Planos de assistência à saúde: interfaces entre o público e o privado no setor odontológico

Pietrobon, Louise; Silva, Cíntia Magali da; Batista, Luciana Rodrigues Vieira; Caetano, João Carlos

doi:10.1590/s1413-81232008000500023

Cited by 15 publications

(13 citation statements)

References 2 publications

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“…The low demand for dental services offered by ambulatories, or union dental office/clinic, or enterprise dental office/clinic, or first aid post, or emergency, or hospital, which keeps a constant at least since 1998, according to PNADs data BERTOLDI, 2002;IBGE, 2000IBGE, , 2010, remains neglected despite favorable prospects to the expansion on the provision of private or associated dental services which were pointed out by previous studies (JUNQUEIRA;RAMOS;RODE, 2005;PIETROBON et al, 2008;SERRA;HENRIQUES, 2000;SILVEIRA;OLIVEIRA, 2002). In this context, the results of this present study have two practical implications: first, they show the variety of services that a union dental clinic can provide, and, indirectly, reinforce the need of popularizing these dental service providers that remain neglected and rarely used; second, they present utilities of a managerial tool that may help to achieve business models of dental clinics.…”

Section: Discussionmentioning

confidence: 99%

“…The union dental clinics are classified in the self-management modality. The clinics of such modality operate services associated with enterprises and have the aim of providing assistance and treatments to the employees (union members) and their families (AGÊNCIA NACIONAL DE SAÚDE SUPLEMENTAR, 2000) in order to provide more quality of life to the workers (PIETROBON et al, 2008). As the health plan is provided through a fixed monthly fee that is paid by the union member to the union, all the services provided by the dental clinic have the same price.…”

Section: Business Models In Dental Clinicsmentioning

confidence: 99%

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Process Mapping in a Dental Clinic

Silva

Kawamoto

Nery

et al. 2019

RIES

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This research aims to map the processes existing in a dental clinic. For such, field research procedures were adopted, which were performed at a union dental clinic located in São Paulo-SP city. The data collect was made through non-participant observation and focused (semi-structured) interview. The processes of the clinic were modeled with the aid of MS-Visio Professional 2013 software, in order to clarify the usefulness and participation of each component of the process. The flowcharts built in the research were validated with the technical coordinator of the clinic, who corrected their inconsistencies with the reality in the clinic. After that, the flowcharts were validated with an expert in management. The results make possible to understand the usefulness of each process and identify both the hierarchy of the processes and the key processes; and provide a basis for decision-making. Considering the business model of the clinic, the analysis of the results pointed out an opportunity of increasing the number of patients seen at the clinic. Process mapping provides a better understanding of the routines of the clinic as well as of their steps, and it may help managers to determine their processes and focus on them. So, it understands here that process management is applicable in dental clinics starting from process mapping.

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Section: Discussionmentioning

confidence: 99%

Section: Business Models In Dental Clinicsmentioning

confidence: 99%

Process Mapping in a Dental Clinic

Silva

Kawamoto

Nery

et al. 2019

RIES

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“…The State, in the twentieth century, favoured the private system through incentives to companies to provide assistance to employees in addition to purchasing healthcare services for employees under Social Security, which promoted a publically funded healthcare market and a corporate healthcare practice that led to the current dependence of the public healthcare sector on private services 2,3,28 . The private healthcare system based its marketing strategy on neoliberal premises, with some health insurers seeking maximum profitability, and the healthcare professionals lost their autonomy as their productive forces became outsourced 25 .…”

Section: Private Healthcare Legitimation and Current Statusmentioning

confidence: 99%

Precarização do trabalho odontológico na saúde suplementar: uma análise bioética

Moraes

Maluf

Tauil³

et al. 2019

Ciênc. saúde coletiva

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Resumo O presente trabalho evidenciou o processo de trabalho do cirurgião-dentista (CD) no setor de saúde suplementar a partir da visão do profissional, sob a luz da Bioética de Intervenção. Foi realizado um estudo observacional-seccional do tipo inquérito circunscrito à região do Distrito Federal. Os dados foram coletados por meio de 108 questionários respondidos por CDs credenciados à duas modalidades de operadora: autogestão e odontologia de grupo, com a finalidade de conhecer a percepção e o grau de satisfação profissional diante do mercado de trabalho odontológico. A insatisfação maior por parte dos profissionais foi relacionada à remuneração dos trabalhos odontológicos pelas operadoras. Para a operadora de autogestão 1, 38,1% dos profissionais responderam que a remuneração era satisfatória, enquanto para a de autogestão 2 e odontologia de grupo, houve 100% de insatisfação. Outro dado encontrado foi que a operadora de odontologia de grupo restringiu os tratamentos selecionados aos pacientes de forma expressiva. Conclui-se que existe a perda de autonomia profissional, desvalorização dos ressarcimentos e precarização do trabalho odontológico na saúde suplementar, demonstrando conflitos éticos nessa relação de trabalho.

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“…The observed increase in the number of beneficiaries of dental insurance can be attributed to changes in the profile of dentistry, business strategies, privatizations, and difficulties in accessing oral health services, as well as tax incentives and deductions in personal and business income tax 11 , 15 . Together with the expansion of this market, the supply of dental and specialized services significantly increased, driven by the promulgation of the National Oral Health Policy in 2004 d .…”

Section: Introductionmentioning

confidence: 99%

Private dental insurance expenditure in Brazil

Cascaes¹,

Camargo²,

Castilhos³

et al. 2018

Rev. saúde pública

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OBJECTIVE To quantify the household expenditure per capita and to estimate the percentage of Brazilian households that have spent with dental insurance.METHODS We analyzed data from 55,970 households that participated in the research Pesquisa de Orçamentos Familiares in 2008–2009. We have analyzed the annual household expenditure per capita with dental insurance (business and private) according to the Brazilian states and the socioeconomic and demographic characteristics of the households (sex, age, race, and educational level of the head of the household, family income, and presence of an older adult in the household).RESULTS Only 2.5% of Brazilian households have reported spending on dental insurance. The amount spent per capita amounted to R$5.10 on average, most of which consisted of private dental insurance (R$4.70). Among the characteristics of the household, higher educational level and income were associated with higher spending. São Paulo was the state with the highest household expenditure per capita (R$10.90) and with the highest prevalence of households with expenditures (4.6%), while Amazonas and Tocantins had the lowest values, in which both spent less than R$1.00 and had a prevalence of less than 0.1% of households, respectively.CONCLUSIONS Only a small portion of the Brazilian households has dental insurance expenditure. The market for supplementary dentistry in oral health care covers a restricted portion of the Brazilian population.

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Planos de assistência à saúde: interfaces entre o público e o privado no setor odontológico

Abstract: Planos de assistência à saúde: interfaces entre o público e o privado no setor odontológicoHealth care plans: interfaces between the public and private system in the dental sector

Cited by 15 publications

References 2 publications

Process Mapping in a Dental Clinic

Process Mapping in a Dental Clinic

Precarização do trabalho odontológico na saúde suplementar: uma análise bioética

Private dental insurance expenditure in Brazil

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