Comércio internacional de serviços e complexo industrial da saúde: implicações para os sistemas nacionais de saúde

Santos, Maria Angélica Borges dos; Passos, Sônia Regina Lambert

doi:10.1590/s0102-311x2010000800003

Cited by 10 publications

(13 citation statements)

References 36 publications

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“…Prestaciones que, hasta entonces, eran proporcionadas por instituciones sin fines de lucro, profesionales de manera individual o formaban parte de prácticas culturales de los grupos familiares (25) . El concepto de complejo médico industrial pasa a ser denominado, posteriormente, como complejo médico-industrial-financiero o complejo médico-financiero (99,100,101,102,103) .…”

Section: El Complejo Médico Industrial: De Hipócrates a Adam Smithunclassified

“…Según sus propias investigaciones "era probable que más del 70% del gasto total para la atención médica sea el resultado de decisiones emitidas por médicos" (25) , lo que evidencia que el único riesgo importante para los inversores es la amenaza de un mayor control gubernamental (25) . Se plantea así un dilema entre "intereses económicos y valores sociales" (103) . Las preocupaciones de Arnold Relman se confirman en publicaciones posteriores que señalan cómo el interés económico desplaza la preocupación por la salud, y cómo la producción de conocimientos se realiza transformando a los individuos y/o poblaciones en objetos a través de ensayos clínicos, que se utilizan luego como evidencias científicas (104,105,106,107,108) .…”

Section: El Complejo Médico Industrial: De Hipócrates a Adam Smithunclassified

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Máquinas y arte-sanos

Spinelli

2018

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Este trabajo discute los modelos dominantes y las tensiones, al interior del campo de la salud, entre la concepción del cuerpo humano (máquina); el proceso de trabajo médico (modelos industriales o artesanales); las institucionalidades (hospitales y centros de salud) y los principales agentes (corporación médica y complejo médico industrial). El análisis se contextualiza en EEUU desde fines del siglo XIX a la actualidad. Se discuten dimensiones económico-políticas, ideológico-culturales y científico-técnicas, que atraviesan la historicidad del campo. El propósito es elucidar cómo se viene transformando el campo de la salud, y qué peso tiene la razón instrumental y el capital financiero en ese proceso, en detrimento de lo relacional.

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Section: El Complejo Médico Industrial: De Hipócrates a Adam Smithunclassified

Máquinas y arte-sanos

Spinelli

2018

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“…In the configuration of the Brazilian model of health care, highlighting the context of private institutions, important values aimed at meeting customer needs are incorporated. Santos and Passos (2010) claim that to meet its clientele, the private system is currently organized by category of the health insurance activity, which in addition to industry and trade in pharmaceutical products, equipment, instruments, and medical and hospital supplies, service information technology and specialized services to support the sector, compose the health value chain.…”

Section: Supplementary Health Servicesmentioning

confidence: 99%

Model for formulating competitive strategy: the supplementary health sector case

Santos¹,

Melo

Claudino

et al. 2017

BIJ

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Purpose The implementation of quality in health services should go beyond legal, regulatory and purely technical obligations in relation to carrying out health insurance practices. The purpose of this paper is to present a management model that intends to equip private health care companies in favor of quality development from the use of a model for forming a competitive strategy in the supplementary health sector companies. Design/methodology/approach In this approach the proposed model is grounded on guiding procedures for the process of strategy formulation, with a systemic structure that separates in analysis involving the internal and external environment to the organization to verify the strategy that best applies. It is based on prescriptive strategy – the five competitive forces and, with adaptive strategy, the competition arenas. Findings Through the proposed model the analytical mechanisms of political-legal environments surrounding companies in the sector can be described, identify organizations and their process performance, study them, and perform comparative analysis of information between them. All of this development seeks to ensure the formation of policies, to guide strategic action in health insurance. Originality/value This work strongly contributes to the foundation and strengthening of strategic knowledge and has quality aimed at the study of the private health care market, due to the high degree of regulatory requirements by the state to the businesses, the environment turns into a chain of complex information that migrates from the condition of just meeting legal requirements, to also satisfying the demands of a hypercompetitive market.

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“…Capital flow has allowed the formation of large services and welfare oligopolies, which can accentuate the trend towards dual healthcare systems 53,54 , with the aggravation of differences in quality and access for specific services between different population segments that depend on the public and private systems 55 .…”

Section: Limitations To the Theoretical Basis For Innovation In Servicesmentioning

confidence: 99%

Innovation in healthcare services: notes on the limits of field research

Costa

2016

Cad. Saúde Pública

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The contemporary context of population aging, itsthe population's different health and disease characteristics, and the growing incorporation of technologies by healthcare systems have highlighted the need to adjust the healthcare structure as a whole. The defense of a democratic and sustainable system reveals the importance of understanding how changes in healthcare take place. The current article aims to contribute to the understanding of innovation in healthcare services. The study's results indicate that the existence of certain knowledge gaps means that public policies tend to overlook a whole rangeseries of innovations normally associated with social changes, with a consequentwith an impact on human development, social cohesion, equality, and equity, allcentral issues that are central toin the field of collective public healthcare field. The article concludes that the lack of a mature theoretical framework negatively impacts the formulation of such policies, further aggravated in Brazil by growing differences in quality and access between population segments that depend on the public and private healthcare systems.

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Comércio internacional de serviços e complexo industrial da saúde: implicações para os sistemas nacionais de saúde

Cited by 10 publications

References 36 publications

Máquinas y arte-sanos

Máquinas y arte-sanos

Model for formulating competitive strategy: the supplementary health sector case

Innovation in healthcare services: notes on the limits of field research

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