Foreign capital and structural change in the Brazilian private health services market

Detalhes bibliográficos
Autor(a) principal: Duvaresch Kamia, Felipe
Data de Publicação: 2023
Outros Autores: Antonio Vargas, Marco
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/8374
Resumo: This article analyzes the process of structural transformation within the Brazilian private health services market since the 2000s, with emphasis on the growing participation of financial funds and foreign capital in the process of expansion and consolidation of the sector. The analysis of the movement of foreign capital into health services and plans in Brazil was developed from the construction of a database with a total of 297 equity operations involving companies with activities in health services, including companies operating health plans and insurance and companies administering health benefits. The analysis of these operations shows that the influx of foreign capital was fundamental to enable the centralization of capital in certain companies and catalyze the process of concentration and structural transformation of the health services sector over the last two decades. We concluded that the intensification of the intercapitalist dispute within the health services market led to the emergence of large corporations and new business models, with special emphasis on the emergence of verticalized care networks (operation of plans, hospital services, outpatient services, diagnosis and treatment, and primary care).
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spelling Foreign capital and structural change in the Brazilian private health services marketCapital extranjero y cambio estructural en el mercado privado de servicios de salud brasileñoCapital estrangeiro e mudança estrutural no mercado privado de serviços de saúde brasileiroSistemas de Saúde; Instituições de Saúde; Complexo Econômico-Industrial da Saúde; Economia da Saúde; Financiamento de CapitalSistemas de Salud; Instituciones de Salud; Complejo Económico-Industrial de la Salud; Economía de la Salud; Financiación del CapitalHealth Systems; Health Facilities; Health Economic-Industrial Complex; Health Economics; Capital FinancingThis article analyzes the process of structural transformation within the Brazilian private health services market since the 2000s, with emphasis on the growing participation of financial funds and foreign capital in the process of expansion and consolidation of the sector. The analysis of the movement of foreign capital into health services and plans in Brazil was developed from the construction of a database with a total of 297 equity operations involving companies with activities in health services, including companies operating health plans and insurance and companies administering health benefits. The analysis of these operations shows that the influx of foreign capital was fundamental to enable the centralization of capital in certain companies and catalyze the process of concentration and structural transformation of the health services sector over the last two decades. We concluded that the intensification of the intercapitalist dispute within the health services market led to the emergence of large corporations and new business models, with special emphasis on the emergence of verticalized care networks (operation of plans, hospital services, outpatient services, diagnosis and treatment, and primary care).Este artículo analiza el proceso de transformación estructural en el mercado privado de servicios de salud brasileño, a partir de los años 2000, con énfasis en la creciente participación de fondos financieros y del capital extranjero en el proceso de expansión y consolidación del sector. El análisis del movimiento de ingreso del capital extranjero en los servicios y planes de salud en Brasil fue desarrollado a partir de la construcción de una base datos con un total de 297 operaciones de capital de empresas con actividades en servicios de salud; inclusive las empresas operadoras de planes y seguros de salud y las empresas administradoras de beneficios en salud. El análisis de esas operaciones muestra que la entrada de capital extranjero fue fundamental para viabilizar la centralización de capital en determinadas empresas y catalizar el proceso de concentración y transformación estructural del sector de servicios de salud a lo largo de las últimas dos décadas. La conclusión que el recrudecimiento de la disputa intercapitalista dentro del mercado de servicios de salud llevó a la emergencia de grandes corporaciones en el mercado y nuevos modelos de negocio, con destaque especial para surgimiento de redes verticalizadas de atención (operación de planes, servicios hospitalarios, ambulatorios, de diagnóstico y tratamiento y de atención básica).Este artigo analisa o processo de transformação estrutural no mercado privado de serviços de saúde brasileiro a partir dos anos 2000, com ênfase na crescente participação de fundos financeiros e do capital estrangeiro no processo de expansão e consolidação do setor. A análise do movimento de ingresso do capital estrangeiro nos serviços e planos de saúde no Brasil foi desenvolvida a partir da construção de uma base dados com um total de 297 operações patrimoniais envolvendo empresas com atividades em serviços de saúde, inclusive operadoras de planos e seguros de saúde e administradoras de benefícios em saúde. A análise dessas operações evidencia que o afluxo de capital estrangeiro foi fundamental para viabilizar a centralização de capital em determinadas empresas e catalisar o processo de concentração e transformação estrutural do setor de serviços de saúde ao longo das últimas duas décadas. Conclui-se que o acirramento da disputa intercapitalista no mercado de serviços de saúde levou à emergência de grandes corporações no mercado e a novos modelos de negócio, com destaque especial para o surgimento de redes verticalizadas de atendimento (operação de planos, serviços hospitalares, ambulatoriais, de diagnóstico e tratamento e de atenção básica).Reports in Public HealthCadernos de Saúde Pública2023-09-19info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/xmlapplication/pdfhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/8374Reports in Public Health; Vol. 39 No. 9 (2023): SeptemberCadernos de Saúde Pública; v. 39 n. 9 (2023): Setembro1678-44640102-311Xreponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZporhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/8374/18690https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/8374/18691Copyright (c) 2023 Cadernos de Saúde Públicainfo:eu-repo/semantics/openAccessDuvaresch Kamia, FelipeAntonio Vargas, Marco2023-09-19T17:58:42Zoai:ojs.teste-cadernos.ensp.fiocruz.br:article/8374Revistahttps://cadernos.ensp.fiocruz.br/ojs/index.php/csphttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/oaicadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br1678-44640102-311Xopendoar:2024-03-06T13:09:33.562132Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)true
dc.title.none.fl_str_mv Foreign capital and structural change in the Brazilian private health services market
Capital extranjero y cambio estructural en el mercado privado de servicios de salud brasileño
Capital estrangeiro e mudança estrutural no mercado privado de serviços de saúde brasileiro
title Foreign capital and structural change in the Brazilian private health services market
spellingShingle Foreign capital and structural change in the Brazilian private health services market
Duvaresch Kamia, Felipe
Sistemas de Saúde; Instituições de Saúde; Complexo Econômico-Industrial da Saúde; Economia da Saúde; Financiamento de Capital
Sistemas de Salud; Instituciones de Salud; Complejo Económico-Industrial de la Salud; Economía de la Salud; Financiación del Capital
Health Systems; Health Facilities; Health Economic-Industrial Complex; Health Economics; Capital Financing
title_short Foreign capital and structural change in the Brazilian private health services market
title_full Foreign capital and structural change in the Brazilian private health services market
title_fullStr Foreign capital and structural change in the Brazilian private health services market
title_full_unstemmed Foreign capital and structural change in the Brazilian private health services market
title_sort Foreign capital and structural change in the Brazilian private health services market
author Duvaresch Kamia, Felipe
author_facet Duvaresch Kamia, Felipe
Antonio Vargas, Marco
author_role author
author2 Antonio Vargas, Marco
author2_role author
dc.contributor.author.fl_str_mv Duvaresch Kamia, Felipe
Antonio Vargas, Marco
dc.subject.por.fl_str_mv Sistemas de Saúde; Instituições de Saúde; Complexo Econômico-Industrial da Saúde; Economia da Saúde; Financiamento de Capital
Sistemas de Salud; Instituciones de Salud; Complejo Económico-Industrial de la Salud; Economía de la Salud; Financiación del Capital
Health Systems; Health Facilities; Health Economic-Industrial Complex; Health Economics; Capital Financing
topic Sistemas de Saúde; Instituições de Saúde; Complexo Econômico-Industrial da Saúde; Economia da Saúde; Financiamento de Capital
Sistemas de Salud; Instituciones de Salud; Complejo Económico-Industrial de la Salud; Economía de la Salud; Financiación del Capital
Health Systems; Health Facilities; Health Economic-Industrial Complex; Health Economics; Capital Financing
description This article analyzes the process of structural transformation within the Brazilian private health services market since the 2000s, with emphasis on the growing participation of financial funds and foreign capital in the process of expansion and consolidation of the sector. The analysis of the movement of foreign capital into health services and plans in Brazil was developed from the construction of a database with a total of 297 equity operations involving companies with activities in health services, including companies operating health plans and insurance and companies administering health benefits. The analysis of these operations shows that the influx of foreign capital was fundamental to enable the centralization of capital in certain companies and catalyze the process of concentration and structural transformation of the health services sector over the last two decades. We concluded that the intensification of the intercapitalist dispute within the health services market led to the emergence of large corporations and new business models, with special emphasis on the emergence of verticalized care networks (operation of plans, hospital services, outpatient services, diagnosis and treatment, and primary care).
publishDate 2023
dc.date.none.fl_str_mv 2023-09-19
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status_str publishedVersion
dc.identifier.uri.fl_str_mv https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/8374
url https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/8374
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/8374/18690
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/8374/18691
dc.rights.driver.fl_str_mv Copyright (c) 2023 Cadernos de Saúde Pública
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2023 Cadernos de Saúde Pública
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/xml
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dc.publisher.none.fl_str_mv Reports in Public Health
Cadernos de Saúde Pública
publisher.none.fl_str_mv Reports in Public Health
Cadernos de Saúde Pública
dc.source.none.fl_str_mv Reports in Public Health; Vol. 39 No. 9 (2023): September
Cadernos de Saúde Pública; v. 39 n. 9 (2023): Setembro
1678-4464
0102-311X
reponame:Cadernos de Saúde Pública
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
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instacron_str FIOCRUZ
institution FIOCRUZ
reponame_str Cadernos de Saúde Pública
collection Cadernos de Saúde Pública
repository.name.fl_str_mv Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)
repository.mail.fl_str_mv cadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br
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