Capacidade do sistema de saúde nos municípios do Rio de Janeiro: infraestrutura para enfrentar a COVID-19

Silva, Giuliano Alves Borges e; Saraiva, Ernani Viana; Ferreira, Guilherme José Santos Nunes; Peixoto, Rogério de Mesquita; Ferreira, Luiz Felipe

doi:10.1590/0034-761220200128

Cited by 5 publications

(1 citation statement)

References 7 publications

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“…Such claims have grounds, as Araújo and Silva (2018) found a decrease in the profit margin of HPO for the period 2003-2014. But the question that arises is: "Could the scale effect not contribute, at least in part, as a solution to the problem of rising costs and low profitability of the HPO?" An answer to this question can be found in the administrative expenses of these organizations, which are subject to greater predictability and control (Silva, Saraiva, Ferreira, Peixoto & Ferreira, 2020).…”

Section: Introductionmentioning

confidence: 99%

Economies of Scale in Brazilian Supplementary Health

Teixeira¹,

Rodrigues²,

Lima³

2021

Rev. Cat. Cien. Cont.

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Low profitability has been responsible for the insolvency of a large number of health plan operators (HPO) in recent years, which increasingly requires these entities to assess which services can be optimized without compromising their final activities. An answer to this problem may lie in the adequate dimensioning of support activities. Therefore, the aim of this study is to investigate the economies of scale in the support activities of Brazilian HPO. In the presence of such economies, it can be considered that operators have room to dilute their administrative expenses, suggesting that profitability can be increased without the need for large price increases, which can guarantee the survival of companies in the sector without penalizing their customers. For this purpose, panel data regressions with Random Effects (RE), Fixed Effects (FE) and pooled were estimated, considering 5,185 observations for the period 2011 – 2018. The results found by estimating the total cost function were favorable to the hypothesis of economies of scale in the supplementary health sector. Finally, it was also possible to verify that the type of operator and the geographic location of the administrative headquarters of these entities contribute to the scale effect to a greater or lesser extent. These results show that the economies of scale existing in the sector can significantly contribute to the operational and financial maintenance of various HPO, providing an alternative to mitigate the low profitability of these companies.

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Section: Introductionmentioning

confidence: 99%

Economies of Scale in Brazilian Supplementary Health

Teixeira¹,

Rodrigues²,

Lima³

2021

Rev. Cat. Cien. Cont.

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Programmatic situation from the perspective of health vulnerability: Item database validation

et al. 2022

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Objective To validate an item database to assess the programmatic situation of health vulnerability. Method A validation study carried out in 2021. Two scoping reviews were elaborated to identify operational definitions and, afterwards, meetings were held with the authors to formulate items. As a follow-up, the items were sent via Google Forms to specialists with expertise in the areas of health vulnerability or construction and validation of instruments. To validate the items, we used the content validity coefficient and binomial test, in addition to the intraclass correlation coefficient to verify reliability, all via SPSS® version 25. Results Seven experts answered with item evaluations in the language clarity, practical relevance and theoretical relevance criteria. Of the 88 items organized in the infrastructure and work process sub-concepts, most were modified following the experts' suggestions and had content validity coefficients greater than 0.80. The intraclass correlation coefficient was 0.80 for clarity, 0.94 for relevance, and 0.92 for relevance (p < 0.05). Two items were excluded after the authors' meeting for consensus on the final item database and ten were merged. Conclusion and implications for the practice The items were internally validated and there was good reliability among the judges, enabling their use by health professionals to investigate vulnerability.

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Situação programática na perspectiva da vulnerabilidade em saúde: validação de banco de itens

et al. 2022

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RESUMO Objetivo Validar banco de itens para avaliação da situação programática na perspectiva da vulnerabilidade em saúde. Método Estudo de validação realizado em 2021. Construíram-se duas scoping reviews para identificar definições operacionais e, após, realizaram-se reuniões com os autores para formular itens. Em seguimento, enviaram-se os itens via Google Forms para especialistas com expertise na área de vulnerabilidade em saúde ou construção e validação de instrumentos. Para validar os itens, utilizou-se coeficiente de validade de conteúdo, teste binomial, além do coeficiente de correlação intraclasse para verificar confiabilidade, todos via SPSS® versão 25. Resultados Sete especialistas retornaram com avaliações dos itens nos critérios clareza da linguagem, pertinência prática e relevância teórica. Dos 88 itens organizados nos subconceitos infraestrutura e processo de trabalho, a maior parte foi modificada por sugestão dos especialistas e teve coeficiente de validade de conteúdo maior que 0,80. O coeficiente de correlação intraclasse foi 0,80 para clareza, 0,94 para pertinência e 0,92 para relevância (p < 0,05). Dois itens foram excluídos após reunião dos autores para consenso sobre os itens do banco final e dez foram mesclados. Conclusão e implicação para prática: O banco de itens foi validado internamente e houve boa confiabilidade entre os juízes, possibilitando o uso por profissionais da saúde para investigar a vulnerabilidade.

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Capacidade do sistema de saúde nos municípios do Rio de Janeiro: infraestrutura para enfrentar a COVID-19

Cited by 5 publications

References 7 publications

Economies of Scale in Brazilian Supplementary Health

Economies of Scale in Brazilian Supplementary Health

Programmatic situation from the perspective of health vulnerability: Item database validation

Situação programática na perspectiva da vulnerabilidade em saúde: validação de banco de itens

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