda escassa. Neste sentido, o estudo objetiva avaliar os fatores associados à posse de planos privados de saúde médico e odontológico pela população infantil. Estudo transversal foi realizado a partir de dados coletados do seguimento da coorte de nascidos vivos de Ribeirão Preto (SP) (2004/2005) e de São Luís (MA) (2005/2006). A coleta de dados consistiu de um questionário pré-estruturado respondido pelas mães. A população final compreendeu, em Ribeirão Preto/SP, 790 crianças com idade de 10 e 11 anos, tendo um percentual de seguimento de 68,7%, Em São Luís/MA, o total de crianças estudadas foi de 673 com idade de 7 a 9 anos, representando 72,7% das crianças da coorte. Realizou-se análise estatística bivariada seguida de análise multivariável por meio de modelo de equações generalizadas considerando distribuição de Poisson para o cálculo da razão de prevalência...

Coverage of the Brazilian population 18 years and older by private health plans: an analysis of data from the World Health Survey

Viacava,Francisco; Souza-Júnior,Paulo Roberto Borges de; Szwarcwald,Célia Landmann
Fonte: Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz Publicador: Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2005 EN
Relevância na Pesquisa
56.18%
This study analyzes data from the World Health Survey (WHS) conducted in 2003, with a sample of 5,000 individuals 18 years and older. Some 24.0% of the interviewees had private health insurance, and the main variables associated with private coverage were number of household assets, age, level of education, formal employment, living in municipalities with more than 50,000 inhabitants, and good self-rated health. The socioeconomic profiles of needs for and use of health services in the population covered by private health plans are different, confirming the findings of other studies reporting that this population segment as a whole presents better health conditions and greater use of services as compared to the population without private coverage, even after adjusting for socio-demographic variables and self-rated health. The WHS data also suggest that individuals with private health plans do not always use their insurance to pay for services, except in the case of mammograms.

Comparison of risk and protective factors for chronic diseases in the population with and without health insurance in the Brazilian capitals, 2011

Malta,Deborah Carvalho; Bernal,Regina Tomie Ivata
Fonte: Associação Brasileira de Saúde Coletiva Publicador: Associação Brasileira de Saúde Coletiva
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2014 EN
Relevância na Pesquisa
56.23%
INTRODUCTION: The article compares the risk and protective factors for Non-communicable Diseases (NCD), referred morbidity and access to preventive examinations in the population with and without health insurance in all Brazilian State capitals. METHODS: The study population consists of adults (≥ 18 years old) living in households with landlines in 26 Brazilian State capitals and the Federal District. Estimates of selected variables are presented according to possession of health plans ("Yes" or "No") and sex. A post-stratification was performed according to age, gender and education in both populations, and prevalence ratios were calculated, adjusted for age and sex between people with and without health insurance for the risk and protective factors for NCDs. RESULTS: A total of 54,099 people at the age of 18 or older were evaluated, 47.4% of them were beneficiaries of health plans. The coverage of health insurance tends to increase with age and level of education. Compared to non-beneficiaries of health plans, beneficiaries were more likely to have protective factors, such as healthy eating, physical activity, coverage tests, such as mammography and Pap test, and lower prevalence of risk factors such as smoking, physical inactivity...

Measuring Quality for Public Reporting of Health Provider Quality: Making It Meaningful to Patients

Mukamel, Dana B.; Glance, Laurent G.; Dick, Andrew W.; Osler, Turner M.
Fonte: American Public Health Association Publicador: American Public Health Association
Tipo: Artigo de Revista Científica
Publicado em /02/2010 EN
Relevância na Pesquisa
55.86%
Public quality reports of hospitals, health plans, and physicians are being used to promote efficiency and quality in the health care system. Shrinkage estimators have been proposed as superior measures of quality to be used in these reports because they offer more conservative and stable quality ranking of providers than traditional, nonshrinkage estimators. Adopting the perspective of a patient faced with choosing a local provider on the basis of publicly provided information, we examine the advantages and disadvantages of shrinkage and nonshrinkage estimators and contrast the information made available by them. We demonstrate that 2 properties of shrinkage estimators make them less useful than nonshrinkage estimators for patients making choices in their area of residence.

Randomized controlled trial of a health plan-level mood disorders psychosocial intervention for solo or small practices

Kilbourne, Amy M; Nord, Kristina M; Kyle, Julia; Van Poppelen, Celeste; Goodrich, David E; Kim, Hyungjin Myra; Eisenberg, Daniel; Un, Hyong; Bauer, Mark S
Fonte: BioMed Central Publicador: BioMed Central
Tipo: Artigo de Revista Científica
EN_US
Relevância na Pesquisa
56.08%
Background: Mood disorders represent the most expensive mental disorders for employer-based commercial health plans. Collaborative care models are effective in treating chronic physical and mental illnesses at little to no net healthcare cost, but to date have primarily been implemented by larger healthcare organizations in facility-based models. The majority of practices providing commercially insured care are far too small to implement such models. Health plan-level collaborative care treatment can address this unmet need. The goal of this study is to implement at the national commercial health plan level a collaborative care model to improve outcomes for persons with mood disorders. Methods/Design A randomized controlled trial of a collaborative care model versus usual care will be conducted among beneficiaries of a large national health plan from across the country seen by primary care or behavioral health practices. At discharge 344 patients identified by health plan claims as hospitalized for unipolar depression or bipolar disorder will be randomized to receive collaborative care (patient phone-based self-management support, care management, and guideline dissemination to practices delivered by a plan-level care manager) or usual care from their provider. Primary outcomes are changes in mood symptoms and mental health-related quality of life at 12 months. Secondary outcomes include rehospitalization...

Acute Coronary Syndrome Treatment Costs from the Perspective of the Supplementary Health System

Teich,Vanessa; Piha,Tony; Fahham,Lucas; Squiassi,Haline Bianca; Paloni,Everton de Matos; Miranda,Paulo; Araújo,Denizar Vianna
Fonte: Sociedade Brasileira de Cardiologia - SBC Publicador: Sociedade Brasileira de Cardiologia - SBC
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/10/2015 EN
Relevância na Pesquisa
56.05%
AbstractBackground:Acute coronary syndrome (ACS) is defined as a “group of clinical symptoms compatible with acute myocardial ischemia”, representing the leading cause of death worldwide, with a high clinical and financial impact. In this sense, the development of economic studies assessing the costs related to the treatment of ACS should be considered.Objective:To evaluate costs and length of hospital stay between groups of patients treated for ACS undergoing angioplasty with or without stent implantation (stent+ / stent-), coronary artery bypass surgery (CABG) and treated only clinically (Clinical) from the perspective of the Brazilian Supplementary Health System (SHS).Methods:A retrospective analysis of medical claims of beneficiaries of health plans was performed considering hospitalization costs and length of hospital stay for management of patients undergoing different types of treatment for ACS, between Jan/2010 and Jun/2012.Results:The average costs per patient were R$ 18,261.77, R$ 30,611.07, R$ 37,454.94 and R$ 40,883.37 in the following groups: Clinical, stent-, stent+ and CABG, respectively. The average costs per day of hospitalization were R$ 1,987.03, R$ 4,024.72, R$ 6,033.40 and R$ 2,663.82, respectively. The average results for length of stay were 9.19 days...

Representação política e interesses particulares na saúde: o caso do financiamento de campanhas eleitorais pelas empresas de planos de saúde privados no Brasil; Political representation and private interests in health: a case study on the financing of voting campaigns by private health plans in Brazil; Representación política y los interesses privados en materia de salud: el caso de la financiación de las campañas electorales por compañías de planos de salud privados en Brasil

SCHEFFER, Mário; BAHIA, Lígia
Fonte: Revista Interface - Comunicação, Saúde, Educação Publicador: Revista Interface - Comunicação, Saúde, Educação
Tipo: Artigo de Revista Científica
POR
Relevância na Pesquisa
56.07%
A legislação brasileira normatiza a doação de recursos financeiros provenientes de fontes privadas para as campanhas de candidatos majoritários e proporcionais. Com base em aportes da literatura sobre a estrutura partidária e relações entre o Legislativo e Executivo, o presente estudo analisa, a partir das categorias de representação política e de interesses, as informações sobre empresas de planos de saúde doadoras e as candidaturas destinatárias. As empresas de planos de saúde doadoras foram devidamente identificadas, assim como os recursos doados para candidatos. O cotejamento desses dados fornece um mapeamento de interesses das empresas de planos de saúde projetados no Poder Legislativo, mas não autoriza o estabelecimento de relações causais entre os doadores e a atuação dos parlamentares. O comparecimento das empresas de planos de saúde na disputa eleitoral e a inclinação das doações para partidos situados mais à direita no gradiente político partidário são os principais resultados do trabalho.; The Brazilian legislation regulates the financial donations from private sources to both majoritarian and proportional election candidates. Based on approaches found in the literature on the party-system structure and on the relationships between the Legislative and Executive...

Financial health and customer satisfaction in private health care providers in Brazil

Schiozer,Rafael Felipe; Saito,Cristiana Checchia; Saito,Richard
Fonte: Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz Publicador: Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/11/2011 EN
Relevância na Pesquisa
56.09%
This paper analyzes the relationship between the financial health and organizational form of private health care providers in Brazil. It also examines the major determinants of customer satisfaction associated with the provider's organ-izational form. An adjusted Altman's z-score is used as an indicator of financial health. A proxy variable based on customer complaints filed at the Brazilian National Agency for Supplementary Health is used as an indicator for customer satisfaction. The study uses a sample of 270 private health care providers and their operations over the period 2003-2005. Panel data analysis includes control variables related to market, operations, and management. Principal results indicate that: (1) private health care providers benefit from economies of scale; (2) self-funded health plans have better financial health; (3) spending on marketing does not have a signif-icant impact on customer satisfaction in Brazil; (4) weak empirical evidence exists showing that good financial performance enhances customer's satisfaction.

A garantia do direito à saúde dos idosos por parte do poder judiciário.; Guarantee the right to health of the elderly by the judiciary

Santos, Thaísa Maiara Meira Nascente dos
Fonte: Universidade Católica de Brasília Publicador: Universidade Católica de Brasília
Tipo: Trabalho de Conclusão de Curso Formato: Texto
PT_BR
Relevância na Pesquisa
56.15%
A presente monografia tem como objetivo demonstrar a aplicabilidade do direito à saúde do idoso por parte do Poder Judiciário. Garantido pela Constituição Federal como princípio fundamental, o direito à saúde é um dever do Estado que muitas vezes deixa a desejar em razão da escassez de recursos orçamentários destinados a este fim, ferindo assim os princípios da igualdade, da dignidade da pessoa humana, a teoria da proteção integral e do mínimo existencial para a sobrevivência. No âmbito público, a atuação do Estado se dá com a efetividade das Políticas Públicas de amparo e manutenção à saúde dos idosos. No âmbito privado estão os planos de saúde e o desrespeito para com o idoso, no que se refere aos reajustes de mensalidade por mudança de faixa etária. Por último abordaremos a jurisprudência predominante em nossos Tribunais sobre a questão da atuação do estado no âmbito público (políticas públicas) e privado (planos de saúde).; The present work aims to demonstrate the applicability of the right to health of the elderly by the Judiciary. Ensured by the Constitution as a fundamental principle, the right to health is a duty of the state that often falls short because of the shortage of budget funds for this purpose...

1999 Consumer Assessment of Health Plans in Delaware

Jacobson, Eric D.; Fan, Weifeng; Gross, Christie R.; Ratledge, Edward C.
Fonte: Institute for Public Administration Publicador: Institute for Public Administration
Tipo: Artigo de Revista Científica Formato: 221311 bytes; application/pdf
EN_US
Relevância na Pesquisa
56.01%
The 1999 CAHPS report addresses two of the central questions often asked about quality and the changing health care systems. First, what role do consumer satisfaction surveys play in the assessment of possible quality differences? Second, are there verifiable quality differences between fee for service (FFS) and managed care in Delaware?; Delaware Health Care Commission

Quality of Health Care in Delaware: What Delawareans Say About Their Health Care Experience, 2002 Delaware CAHPS Notes

Jacobson, Eric D.; Whitmore, Charles; McCloskey, Sarah; Ratledge, Edward C.
Fonte: Institute for Public Administration Publicador: Institute for Public Administration
Tipo: Outros Formato: 695779 bytes; application/pdf
EN_US
Relevância na Pesquisa
56.05%
The consumer assessment of health plans survey (CAHPS) approach provides a practical and flexible yet standardized set of instruments to collect information on access to and satisfaction with health care services and delivery systems.

What Delawareans say about the Quality of their Health Plans and Medical Care, 2001 Delaware CAHPS Notes

Jacobson, Eric D.; Litzau, Amanda; Whitmore, Charles; Ratledge, Edward C.
Fonte: Institute for Public Administration Publicador: Institute for Public Administration
Tipo: Outros Formato: 3710153 bytes; application/pdf
EN_US
Relevância na Pesquisa
66.12%
The consumer assessment of health plans survey (CAHPS) approach provides a practical and flexible yet standardized set of instruments to collect information on access to and satisfaction with health care services and delivery systems

1998 Consumer Assessment of Health Plans in Delaware

Jacobson, Eric D.; Reyes, Raul M.; Ratledge, Edward C.
Fonte: Insitute for Public Administration Publicador: Insitute for Public Administration
Tipo: Outros Formato: 327233 bytes; application/pdf
EN_US
Relevância na Pesquisa
66.1%
The consumer assessment of health plans survey (CAHPS) approach provides a practical and flexible yet standardized set of instruments to collect information on access to and satisfaction with health care services and delivery systems.

2000 Consumer Assessment of Health Plans in Delaware

Jacobson, Eric D.; Fan, Weifeng; Schieffert, Lisa; Ratledge, Edward C.
Fonte: Institute for Public Administration Publicador: Institute for Public Administration
Tipo: Outros
EN_US
Relevância na Pesquisa
56.05%
The consumer assessment of health plans survey (CAHPS) approach provides a practical and flexible yet standardized set of instruments to collect information on access to and satisfaction with health care services and delivery systems.

The liabilities of a post-retirement brazilian health plan according to IAS 19R

Polese, Flavio
Fonte: Instituto Superior de Economia e Gestão Publicador: Instituto Superior de Economia e Gestão
Tipo: Dissertação de Mestrado
Publicado em //2015 ENG
Relevância na Pesquisa
56.12%
Mestrado em Ciências Actuariais; O objetivo desta dissertação é discutir o processo de avaliação de passivos pós-emprego de planos privados de assistência médica patrocinados por empresas. Passivos são obviamente ligados à despesas, mas no caso de planos de assistência médica para aposentados essas despesas continuam por longos períodos de tempo trazendo uma série de problemas complexos, nomeadamente de natureza contábil, e essenciais do ponto de vista da mensuração dos ganhos/perdas dos patrocinadores, ano após ano, com consequências no pagamento de impostos, distribuição de lucros, e no valor propriamente dito das corporações. O papel da contabilidade é às vezes subestimado, mas esta é de fato uma matéria de proeminência crítica para a sobrevivência das organizações, e aplicar as regras contábeis apropriadas, nacionais e internacionais, para garantir que o balanço contábil da empresa contempla essas regras, é de suma importância.; The aim of this dissertation is to discuss the evaluation process of post-employment liabilities in private health plans sponsored by employers. Liabilities are obviously linked to expenses but in the case of health plans these expenses continue for long periods of time...

Hospitais filantrópicos e a operação de planos de saúde próprios no Brasil; Philanthropic hospitals and the operation of provider-owned health plans in Brazil

Lima, Sheyla Maria Lemos; Portela, Margareth C; Ugá, Maria Alicia Dominguez; Barbosa, Pedro Ribeiro; Gerschman, Silvia; Vasconcellos, Miguel Murat
Fonte: Universidade de São Paulo. Faculdade de Saúde Pública Publicador: Universidade de São Paulo. Faculdade de Saúde Pública
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; ; ; ; ; Formato: application/pdf; application/pdf
Publicado em 01/02/2007 POR; ENG
Relevância na Pesquisa
66.34%
OBJETIVO: Descrever o desempenho gerencial de hospitais filantrópicos com operadoras de planos de saúde em comparação com o conjunto de hospitais filantrópicos no Brasil. MÉTODOS: Foram comparadas as estruturas gerenciais presentes nos hospitais filantrópicos com operadoras próprias de planos de saúde com aquelas observadas num conjunto representativo do setor hospitalar filantrópico, em seis dimensões: direção e planejamento, econômico-financeira, recursos humanos, serviços técnicos, serviços logísticos e tecnologia de informações. Consideraram-se os dados de uma amostra aleatória de 69 hospitais, extraída do setor hospitalar filantrópico, e 94 hospitais filantrópicos com operadoras próprias de planos de saúde. Nos dois casos incluíram-se apenas os hospitais com menos de 599 leitos. RESULTADOS: Foram identificados resultados mais positivos para o conjunto de hospitais com operadoras próprias de planos de saúde em todas as dimensões gerenciais comparadas. Em particular, destacaram-se as dimensões econômico-financeira e de tecnologia de informações, nas quais mais de 50% dos hospitais com operadoras apresentaram quase todas as condições consideradas. CONCLUSÕES: O setor hospitalar filantrópico é importante na prestação de serviços ao Sistema Único de Saúde. Os desafios para a sua manutenção e desenvolvimento impõem encontrar alternativas. O fomento de uma parceria público-privado neste segmento...

Coverage of the Brazilian population 18 years and older by private health plans: an analysis of data from the World Health Survey

Viacava,Francisco; Souza-Júnior,Paulo Roberto Borges de; Szwarcwald,Célia Landmann
Fonte: Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz Publicador: Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2005 EN
Relevância na Pesquisa
56.18%
This study analyzes data from the World Health Survey (WHS) conducted in 2003, with a sample of 5,000 individuals 18 years and older. Some 24.0% of the interviewees had private health insurance, and the main variables associated with private coverage were number of household assets, age, level of education, formal employment, living in municipalities with more than 50,000 inhabitants, and good self-rated health. The socioeconomic profiles of needs for and use of health services in the population covered by private health plans are different, confirming the findings of other studies reporting that this population segment as a whole presents better health conditions and greater use of services as compared to the population without private coverage, even after adjusting for socio-demographic variables and self-rated health. The WHS data also suggest that individuals with private health plans do not always use their insurance to pay for services, except in the case of mammograms.

Comparison of risk and protective factors for chronic diseases in the population with and without health insurance in the Brazilian capitals, 2011

Malta,Deborah Carvalho; Bernal,Regina Tomie Ivata
Fonte: Associação Brasileira de Pós -Graduação em Saúde Coletiva Publicador: Associação Brasileira de Pós -Graduação em Saúde Coletiva
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2014 EN
Relevância na Pesquisa
56.23%
INTRODUCTION: The article compares the risk and protective factors for Non-communicable Diseases (NCD), referred morbidity and access to preventive examinations in the population with and without health insurance in all Brazilian State capitals. METHODS: The study population consists of adults (≥ 18 years old) living in households with landlines in 26 Brazilian State capitals and the Federal District. Estimates of selected variables are presented according to possession of health plans ("Yes" or "No") and sex. A post-stratification was performed according to age, gender and education in both populations, and prevalence ratios were calculated, adjusted for age and sex between people with and without health insurance for the risk and protective factors for NCDs. RESULTS: A total of 54,099 people at the age of 18 or older were evaluated, 47.4% of them were beneficiaries of health plans. The coverage of health insurance tends to increase with age and level of education. Compared to non-beneficiaries of health plans, beneficiaries were more likely to have protective factors, such as healthy eating, physical activity, coverage tests, such as mammography and Pap test, and lower prevalence of risk factors such as smoking, physical inactivity...

Financial health and customer satisfaction in private health care providers in Brazil

Schiozer,Rafael Felipe; Saito,Cristiana Checchia; Saito,Richard
Fonte: Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz Publicador: Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/11/2011 EN
Relevância na Pesquisa
56.09%
This paper analyzes the relationship between the financial health and organizational form of private health care providers in Brazil. It also examines the major determinants of customer satisfaction associated with the provider's organ-izational form. An adjusted Altman's z-score is used as an indicator of financial health. A proxy variable based on customer complaints filed at the Brazilian National Agency for Supplementary Health is used as an indicator for customer satisfaction. The study uses a sample of 270 private health care providers and their operations over the period 2003-2005. Panel data analysis includes control variables related to market, operations, and management. Principal results indicate that: (1) private health care providers benefit from economies of scale; (2) self-funded health plans have better financial health; (3) spending on marketing does not have a signif-icant impact on customer satisfaction in Brazil; (4) weak empirical evidence exists showing that good financial performance enhances customer's satisfaction.

The public health implications of asthma

Bousquet,Jean; Bousquet,Philippe J.; Godard,Philippe; Daures,Jean-Pierre
Fonte: World Health Organization Publicador: World Health Organization
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/07/2005 EN
Relevância na Pesquisa
56.15%
Asthma is a very common chronic disease that occurs in all age groups and is the focus of various clinical and public health interventions. Both morbidity and mortality from asthma are significant. The number of disability-adjusted life years (DALYs) lost due to asthma worldwide is similar to that for diabetes, liver cirrhosis and schizophrenia. Asthma management plans have, however, reduced mortality and severity in countries where they have been applied. Several barriers reduce the availability, affordability, dissemination and efficacy of optimal asthma management plans in both developed and developing countries. The workplace environment contributes significantly to the general burden of asthma. Patients with occupational asthma have higher rates of hospitalization and mortality than healthy workers. The surveillance of asthma as part of a global WHO programme is essential. The economic cost of asthma is considerable both in terms of direct medical costs (such as hospital admissions and the cost of pharmaceuticals) and indirect medical costs (such as time lost from work and premature death). Direct costs are significant in most countries. In order to reduce costs and improve quality of care, employers and health plans are exploring more precisely targeted ways of controlling rapidly rising health costs. Poor control of asthma symptoms is a major issue that can result in adverse clinical and economic outcomes. A model of asthma costs is needed to aid attempts to reduce them while permitting optimal management of the disease. This paper presents a discussion of the burden of asthma and its socioeconomic implications and proposes a model to predict the costs incurred by the disease.