Uma análise das operadoras de planos próprios de saúde dos hospitais filantrópicos no Brasil

• Autor(a) principal: Ugá, Maria Alicia D.
• Data de Publicação: 2008
• Outros Autores: Lima, Sheyla Maria Lemos, Portela, Margareth Crisóstomo, Vasconcellos, Miguel Murat, Barbosa, Pedro Ribeiro, Gerschman, Silvia
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Cadernos de Saúde Pública
• Texto Completo: https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/3768
• topic: Planos de Saúde; Hospitais Filantrópicos; Assistência Hospitalar

This article describes charitable hospitals in Brazil that provide managed care and the health management organizations themselves, considering the level of autonomy by the latter in relation to the hospitals and their degree of management development, based on a nationwide study. A random sample of individual hospitals was drawn from the hospital groups. After refusals and replacements, the final sample consisted of 112 individual hospitals and 10 hospital groups. The charitable hospitals' managed care plans do no operate precisely according to the overall Brazilian health plan market, in which most of the managed care is situated in insurance companies, group medicine, and medical cooperatives. Rather than operating as typical plans, they function "inside the organization or hospital itself", almost always with a limited management infrastructure and with little autonomy in relation to the organizations harboring them. Individual plans were more common than collective products, unlike the rest of the market, which may also result from the limited management capacity of these arrangements.