Idosos e planos de saúde no Brasil: análise das reclamações recebidas pela Agência Nacional de Saúde Suplementar

Abstract

Although the Unified Healthcare System provides universal coverage, about 25% of the population in Brazil has some form of private healthcare. Considering that the population is aging, the prevalence of chronic diseases and the high costs associated with healthcare, the goal of this study is to assess if the barriers to access and use of the services offered by healthcare plans, expressed as beneficiary complaints, have a greater impact on the elderly than on adults and children. Transverse, exploratory study using a quantitative descriptive approach and secondary data provided by the ANS (the National Regulatory Agency for Private Health Insurance and Plans). This study analyzed complaints filed with the ANS by beneficiaries in the Southeast of Brazil between 2010 and 2012. The study population corresponded to 92,235 complaints. The elderly filed proportionately more complaints (60.8 vs. 25.5 complaints per 10 thousand beneficiaries). The most frequent (68.1%) complaints by the elderly were related to coverage. The results reinforce the idea that the organizational elements of private healthcare plans affect especially those groups most likely to use healthcare plans.

Trauma by Traffic Accident in Elderly People: Risk Factors and Consequences

“…Research that evaluated the access and use of health plan services, expressed through the complaints of the beneficiaries, that the elderly were the population group that proportionally, presented more complaints, with assistance coverage being the most frequent complaint. 21 Based on the relative risk results, it is inferred that being an elderly male is a risk factor for the involvement in a traffic accident, occurrence of injury after the accident and death, as a result of the injury caused by the collision. Trauma and violence unequally affect males when compared to females.…”

Perfil clínico-epidemiológico de idosos submetidos à quimioterapia antineoplásica atendidos em um hospital de referência oncológica do estado do Pará, Brasil

“…A transição da estrutura etária que ocorre no Brasil está associada às mudanças no estilo de vida, ocasionadas pelo constante crescimento socioeconômico e pelos avanços de medidas de saúde pública ocorridos nas últimas décadas 1 . Essa condição gerou uma mudança importante no perfil de morbimortalidade do Brasil, provocando diminuição do número de casos de doenças infectocontagiosas e dando lugar ao aumento de ocorrência de doenças crônico-degenerativas 2 .…”

The development of transversal competence of health service managers

“…Researches show that health expenses grow faster than GDP, with relative increases of 50% to 100% depending on the country 6 . The average care costs of a patient over 65 years old double in relation to those between 18 and 44 years old 7 . Health financing in the future is unknown, and so are its solutions 8 .…”

“…Pesquisas mostram que os gastos com saúde crescem mais rápido que o PIB, com aumentos relativos de 50% a 100%, dependendo do país 6 . Os custos assistenciais médios de um paciente acima de 65 anos dobram em relação àqueles entre 18 e 44 anos 7 . O financiamento da saúde no futuro representa uma incógnita cujas soluções ainda não parecem claras 8 .…”