COST HEALTH PLAN OPERATORS MANAGEMENT:CASE STUDY.

Detalhes bibliográficos
Autor(a) principal: Ana Virginia Feitosa Martins
Data de Publicação: 2009
Tipo de documento: Dissertação
Idioma: por
Título da fonte: Biblioteca Digital de Teses e Dissertações da UFC
Texto Completo: http://www.teses.ufc.br/tde_busca/arquivo.php?codArquivo=16661
Resumo: The public health service in Brazil provides a poor and not effective service for the people, which in many cases, opting for private health plans. The sector is regulated by the National Agency of Health imposing rigid rules for the operation of operators, increasing the demands on the number of procedures required by the plans, but the adjustments of monthly, when released, did not accompany the growth in costs. In order to investigate strategies that could contribute to cost reduction in operating health plans, maintaining or even improving the quality of services within a qualitative methodology of study of single cases, the data collection instrument and semi -structured, in addition to the literature and documents. The analysis of indicators of the study showed that the main strategies for reducing the costs of operators are using the tertiary preventive medicine, called Home care and the coparcenary users with value added to the tuition when using examinations and consultations. It can be concluded that the analysis of strategies applied to operators of health plans, with positive results.
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network_name_str Biblioteca Digital de Teses e Dissertações da UFC
spelling info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisCOST HEALTH PLAN OPERATORS MANAGEMENT:CASE STUDY.GESTÃO DE CUSTOS EM OPERADORAS DE PLANO DE SAÃDE: ESTUDO DE CASO2009-03-17Maria da GlÃria Arrais Peter07322780310http://lattes.cnpq.br/1238110848150688Marcus Vinicius Veras Machado22938419368Ana Maria Fontenelle Catrib14576406353http://lattes.cnpq.br/9948525011531885 75457636372ttp://lattes.cnpq.br/7030367647191165Ana Virginia Feitosa MartinsUniversidade Federal do CearÃPrograma de PÃs-GraduaÃÃo em AdministraÃÃo e ControladoriaUFCBREstratÃgia, ReduÃÃo de Custos, Planos de SaÃde.Strategy, Costs Reducing, Health PlansADMINISTRACAOThe public health service in Brazil provides a poor and not effective service for the people, which in many cases, opting for private health plans. The sector is regulated by the National Agency of Health imposing rigid rules for the operation of operators, increasing the demands on the number of procedures required by the plans, but the adjustments of monthly, when released, did not accompany the growth in costs. In order to investigate strategies that could contribute to cost reduction in operating health plans, maintaining or even improving the quality of services within a qualitative methodology of study of single cases, the data collection instrument and semi -structured, in addition to the literature and documents. The analysis of indicators of the study showed that the main strategies for reducing the costs of operators are using the tertiary preventive medicine, called Home care and the coparcenary users with value added to the tuition when using examinations and consultations. It can be concluded that the analysis of strategies applied to operators of health plans, with positive results.O serviÃo pÃblico de saÃde do Brasil fornece um atendimento precÃrio e nÃo eficaz à populaÃÃo, que, em muitos casos, opta pelos planos privados de saÃde. O setor à regulamentado pela AgÃncia Nacional de SaÃde que impÃe normas rÃgidas para o funcionamento das operadoras, aumentando as exigÃncias quanto ao nÃmero de procedimentos obrigatÃrios pelos planos, mas os reajustes das mensalidades, quando liberados, nÃo acompanham o crescimento dos custos. Com o intuito de investigar que estratÃgias poderÃo contribuir para a reduÃÃo de custos em operadoras de planos de saÃde, mantendo ou mesmo melhorando a qualidade dos serviÃos, dentro de uma metodologia qualitativa de estudo de casos Ãnico, o instrumento de coleta de dados e entrevista semiestruturada, alÃm da pesquisa bibliogrÃfica e documental. A anÃlise dos indicadores do estudo aponta que as estratÃgias principais para a reduÃÃo de custos das operadoras sÃo a utilizaÃÃo da Medicina preventiva terciÃria, denominada Home care, bem como a coparticipaÃÃo dos usuÃrios, com valores somados Ãs mensalidades, quando utilizam exames e consultas. Pode-se concluir que a anÃlise das estratÃgias aplicadas a operadoras de planos de saÃde, com resultados positivos, à um importante instrumento gerencial.http://www.teses.ufc.br/tde_busca/arquivo.php?codArquivo=16661application/pdfinfo:eu-repo/semantics/openAccessporreponame:Biblioteca Digital de Teses e Dissertações da UFCinstname:Universidade Federal do Cearáinstacron:UFC2019-01-21T11:30:08Zmail@mail.com -
dc.title.en.fl_str_mv COST HEALTH PLAN OPERATORS MANAGEMENT:CASE STUDY.
dc.title.alternative.pt.fl_str_mv GESTÃO DE CUSTOS EM OPERADORAS DE PLANO DE SAÃDE: ESTUDO DE CASO
title COST HEALTH PLAN OPERATORS MANAGEMENT:CASE STUDY.
spellingShingle COST HEALTH PLAN OPERATORS MANAGEMENT:CASE STUDY.
Ana Virginia Feitosa Martins
EstratÃgia, ReduÃÃo de Custos, Planos de SaÃde.
Strategy, Costs Reducing, Health Plans
ADMINISTRACAO
title_short COST HEALTH PLAN OPERATORS MANAGEMENT:CASE STUDY.
title_full COST HEALTH PLAN OPERATORS MANAGEMENT:CASE STUDY.
title_fullStr COST HEALTH PLAN OPERATORS MANAGEMENT:CASE STUDY.
title_full_unstemmed COST HEALTH PLAN OPERATORS MANAGEMENT:CASE STUDY.
title_sort COST HEALTH PLAN OPERATORS MANAGEMENT:CASE STUDY.
author Ana Virginia Feitosa Martins
author_facet Ana Virginia Feitosa Martins
author_role author
dc.contributor.advisor1.fl_str_mv Maria da GlÃria Arrais Peter
dc.contributor.advisor1ID.fl_str_mv 07322780310
dc.contributor.advisor1Lattes.fl_str_mv http://lattes.cnpq.br/1238110848150688
dc.contributor.referee1.fl_str_mv Marcus Vinicius Veras Machado
dc.contributor.referee1ID.fl_str_mv 22938419368
dc.contributor.referee2.fl_str_mv Ana Maria Fontenelle Catrib
dc.contributor.referee2ID.fl_str_mv 14576406353
dc.contributor.referee2Lattes.fl_str_mv http://lattes.cnpq.br/9948525011531885
dc.contributor.authorID.fl_str_mv 75457636372
dc.contributor.authorLattes.fl_str_mv ttp://lattes.cnpq.br/7030367647191165
dc.contributor.author.fl_str_mv Ana Virginia Feitosa Martins
contributor_str_mv Maria da GlÃria Arrais Peter
Marcus Vinicius Veras Machado
Ana Maria Fontenelle Catrib
dc.subject.por.fl_str_mv EstratÃgia, ReduÃÃo de Custos, Planos de SaÃde.
topic EstratÃgia, ReduÃÃo de Custos, Planos de SaÃde.
Strategy, Costs Reducing, Health Plans
ADMINISTRACAO
dc.subject.eng.fl_str_mv Strategy, Costs Reducing, Health Plans
dc.subject.cnpq.fl_str_mv ADMINISTRACAO
dc.description.abstract.por.fl_txt_mv The public health service in Brazil provides a poor and not effective service for the people, which in many cases, opting for private health plans. The sector is regulated by the National Agency of Health imposing rigid rules for the operation of operators, increasing the demands on the number of procedures required by the plans, but the adjustments of monthly, when released, did not accompany the growth in costs. In order to investigate strategies that could contribute to cost reduction in operating health plans, maintaining or even improving the quality of services within a qualitative methodology of study of single cases, the data collection instrument and semi -structured, in addition to the literature and documents. The analysis of indicators of the study showed that the main strategies for reducing the costs of operators are using the tertiary preventive medicine, called Home care and the coparcenary users with value added to the tuition when using examinations and consultations. It can be concluded that the analysis of strategies applied to operators of health plans, with positive results.
O serviÃo pÃblico de saÃde do Brasil fornece um atendimento precÃrio e nÃo eficaz à populaÃÃo, que, em muitos casos, opta pelos planos privados de saÃde. O setor à regulamentado pela AgÃncia Nacional de SaÃde que impÃe normas rÃgidas para o funcionamento das operadoras, aumentando as exigÃncias quanto ao nÃmero de procedimentos obrigatÃrios pelos planos, mas os reajustes das mensalidades, quando liberados, nÃo acompanham o crescimento dos custos. Com o intuito de investigar que estratÃgias poderÃo contribuir para a reduÃÃo de custos em operadoras de planos de saÃde, mantendo ou mesmo melhorando a qualidade dos serviÃos, dentro de uma metodologia qualitativa de estudo de casos Ãnico, o instrumento de coleta de dados e entrevista semiestruturada, alÃm da pesquisa bibliogrÃfica e documental. A anÃlise dos indicadores do estudo aponta que as estratÃgias principais para a reduÃÃo de custos das operadoras sÃo a utilizaÃÃo da Medicina preventiva terciÃria, denominada Home care, bem como a coparticipaÃÃo dos usuÃrios, com valores somados Ãs mensalidades, quando utilizam exames e consultas. Pode-se concluir que a anÃlise das estratÃgias aplicadas a operadoras de planos de saÃde, com resultados positivos, à um importante instrumento gerencial.
description The public health service in Brazil provides a poor and not effective service for the people, which in many cases, opting for private health plans. The sector is regulated by the National Agency of Health imposing rigid rules for the operation of operators, increasing the demands on the number of procedures required by the plans, but the adjustments of monthly, when released, did not accompany the growth in costs. In order to investigate strategies that could contribute to cost reduction in operating health plans, maintaining or even improving the quality of services within a qualitative methodology of study of single cases, the data collection instrument and semi -structured, in addition to the literature and documents. The analysis of indicators of the study showed that the main strategies for reducing the costs of operators are using the tertiary preventive medicine, called Home care and the coparcenary users with value added to the tuition when using examinations and consultations. It can be concluded that the analysis of strategies applied to operators of health plans, with positive results.
publishDate 2009
dc.date.issued.fl_str_mv 2009-03-17
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/masterThesis
status_str publishedVersion
format masterThesis
dc.identifier.uri.fl_str_mv http://www.teses.ufc.br/tde_busca/arquivo.php?codArquivo=16661
url http://www.teses.ufc.br/tde_busca/arquivo.php?codArquivo=16661
dc.language.iso.fl_str_mv por
language por
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Universidade Federal do CearÃ
dc.publisher.program.fl_str_mv Programa de PÃs-GraduaÃÃo em AdministraÃÃo e Controladoria
dc.publisher.initials.fl_str_mv UFC
dc.publisher.country.fl_str_mv BR
publisher.none.fl_str_mv Universidade Federal do CearÃ
dc.source.none.fl_str_mv reponame:Biblioteca Digital de Teses e Dissertações da UFC
instname:Universidade Federal do Ceará
instacron:UFC
reponame_str Biblioteca Digital de Teses e Dissertações da UFC
collection Biblioteca Digital de Teses e Dissertações da UFC
instname_str Universidade Federal do Ceará
instacron_str UFC
institution UFC
repository.name.fl_str_mv -
repository.mail.fl_str_mv mail@mail.com
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