O mix público-privado e os arranjos de financiamento hospitalar no Brasil / The public-private mix and the hospital financing arrangements in Brazil
Saúde debate
;
39(spe): 39-50, out.-dez. 2015. tab, graf
Article
in Portuguese
|
LILACS-Express
| LILACS
| ID: lil-774605
RESUMO
Com o objetivo de caracterizar a rede hospitalar brasileira quanto ao grau de compartilhamento SUS e planos de saúde, o artigo aborda a diversificação de fontes de financiamento, discutindo o tema no contexto do sistema de saúde caracterizado pelo mix público-privado desde a prestação de serviços até o pagamento e a gestão. Observou-se que a maioria dos hospitais era privado e atendia SUS e planos, com menor disponibilidade de leitos de alta complexidade no SUS. Não se identificou proporcionalidade entre oferta de leitos e cobertura da população por planos nem complementariedade SUS e planos. Os achados ajudam a delinear a oferta e os riscos à equidade no acesso, uso e qualidade do cuidado.
ABSTRACT
This paper seeks to characterize the Brazilian hospital network and its degree of sharing between the National Health System (SUS) and private health insurance. It explores the funding sources diversification and the overlapping of services, payments and management related to the public-private mix. Most hospitals were private and took both SUS and private insurance. The availability of SUS beds was lower than that of private beds. The supply of private beds was not proportional to the population covered by private insurance, and it was not complementary to the SUS beds. The findings highlight the risk to equity of access, completeness and quality of the care provided.
Full text:
Available
Index:
LILACS (Americas)
Type of study:
Health economic evaluation
/
Prognostic study
Country/Region as subject:
South America
/
Brazil
Language:
Portuguese
Journal:
Saúde debate
Journal subject:
Public Health
/
Health Services
Year:
2015
Type:
Article
/
Project document
Affiliation country:
Brazil
Institution/Affiliation country:
Agência Nacional de Saúde Suplementar/BR
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