Análise do impacto econômico-assistencial de duas abordagens para redução de custos em um plano odontológico de autogestão

• Autor(a) principal: Costa Filho, Luiz Cesar da
• Data de Publicação: 2008
• Outros Autores: Duncan, Bruce Bartholow, Polanczyk, Carisi Anne, Sória, Marina Lara, Habekost, Ana Paula, Costa, Carolina Covolo da
• 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/3830
• topic: Planejamento em Saúde; Redução de Custos; Seguro Odontológico; Saúde Bucal

The present study evaluated the dental care plan offered to 4,000 employees of a private hospital and their respective families. The analysis covered three stages: (1) baseline (control), when dental care was provided by an outsourced company with a network of dentists paid for services, (2) a renegotiation of costs with the original dental care provider, and (3) provision of dental care by the hospital itself, through directly hired dentists on regular salaries. Monthly economic and clinical data were collected for this research. The dental plan renegotiation reduced costs by 37% in relation to baseline, and the hospital's own dental service reduced costs by 50%. Renegotiation led to a 31% reduction in clinical procedures, without altering the dental care profile; the hospital's own dental service did not reduce the total number of clinical procedures, but modified the profile of dental care, since procedures related to the causes of diseases increased and surgical/restorative procedures decreased.