Analysis of the verticalization of health services: an exploratory study on the supplementary health production system in Brazil

Detalhes bibliográficos
Autor(a) principal: Okano, Marcelo Tsuguio
Data de Publicação: 2020
Outros Autores: Gomes, Jaqueline Geisa Cunha
Tipo de documento: Artigo
Idioma: por
Título da fonte: Research, Society and Development
Texto Completo: https://rsdjournal.org/index.php/rsd/article/view/2151
Resumo: The Health System in Brazil is divided into Public System and Private or Supplementary System. The health system is considered supplementary because it markets health plans and sells services already covered by the public system, called the Universal Health System (SUS), offering some additional elements. In order to answer the research question “Is verticalization feasible when outsourcing health services?” We will use the multiple case study. The research leads us to conclude that verticalization may be more viable due to the outsourcing of health services, once the costs with the own network become lower than the costs with the accredited network. Mainly regarding MatMed and OPME costs, whose percentage difference is 30% for the different networks.
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spelling Analysis of the verticalization of health services: an exploratory study on the supplementary health production system in BrazilAnálisis de la verticalización de los servicios de salud: un estudio exploratorio sobre el sistema complementario de producción de salud en BrasilAnálise da verticalização dos serviços de saúde: estudo exploratório no sistema produtivo da saúde suplementar no BrasilSaúde SuplementarOperadoras de Planos de SaúdeVerticalização.Salud suplementariaOperadores de planes de saludVerticalizaciónSupplemental HealthHealth Plan OperatorsVerticalization.The Health System in Brazil is divided into Public System and Private or Supplementary System. The health system is considered supplementary because it markets health plans and sells services already covered by the public system, called the Universal Health System (SUS), offering some additional elements. In order to answer the research question “Is verticalization feasible when outsourcing health services?” We will use the multiple case study. The research leads us to conclude that verticalization may be more viable due to the outsourcing of health services, once the costs with the own network become lower than the costs with the accredited network. Mainly regarding MatMed and OPME costs, whose percentage difference is 30% for the different networks.El Sistema de Salud en Brasil se divide en Sistema Público y Sistema Privado o Suplementario. El sistema de salud se considera complementario porque comercializa planes de salud y vende servicios ya cubiertos por el sistema público, llamado Sistema Universal de Salud (SUS), que ofrece algunos elementos adicionales. Para responder a la pregunta de investigación "¿Es factible la verticalización cuando se subcontratan los servicios de salud?" Utilizaremos el estudio de caso múltiple. La investigación nos lleva a concluir que la verticalización puede ser más viable debido a la externalización de servicios de salud, una vez que los costos con la propia red se vuelven más bajos que los costos con la red acreditada. Principalmente con respecto a los costos de MatMed y OPME, cuya diferencia porcentual es del 30% para las diferentes redes.O Sistema de Saúde no Brasil está dividido em Sistema Público e Sistema Privado ou Suplementar. O sistema de saúde é considerado suplementar, porque comercializa planos de saúde e vende serviços já cobertos pelo sistema público, denominado Sistema Universal de Saúde (SUS), oferecendo alguns elementos adicionais. Com o objetivo de responder à questão de pesquisa: “É viável a verticalização face a terceirização da prestação de serviços de saúde?” utilizaremos o estudo de casos múltiplos. A pesquisa nos leva a concluir que a verticalização pode ser mais viável face a terceirização da prestação de serviços de saúde, a partir do momento em que os custos com a Rede Própria passam a ser menores que os custos com a Rede Credenciada. Principalmente no que tange os custos com MatMed e OPME, cujo percentual de diferença é de 30% para as diferentes redes.Research, Society and Development2020-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/215110.33448/rsd-v9i2.2151Research, Society and Development; Vol. 9 No. 2; e147922151Research, Society and Development; Vol. 9 Núm. 2; e147922151Research, Society and Development; v. 9 n. 2; e1479221512525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIporhttps://rsdjournal.org/index.php/rsd/article/view/2151/1787Copyright (c) 2020 Marcelo T Okano, Jaqueline Geisa Gomesinfo:eu-repo/semantics/openAccessOkano, Marcelo TsuguioGomes, Jaqueline Geisa Cunha2020-08-20T18:08:48Zoai:ojs.pkp.sfu.ca:article/2151Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:26:54.412337Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false
dc.title.none.fl_str_mv Analysis of the verticalization of health services: an exploratory study on the supplementary health production system in Brazil
Análisis de la verticalización de los servicios de salud: un estudio exploratorio sobre el sistema complementario de producción de salud en Brasil
Análise da verticalização dos serviços de saúde: estudo exploratório no sistema produtivo da saúde suplementar no Brasil
title Analysis of the verticalization of health services: an exploratory study on the supplementary health production system in Brazil
spellingShingle Analysis of the verticalization of health services: an exploratory study on the supplementary health production system in Brazil
Okano, Marcelo Tsuguio
Saúde Suplementar
Operadoras de Planos de Saúde
Verticalização.
Salud suplementaria
Operadores de planes de salud
Verticalización
Supplemental Health
Health Plan Operators
Verticalization.
title_short Analysis of the verticalization of health services: an exploratory study on the supplementary health production system in Brazil
title_full Analysis of the verticalization of health services: an exploratory study on the supplementary health production system in Brazil
title_fullStr Analysis of the verticalization of health services: an exploratory study on the supplementary health production system in Brazil
title_full_unstemmed Analysis of the verticalization of health services: an exploratory study on the supplementary health production system in Brazil
title_sort Analysis of the verticalization of health services: an exploratory study on the supplementary health production system in Brazil
author Okano, Marcelo Tsuguio
author_facet Okano, Marcelo Tsuguio
Gomes, Jaqueline Geisa Cunha
author_role author
author2 Gomes, Jaqueline Geisa Cunha
author2_role author
dc.contributor.author.fl_str_mv Okano, Marcelo Tsuguio
Gomes, Jaqueline Geisa Cunha
dc.subject.por.fl_str_mv Saúde Suplementar
Operadoras de Planos de Saúde
Verticalização.
Salud suplementaria
Operadores de planes de salud
Verticalización
Supplemental Health
Health Plan Operators
Verticalization.
topic Saúde Suplementar
Operadoras de Planos de Saúde
Verticalização.
Salud suplementaria
Operadores de planes de salud
Verticalización
Supplemental Health
Health Plan Operators
Verticalization.
description The Health System in Brazil is divided into Public System and Private or Supplementary System. The health system is considered supplementary because it markets health plans and sells services already covered by the public system, called the Universal Health System (SUS), offering some additional elements. In order to answer the research question “Is verticalization feasible when outsourcing health services?” We will use the multiple case study. The research leads us to conclude that verticalization may be more viable due to the outsourcing of health services, once the costs with the own network become lower than the costs with the accredited network. Mainly regarding MatMed and OPME costs, whose percentage difference is 30% for the different networks.
publishDate 2020
dc.date.none.fl_str_mv 2020-01-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://rsdjournal.org/index.php/rsd/article/view/2151
10.33448/rsd-v9i2.2151
url https://rsdjournal.org/index.php/rsd/article/view/2151
identifier_str_mv 10.33448/rsd-v9i2.2151
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://rsdjournal.org/index.php/rsd/article/view/2151/1787
dc.rights.driver.fl_str_mv Copyright (c) 2020 Marcelo T Okano, Jaqueline Geisa Gomes
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2020 Marcelo T Okano, Jaqueline Geisa Gomes
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Research, Society and Development
publisher.none.fl_str_mv Research, Society and Development
dc.source.none.fl_str_mv Research, Society and Development; Vol. 9 No. 2; e147922151
Research, Society and Development; Vol. 9 Núm. 2; e147922151
Research, Society and Development; v. 9 n. 2; e147922151
2525-3409
reponame:Research, Society and Development
instname:Universidade Federal de Itajubá (UNIFEI)
instacron:UNIFEI
instname_str Universidade Federal de Itajubá (UNIFEI)
instacron_str UNIFEI
institution UNIFEI
reponame_str Research, Society and Development
collection Research, Society and Development
repository.name.fl_str_mv Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)
repository.mail.fl_str_mv rsd.articles@gmail.com
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