Gastos elevados em plano privado de saúde: com quem e em quê

Kanamura, Alberto Hideki; Viana, Ana Luiza d’Ávila

doi:10.1590/s0034-89102007000500016

Cited by 9 publications

(6 citation statements)

References 2 publications

(1 reference statement)

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“…Its findings suggest that among the richest, non-communicable diseases were responsible for more than 50 % of the claims for highest spenders in the private health insurance plan [19]. …”

Section: Overview Of Literaturementioning

confidence: 99%

Investigating parents/caregivers financial burden of care for children with non-communicable diseases in Ghana

et al. 2015

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BackgroundThe introduction of the Ghana national health insurance scheme (NHIS) has led to progressive and significant increase in utilization of health services. However, the financial burden of caring for children with non-communicable diseases (NCDs) under the dispensation of the NHIS, especially during hospitalization, is less researched. This paper therefore sought to assess the financial burden parents/caregivers face in caring for children hospitalized with NCDs in Ghana, in the era of the Ghana NHIS.MethodsWe conducted a cross-sectional survey of 225 parents or caregivers of children with NCDS hospitalized in three hospitals. Convenience sampling was used to select those whose children were discharged from hospital after hospitalization. Descriptive statistics such as frequencies and chi-square and logistic regression were used in data analysis. The main outcome variable was financial burden of care, proxied by cost of hospitalization. The independent variable included socio-economic and other indicators such as age, sex, income levels and financial difficulties faced by parents/caregivers.ResultsThe study found that over 30 % of parents/caregivers spend more than Gh¢50 (25$) as cost of treatment of children hospitalized with NCDs; and over 40 % of parents/caregivers also face financial difficulties in providing health care to their wards. It was also found that even though many children hospitalized with NCDs have been covered by the NHIS, and that the NHIS indeed, provides significant financial relief to parents in the care of children with NCDs, children who are insured still pay out-of-pocket for health care, in spite of their insurance status. It was also found that there is less support from relatives and friends in the care of children hospitalized with NCDs, thus exacerbating parents/caregivers financial burden of caring for the children.ConclusionsEven though health insurance has proven to be of significant relief to the financial burden of caring for children with NCDs, parents/caregivers still face significant financial burden in the care of their wards. Stakeholders in health care delivery should therefore ensure that all children with NCDs including those excluded from the NHIS should be covered by NHIS. A special effort focusing on identifying children with NCDs within the lower income groups, especially from rural areas, in order to exempt them from any form of payment for their health care is recommended.

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“…Its findings suggest that among the richest, non-communicable diseases were responsible for more than 50 % of the claims for highest spenders in the private health insurance plan [19]. …”

Section: Overview Of Literaturementioning

confidence: 99%

Investigating parents/caregivers financial burden of care for children with non-communicable diseases in Ghana

et al. 2015

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“…In the last 20 years, many topics have been published in the pages of RSP, such as: intergovernmental relations in the backdrop of Brazilian federalism 55 ; health policies and equality assurance 4 , 17 ; decentralization 1 , 9 and regionalization of health services 28 ; regional governance 85 ; use of information for decision-making 23 ; private health sector 12 , 14 , 44 , 50 , 80 , 94 ; and public-private relations 71 , 81 .…”

Section: Resultsmentioning

confidence: 99%

Health Policy on the pages of Revista de Saúde Pública

Bousquat

Tanaka

2016

Rev. Saúde Pública

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We carried out a narrative review of the scientific production in the area of Policy, Planning and Management in Revista de Saúde Pública (RSP), between 1967 and 2015. All the fascicles of RSP, in the period, were accessed via SciELO platform, which provides all articles online. We selected and classified the articles according to the main topics of scientific production in the area of Policy, Planning and Management. Revista de Saúde Pública has published 343 articles on this subject, with significant growth in the last two decades. The most discussed topics were Health Economics, Primary Health-care, Access and Use of Health Services, and Evaluation of Services and Programs. In the last decade, the topics of Policy and Access to Medicines and Public-Private Relationship, including judicialization, gained importance. The pages of RSP embraced the vast and diverse production of Policy, Planning and Management in its first 50 years, contributing to the consolidation of the area in Brazil.

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“…In a few words, Brazilian studies that investigate the supplementary health sector commonly address the functioning of the sector (OCKÉ-REIS and CARDOSO, 2011), the economic effects caused by regulation changes in the sector (SOUZA, 2014), the identification of health plan user profiles (KANAMURA and VIANA, 2007;ANDRADE, 2014), the determining factors for customer evasion from the aforementioned health insurance providers (HÖRBE, 2012), etc.…”

Section: Introductionmentioning

confidence: 99%

Análise de sobrevivência aplicada ao tempo de permanência em planos de saúde.

2021

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Apesar dos lucros auferidos no segmento de saúde suplementar, o número de segurados vinculados a ele oscilou entre 2015 e 2018, em contraste com o comportamento apresentado entre 2000 e 2014, quando só cresceu. Para compreender parte desse fluxo, isto é, a saída dos segurados desse mercado, objetiva-se analisar o tempo de permanência do segurado em planos de saúde, a partir de dados compostos por 122.381 segurados (e ex-segurados) acompanhados entre os anos de 1984 e 2018. Utilizando-se da análise de sobrevivência tradicional, por meio do estimador de Kaplan-Meier e de modelos paramétricos e semiparamétricos, destacam-se os seguintes resultados: a) a mediana do tempo de permanência no plano é de 4,62 anos; b) a massa de seguradoras é composta (ao longo dos anos observados) predominantemente por mulheres, solteiras, jovens, titulares e aderentes ao contrato de individual/familiar; c) conforme o modelo de Cox selecionado, ser homem (em relação à mulher), ser jovem (em relação ao adulto), ser dependente (em relação ao titular) e ser casado (em relação ao amasiado) aumentam o risco de saída da operadora analisada. Espera-se que esses resultados auxiliem a operadora analisada a (re)direcionar suas políticas comerciais e de subscrição de riscos.

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Gastos elevados em plano privado de saúde: com quem e em quê

Cited by 9 publications

References 2 publications

Investigating parents/caregivers financial burden of care for children with non-communicable diseases in Ghana

Investigating parents/caregivers financial burden of care for children with non-communicable diseases in Ghana

Health Policy on the pages of Revista de Saúde Pública

Análise de sobrevivência aplicada ao tempo de permanência em planos de saúde.

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