[Procedures and perceptions of professionals and groups acting in the Brazilian health plan market].

Abstract:

:This study analyzes the mechanisms used in Brazil by health plan and insurance operators, hospitals and physicians for organizing the access to health care services and their strategies towards cost reduction and decision-making. The study is based on the literature about regulation of the health services, with special focus on micro-management and managed care. From an intentional sample of health care organizations selected according to the number of beneficiaries, organizational modality and geographic criteria we selected probabilistic samples of doctors and hospital services. Data were collected through questionnaires applied to key informants from health care operators and affiliated doctors and hospitals. Results suggest that the relationships between health care organizations, physicians and hospitals follow basically patterns inherited from the former social security system, mainly with fixed pricing and open account payments. More complex financing mechanisms, risk sharing and efficiency strategies are of minor interest. Mechanisms for risk reduction and encouragement of adequate use of technologies are weak. Cost control is mainly based on co-payment and barriers to access to the services. We conclude that in Brazil managed care is still in its beginning.

journal_name

Cien Saude Colet

journal_title

Ciencia & saude coletiva

authors

Ribeiro JM,Lobato Lde V,Vaitsman J,Farias LO,Vasconcellos M,Hollanda E,Teixeira CP

doi

10.1590/s1413-81232008000500013

subject

Has Abstract

pub_date

2008-09-01 00:00:00

pages

1477-87

issue

5

eissn

1413-8123

issn

1678-4561

pii

S1413-81232008000500013

journal_volume

13

pub_type

杂志文章
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    authors: Barreto MDS,Mendonça RD,Pimenta AM,Garcia-Vivar C,Marcon SS

    更新日期:2018-03-01 00:00:00

  • [The construction of sexology as a profession in Portugal: composition professional group and types of sexologists].

    abstract::This study sets out to discuss the emergence of the profession of sexologist in Portugal, comparing its development with international trends. This research also seeks to understand the self-identification of sexologists and the significances they attribute to it. The empirical information presented derives from a sur...

    journal_title:Ciencia & saude coletiva

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    doi:10.1590/1413-81232015212.11112015

    authors: Alarcão V,Machado FL,Giami A

    更新日期:2016-02-01 00:00:00

  • [Research on Food in Brazil: sustaining the autonomy of the Food and Nutrition field].

    abstract::Based on Bourdieu's thoughts about the scientific fields, we visited the Research Groups Directory of the National Council for Scientific and Technological Development (CNPq), seeking to invest in critical and reflective approach on the segment of Brazilian research work concerned with "food". We identified a stable a...

    journal_title:Ciencia & saude coletiva

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    authors: Prado SD,Bosi ML,da Veiga Soares Carvalho MC,Gugelmin SA,Silva JK,Delmaschio KL,de Lima Ramagem Martins M

    更新日期:2011-01-01 00:00:00

  • [Occupational risk due to use of mercury in dentistry: a bibliographic review].

    abstract::The aim of this study is to present data concerning hazardous waste management in the health area, with emphasis to the utilization of mercury in dentistry. The study was based on a bibliographic review regarding the use of mercury in dental fillings and its potential toxicological risks for patients and due to occupa...

    journal_title:Ciencia & saude coletiva

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    doi:10.1590/s1413-81232008000200029

    authors: Grigoletto JC,Oliveira Ada S,Muñoz SI,Alberguini LB,Takayanagui AM

    更新日期:2008-03-01 00:00:00

  • [Ethics and values in professional training in health: a case study].

    abstract::The scope of this research was to analyze the ethical dimension of the training of health professionals, specifically in Dentistry. Interviews were conducted with teachers, in addition to observation of academic activities and focus groups with students of two undergraduate courses. Data analysis revealed some element...

    journal_title:Ciencia & saude coletiva

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    doi:10.1590/s1413-81232013001000028

    authors: Finkler M,Caetano JC,Ramos FR

    更新日期:2013-10-01 00:00:00

  • Perception of mercury contamination by Brazilian adolescents in a gold mining community: an ethnographic approach.

    abstract::This study used ethnographic methods to examine the perception of mercury contamination by adolescents in the mining community of Poconé, Mato Grosso, Brazil. In Phase I, 53 students aged 13 to 16 years in six schools presented theatrical sketches about community health risks to generate key terms for a pile sorting a...

    journal_title:Ciencia & saude coletiva

    pub_type: 杂志文章

    doi:10.1590/s1413-81232009000600009

    authors: Novais G,Câmara Vde M

    更新日期:2009-11-01 00:00:00

  • [Floods and public health: a review of the recent scientific literature on the causes, consequences and responses to prevention and mitigation].

    abstract::Floods are among the most frequent natural disasters and they affect the lives of approximately 102 million people each year, mainly in developing countries and in major urban areas with a tendency to grow further over the coming decades. The scope of this paper is to provide input for a clearer understanding of these...

    journal_title:Ciencia & saude coletiva

    pub_type: 杂志文章,评审

    doi:10.1590/s1413-81232012000600023

    authors: de Freitas CM,Ximenes EF

    更新日期:2012-06-01 00:00:00

  • [Prevalence and factors associated with the risk of falls among the elderly registered in a primary healthcare unit of the city of Natal in the state of Rio Grande do Norte, Brazil].

    abstract::The scope of the study was to analyze the prevalence and factors associated with falls among the elderly registered in a Primary Healthcare Unit (PHU) in Natal, State of Rio Grande do Norte. It involved a cross-sectional study conducted with 280 elderly individuals with data collected at the primary healthcare unit. T...

    journal_title:Ciencia & saude coletiva

    pub_type: 杂志文章

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    authors: dos Santos RK,Maciel ÁC,Britto HM,Lima JC,de Souza TO

    更新日期:2015-12-01 00:00:00

  • The trajectory of Virgínia Schall: integration of Health, Education, Science and Literature.

    abstract::This article presents Virgínia Schall's professional career, interrupted very early. It highlights her major role in the integration of the fields of Health, Education and Scientific Dissemination in Brazil. The contextualization of her academic and literary production as a researcher at the Oswaldo Cruz Foundation, d...

    journal_title:Ciencia & saude coletiva

    pub_type: 传,历史文章,杂志文章

    doi:10.1590/1413-812320172210.33932016

    authors: Pimenta DN,Struchiner M,Monteiro S

    更新日期:2017-10-01 00:00:00

  • [Accuracy of registration data for patients with arterial hypertension and diabetes mellitus recorded in the Hiperdia system in a state in the northeast of Brazil].

    abstract::The scope of this study was to evaluate the accuracy of the data recorded in the Hiperdia system assessed by geographical area, type of field and information consistency between related variables. It involved an observational, descriptive and cross-sectional investigation. The sample of 287 registration forms was rand...

    journal_title:Ciencia & saude coletiva

    pub_type: 杂志文章

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    authors: Correia LO,Padilha BM,Vasconcelos SM

    更新日期:2014-06-01 00:00:00

  • [Living in areas of risk: tensions between management of environmental disasters and the significance of risk in everyday life].

    abstract::This paper addresses risks management of environmental disasters from the standpoint of people in vulnerable situations. It is based on the initial phase of research on Life in risk areas conducted with financial support from CNPq. Data was gathered from multiple sources: activities of a local organization (Sociedade ...

    journal_title:Ciencia & saude coletiva

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    doi:10.1590/1413-81232014199.01182014

    authors: Spink MJ

    更新日期:2014-09-01 00:00:00

  • [Validation of the portuguese version of the Mini-Social Phobia Inventory (Mini-SPIN)].

    abstract::Social phobia (also known as social anxiety disorder) is a severe mental disorder that brings distress and disability. The aim of this study was validate to the Portuguese language the Mini-Social Phobia Inventory (Mini-SPIN) in a populational sample. We performed a discriminative validity study of the Mini-SPIN in a ...

    journal_title:Ciencia & saude coletiva

    pub_type: 杂志文章

    doi:10.1590/s1413-81232009000500009

    authors: D'El Rey GJ,Matos CW

    更新日期:2009-09-01 00:00:00

  • Regular use of dental services and dental loss among the elderly.

    abstract::This study aimed to investigate the association between regular use of dental services and tooth loss by elderly linked to eleven Family Health Facilities in southern Brazil. This cross-sectional study evaluated 438 elderly. A standard questionnaire was used and oral health clinical variables were obtained by a traine...

    journal_title:Ciencia & saude coletiva

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    authors: Silva AER,Echeverria MS,Custódio NB,Cascaes AM,Camargo MBJ,Langlois CO

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  • [Socio-environmental vulnerability index: a methodological proposal based on the case of Rio de Janeiro, Brazil].

    abstract::The term vulnerability has been more frequently used in several studies, striving to better understand the specificities and needs of different population groups. The scope of this study was to identify, characterize and analyze populations in situations of socio-environmental vulnerability in Rio de Janeiro city, con...

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    doi:10.1590/1413-812320172212.25032017

    authors: Malta FS,Costa EMD,Magrini A

    更新日期:2017-12-01 00:00:00

  • [Impact of disability in siblings: life stories].

    abstract::When a disabled child is born all the family's expectations need to be reviewed because it is an unexpected situation and needs the family system to be adjusted to the new situation. Due to the meaning that sibling relations acquire during lifetime, changes in health and functioning of a sibling will affect the others...

    journal_title:Ciencia & saude coletiva

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    doi:10.1590/S1413-81232010000200029

    authors: Messa AA,Fiamenghi GA Jr

    更新日期:2010-03-01 00:00:00

  • [Quality of life of elementary education teachers in Florianópolis, State of Santa Catarina].

    abstract::This study sought to investigate the perception of quality of life and the importance of the physical, psychological, social relationships and environmental domains for overall quality of life for elementary education teachers in Florianópolis in the State of Santa Catarina. The sample was composed of 349 teachers of ...

    journal_title:Ciencia & saude coletiva

    pub_type: 杂志文章

    doi:10.1590/s1413-81232013000700011

    authors: Pereira EF,Teixeira CS,Lopes Ada S

    更新日期:2013-07-01 00:00:00

  • [Health care services utilization and access inequalities in the Sao Paulo Metropolitan Region].

    abstract::This paper presents case study findings in five municipalities in the São Paulo Metropolitan Region. Inequalities in access to health care services and their utilization were described through advanced tabulation data from the 1998 SEADE Life Conditions Survey. The variables analyzed were: owning or not owning private...

    journal_title:Ciencia & saude coletiva

    pub_type: 杂志文章

    doi:10.1590/s1413-81232007000200011

    authors: Pessoto UC,Heimann LS,Boaretto RC,Castro IE,Kayano J,Ibanhes LC,Junqueira V,da Rocha JL,Barboza R,Cortizo CT,Martins Lda C,Luiz Odo C

    更新日期:2007-03-01 00:00:00

  • [Environmental risk, health and justice: the protagonism of affected populations in the production of knowledge].

    abstract::This article discusses the role of populations affected by environmental injustice situations in the production of knowledge about environmental health stemming from inequalities and discrimination in the distribution of risks and benefits of economic development. Special attention is given to the epistemological and ...

    journal_title:Ciencia & saude coletiva

    pub_type: 杂志文章

    doi:10.1590/s1413-81232012000600013

    authors: Porto MF,Finamore R

    更新日期:2012-06-01 00:00:00

  • [A reappraisal of the works of Elisabeth Kubler-Ross].

    abstract::This article presents a reappraisal of part of the works of Elizabeth Kubler-Ross, one of the most quoted authors addressing the end of life process, mourning and dying. Her work has contributed to a clearer understanding of these issues by health professionals, families, religious and lay people who handle and/or exp...

    journal_title:Ciencia & saude coletiva

    pub_type: 传,历史文章,杂志文章

    doi:10.1590/s1413-81232013000900028

    authors: Afonso SB,Minayo MC

    更新日期:2013-09-01 00:00:00

  • Factors associated with falls in older adults with cataracts.

    abstract::The aim of the present study was to evaluate factors associated with falls in community-dwelling older adults diagnosed with cataracts. An analytical, cross-sectional study was conducted with a sample of community-dwelling older adults residing in the Federal District of Brazil. Interviews and assessment tools were ad...

    journal_title:Ciencia & saude coletiva

    pub_type: 杂志文章

    doi:10.1590/1413-81232018238.14622016

    authors: Paz LPDS,Borges LL,Marães VRFDS,Gomes MMF,Bachion MM,Menezes RL

    更新日期:2018-08-01 00:00:00

  • [Use and access of the elderly to primary health care services in Porto Alegre (RS, Brasil)].

    abstract::A cross-sectional study was carried out in the second semester of 2004 by means of a household survey with 292 elderly people in a Southern Brazilian city, selected by probabilistic sampling. The objectives were: to describe the use and geographic access of the elderly to primary healthcare (PHC) in Porto Alegre (RS),...

    journal_title:Ciencia & saude coletiva

    pub_type: 杂志文章

    doi:10.1590/s1413-81232011000600031

    authors: Paskulin LM,Valer DB,Vianna LA

    更新日期:2011-06-01 00:00:00

  • Social scientists in public health: a fuzzy approach.

    abstract::This study aims to describe and analyze the presence of social scientists, anthropologists, sociologists and political scientists in the field of public health. A survey by the Lattes Curriculum and sites of Medical Colleges, Institutes of Health Research Collective, seeking professionals who work in healthcare and ha...

    journal_title:Ciencia & saude coletiva

    pub_type: 杂志文章

    doi:10.1590/1413-81232015205.12692014

    authors: do Nascimento JL,Stephan C,Nunes ED

    更新日期:2015-05-01 00:00:00

  • A randomized clinical trial on the effects of remote intercessory prayer in the adverse outcomes of pregnancies.

    abstract::The scope of this article was to investigate whether intercessory prayer (IP) influences the adverse outcomes of pregnancies. A double-blind, randomized clinical trial was conducted with 564 pregnant women attending a prenatal public health care service. The women were randomly assigned to an IP group or to a control ...

    journal_title:Ciencia & saude coletiva

    pub_type: 杂志文章,随机对照试验

    doi:10.1590/s1413-81232013000800022

    authors: da Rosa MI,Silva FR,Silva BR,Costa LC,Bergamo AM,Silva NC,Medeiros LR,Battisti ID,Azevedo R

    更新日期:2013-08-01 00:00:00

  • [Intoxication due to pesticides in the central northern region of the State of Paraná, Brazil - 2002 to 2011].

    abstract::This research is based on epidemiological records of toxicological occurrences in individual records of investigation into pesticide poisoning at the Maringá Intoxication Control Center at the Regional University Hospital of Maringá. The intoxications in patients poisoned from 2002 to 2011, in towns that comprise the ...

    journal_title:Ciencia & saude coletiva

    pub_type: 杂志文章

    doi:10.1590/s1413-81232013001100005

    authors: Neves PD,Bellini M

    更新日期:2013-11-01 00:00:00

  • Suicide attempts among children and adolescents: partial or total injury?

    abstract::This study sought to verify the records on file and the number of cases of attempted suicide among children and adolescents who were attended by Emergency Care health professionals in the municipality of Matozinhos, Minas Gerais, Brazil. Documentary and descriptive research was conducted, the data for which was collec...

    journal_title:Ciencia & saude coletiva

    pub_type: 杂志文章

    doi:10.1590/1413-81232014201.22022013

    authors: Alves MA,Cadete MM

    更新日期:2015-01-01 00:00:00

  • [Acquired Brain Injury: impacts on labor activity of individuals of working age and their relatives].

    abstract::This study correlated the impact of Acquired Brain Injury (ABI) on the labor activity of individuals of working age on their quality of life (QOL) and that of their relatives/caregivers. It involved qualitative (content analysis) and quantitative (descriptive) research. Forty-eight individuals with ABI and 27 relative...

    journal_title:Ciencia & saude coletiva

    pub_type: 杂志文章

    doi:10.1590/1413-812320152110.19162016

    authors: Ponte AS,Fedosse E

    更新日期:2016-10-01 00:00:00

  • Levels, factors and interventions of preschool children physical activity: a systematic review.

    abstract::The goal of this study was to complete a systematic review of research on the occurrence the levels of physical activity (PA), forms of intervention and factors associated with this practice among preschool children. Studies published in the period between 2006 and 2016 were investigated, using the PubMed and SPORTDis...

    journal_title:Ciencia & saude coletiva

    pub_type: 杂志文章

    doi:10.1590/1413-812320202512.14332018

    authors: Coelho VAC,Tolocka RE

    更新日期:2020-12-01 00:00:00

  • [Morbidity and mortality of young Brazilian men due to aggression: expression of gender differentials].

    abstract::Mortality, hospitalization and emergency attendance visits for assault in Brazil, from 1996 to 2007 were analyzed. The data sources are the Mortality Information System/SIM, the Hospital Information System/SIH and the Surveillance System of Violence and Injuries/VIVA of the Ministry of Health. It was focused on males ...

    journal_title:Ciencia & saude coletiva

    pub_type: 杂志文章

    doi:10.1590/s1413-81232012001200009

    authors: de Souza ER,Gomes R,Guimarães e Silva J,Correia BS,da Silva MM

    更新日期:2012-12-01 00:00:00

  • [The transcultural adaptation of the Body-Related Self-Conscious Emotions Fitness Instrument (BSE-FIT) to Brazilian Portuguese].

    abstract::The scope of this study was to conduct a transcultural adaptation of the Body-Related Self-Conscious Emotions Fitness Instrument (BSE-FIT) to Brazilian Portuguese. The adaptation process involved the following steps: translation of the BSE-FIT to Brazilian Portuguese; evaluation by the Committee of Judges; back-transl...

    journal_title:Ciencia & saude coletiva

    pub_type: 杂志文章

    doi:10.1590/1413-812320182410.25582017

    authors: Santos VS,Carleto CT,Haas VJ,Castonguay AL,Pedrosa LAK

    更新日期:2019-09-26 00:00:00

  • [Personal and social factors that influence subjective well-being: socioeconomic differences].

    abstract::The main objective is to study the relation and impact of Socioeconomic Status (SES) on the subjective well-being in children and adolescents and the role of social and personal factors in this relation. Data was collected in 16 schools; 8 in the North and 8 in the Lisbon Region of Portugal. The questionnaires were fi...

    journal_title:Ciencia & saude coletiva

    pub_type: 杂志文章

    doi:10.1590/1413-81232017224.07652015

    authors: Gaspar T,Balancho L

    更新日期:2017-04-01 00:00:00