Public and private supply of beds and access to health care in the COVID-19 pandemic in Brazil
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , , |
Tipo de documento: | preprint |
Idioma: | por |
Título da fonte: | SciELO Preprints |
Texto Completo: | https://preprints.scielo.org/index.php/scielo/preprint/view/1316 |
Resumo: | The COVID-19 pandemic, a global health crisis, has put health systems in several countries in check. In Brazil, patient care has brought about disparities in the offer and access to public and private services and initiatives to preserve healthcare segmentation. The work systematizes information about: beds for hospitalization by COVID-19; patients´ complaints claiming access; and actions to expand the supply of assistance resources involving government proposals and the private sector (health plan companies and hospitals). There was an expansion of hospital beds, but the uneven distribution in the regions of the country has not changed. Nor does it appear to have changed the pattern of coverage control by health insurance companies. A significant portion of the analyzed legal actions refers to the denial of access to private plan clients due to a contractual deficiency, while SUS patients claimed a place in the ICU. Lives were lost due to omissions for effective and qualified protection. Public intensive care units had maximum occupancy, while the private sector accounted for idle beds. The analysis shows barriers to access to beds and resistance to attempts to unify public and private efforts to mitigate lethality by the new coronavirus. |
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Public and private supply of beds and access to health care in the COVID-19 pandemic in BrazilOferta pública e privada de leitos e acesso aos cuidados à saúde na pandemia de COVID-19 no Brasil COVID-19Acesso aos serviços de saúdeSistema Único de Saúde.Planos de pré-pagamento em saúdeDireito à saúde.COVID-19Health services accessibilityUnified Health SystemPrepaid health plansRight to health.The COVID-19 pandemic, a global health crisis, has put health systems in several countries in check. In Brazil, patient care has brought about disparities in the offer and access to public and private services and initiatives to preserve healthcare segmentation. The work systematizes information about: beds for hospitalization by COVID-19; patients´ complaints claiming access; and actions to expand the supply of assistance resources involving government proposals and the private sector (health plan companies and hospitals). There was an expansion of hospital beds, but the uneven distribution in the regions of the country has not changed. Nor does it appear to have changed the pattern of coverage control by health insurance companies. A significant portion of the analyzed legal actions refers to the denial of access to private plan clients due to a contractual deficiency, while SUS patients claimed a place in the ICU. Lives were lost due to omissions for effective and qualified protection. Public intensive care units had maximum occupancy, while the private sector accounted for idle beds. The analysis shows barriers to access to beds and resistance to attempts to unify public and private efforts to mitigate lethality by the new coronavirus.A pandemia de COVID-19, uma crise sanitária global, pôs em xeque sistemas de saúde de diversos países. No Brasil, o atendimento aos pacientes trouxe à tona disparidades na oferta e no acesso a serviços públicos e privados e iniciativas para preservar a segmentação assistencial. O trabalho sistematiza informações sobre: leitos para internação por COVID-19; pleitos de pacientes reivindicando acesso; e ações para ampliar a oferta de recursos assistenciais envolvendo proposições governamentais e setor privado (empresas de planos e hospitais). Houve expansão de leitos hospitalares, mas a distribuição desigual nas regiões do país não foi alterada. Tampouco, parece ter havido mudanças no padrão de controle de coberturas por parte das empresas de planos de saúde. Parcela significativa das ações judiciais analisadas refere-se à negação de acesso de clientes de planos privados por carência contratual, enquanto pacientes do SUS pleitearam vaga em UTI. Vidas foram perdidas em decorrência de omissões para proteção efetiva e qualificada. Unidades públicas de terapia intensiva tiveram ocupação máxima, enquanto o setor privado contabilizou leitos ociosos. A análise evidencia barreiras de acesso a leitos e resistência às tentativas de unificação de esforços públicos e privados para mitigar a letalidade pelo novo coronavírusSciELO PreprintsSciELO PreprintsSciELO Preprints2020-10-09info:eu-repo/semantics/preprintinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://preprints.scielo.org/index.php/scielo/preprint/view/131610.1590/SciELOPreprints.1316porhttps://preprints.scielo.org/index.php/scielo/article/view/1316/2067Copyright (c) 2020 Danielle Conte, Ligia Bahia, Elza Laurentino de Carvalho, Artur Monte Cardoso, Paulo Marcos Souzahttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessConte, Danielle Bahia, Ligia Laurentino de Carvalho, Elza Monte Cardoso, Artur Souza, Paulo Marcos reponame:SciELO Preprintsinstname:SciELOinstacron:SCI2020-10-08T22:57:38Zoai:ops.preprints.scielo.org:preprint/1316Servidor de preprintshttps://preprints.scielo.org/index.php/scieloONGhttps://preprints.scielo.org/index.php/scielo/oaiscielo.submission@scielo.orgopendoar:2020-10-08T22:57:38SciELO Preprints - SciELOfalse |
dc.title.none.fl_str_mv |
Public and private supply of beds and access to health care in the COVID-19 pandemic in Brazil Oferta pública e privada de leitos e acesso aos cuidados à saúde na pandemia de COVID-19 no Brasil |
title |
Public and private supply of beds and access to health care in the COVID-19 pandemic in Brazil |
spellingShingle |
Public and private supply of beds and access to health care in the COVID-19 pandemic in Brazil Conte, Danielle COVID-19 Acesso aos serviços de saúde Sistema Único de Saúde. Planos de pré-pagamento em saúde Direito à saúde. COVID-19 Health services accessibility Unified Health System Prepaid health plans Right to health. |
title_short |
Public and private supply of beds and access to health care in the COVID-19 pandemic in Brazil |
title_full |
Public and private supply of beds and access to health care in the COVID-19 pandemic in Brazil |
title_fullStr |
Public and private supply of beds and access to health care in the COVID-19 pandemic in Brazil |
title_full_unstemmed |
Public and private supply of beds and access to health care in the COVID-19 pandemic in Brazil |
title_sort |
Public and private supply of beds and access to health care in the COVID-19 pandemic in Brazil |
author |
Conte, Danielle |
author_facet |
Conte, Danielle Bahia, Ligia Laurentino de Carvalho, Elza Monte Cardoso, Artur Souza, Paulo Marcos |
author_role |
author |
author2 |
Bahia, Ligia Laurentino de Carvalho, Elza Monte Cardoso, Artur Souza, Paulo Marcos |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Conte, Danielle Bahia, Ligia Laurentino de Carvalho, Elza Monte Cardoso, Artur Souza, Paulo Marcos |
dc.subject.por.fl_str_mv |
COVID-19 Acesso aos serviços de saúde Sistema Único de Saúde. Planos de pré-pagamento em saúde Direito à saúde. COVID-19 Health services accessibility Unified Health System Prepaid health plans Right to health. |
topic |
COVID-19 Acesso aos serviços de saúde Sistema Único de Saúde. Planos de pré-pagamento em saúde Direito à saúde. COVID-19 Health services accessibility Unified Health System Prepaid health plans Right to health. |
description |
The COVID-19 pandemic, a global health crisis, has put health systems in several countries in check. In Brazil, patient care has brought about disparities in the offer and access to public and private services and initiatives to preserve healthcare segmentation. The work systematizes information about: beds for hospitalization by COVID-19; patients´ complaints claiming access; and actions to expand the supply of assistance resources involving government proposals and the private sector (health plan companies and hospitals). There was an expansion of hospital beds, but the uneven distribution in the regions of the country has not changed. Nor does it appear to have changed the pattern of coverage control by health insurance companies. A significant portion of the analyzed legal actions refers to the denial of access to private plan clients due to a contractual deficiency, while SUS patients claimed a place in the ICU. Lives were lost due to omissions for effective and qualified protection. Public intensive care units had maximum occupancy, while the private sector accounted for idle beds. The analysis shows barriers to access to beds and resistance to attempts to unify public and private efforts to mitigate lethality by the new coronavirus. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-10-09 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/preprint info:eu-repo/semantics/publishedVersion |
format |
preprint |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://preprints.scielo.org/index.php/scielo/preprint/view/1316 10.1590/SciELOPreprints.1316 |
url |
https://preprints.scielo.org/index.php/scielo/preprint/view/1316 |
identifier_str_mv |
10.1590/SciELOPreprints.1316 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://preprints.scielo.org/index.php/scielo/article/view/1316/2067 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
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https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
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application/pdf |
dc.publisher.none.fl_str_mv |
SciELO Preprints SciELO Preprints SciELO Preprints |
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SciELO Preprints SciELO Preprints SciELO Preprints |
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