Theory and practice regarding participation in the Brazilian National Regulatory Agency for Private Health Insurance and Plans

Detalhes bibliográficos
Autor(a) principal: Trettel, Daniela Batalha
Data de Publicação: 2015
Outros Autores: Leão, Lidiane Nascimento
Tipo de documento: Artigo
Idioma: por
Título da fonte: Revista de Direito Sanitário (Online)
Texto Completo: https://www.revistas.usp.br/rdisan/article/view/97329
Resumo: Starting with the premise that Brazilian national public health systems (SUS) and private healthcare system are inter-related institutions, this study experiments with participatory models in the regulation of healthcare plans by Brazilian National Regulatory Agency for Private Health Insurance and Plans (ANS). First, from a theoretical perspective, the legislation and documentation on the subject is analyzed. Next, from a practical perspective, that is analytical and opinionated in style, the focus turns to the 2011-2012 Regulatory Agenda exam and the participation in health plan implementation of the users’ representatives, especially concerning consumer rights organizations. In this analysis, the agency’s website was consulted to obtain information on the mechanisms of participation used during the discussions on the agenda, meeting minutes, attendance lists, etc. The research period ended in June 2012. Among other conclusions, it is clear that the influence possessed by the representatives of health plan users in the agency is still limited. Finally, suggestions are presented for increasing participation in the ANS.
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spelling Theory and practice regarding participation in the Brazilian National Regulatory Agency for Private Health Insurance and PlansTeoria e prática da participação na Agência Nacional de Saúde SuplementarAgência ReguladoraAgência Nacional de Saúde SuplementarParticipaçãoPlanos de Saúde.Regulatory AgencyBrazilian National Regulatory Agency for Private Health Insurance and PlansParticipationHealth Plans.Starting with the premise that Brazilian national public health systems (SUS) and private healthcare system are inter-related institutions, this study experiments with participatory models in the regulation of healthcare plans by Brazilian National Regulatory Agency for Private Health Insurance and Plans (ANS). First, from a theoretical perspective, the legislation and documentation on the subject is analyzed. Next, from a practical perspective, that is analytical and opinionated in style, the focus turns to the 2011-2012 Regulatory Agenda exam and the participation in health plan implementation of the users’ representatives, especially concerning consumer rights organizations. In this analysis, the agency’s website was consulted to obtain information on the mechanisms of participation used during the discussions on the agenda, meeting minutes, attendance lists, etc. The research period ended in June 2012. Among other conclusions, it is clear that the influence possessed by the representatives of health plan users in the agency is still limited. Finally, suggestions are presented for increasing participation in the ANS.Partindo da premissa de que SUS e saúde privada são realidades que se inter-relacionam, este artigo trata da experimentação de modelos participativos na regulação dos planos de saúde pela Agência Nacional de Saúde Suplementar (ANS). Primeiramente, no campo teórico, analisou-se bibliografia e legislação referentes ao tema. Na segunda parte do trabalho, de caráter prático, analítico e opinativo, focou-se no exame da Agenda Regulatória 2011-2012 e da participação dos representantes dos usuários de planos de saúde em sua implantação – em especial das organizações de defesa do consumidor. Para tanto, foram consultadas no site da agência informações sobre mecanismos de participação utilizados na discussão da agenda, atas de reuniões, listas de presença etc. O período de pesquisa se encerra em junho de 20122. Evidenciou-se, entre outras conclusões, que a capacidade de incidência dos representantes de usuários de planos de saúde na agência ainda é pequena. Por fim, apresentaram-se sugestões para o aprimoramento da participação na ANS.Universidade de São Paulo. Núcleo de Pesquisa em Direito Sanitário. Centro de Estudos e Pesquisas de Direito Sanitário2015-04-14info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionPeer-reviewed ArticleAVALIADOS PELOS PARESapplication/pdfhttps://www.revistas.usp.br/rdisan/article/view/9732910.11606/issn.2316-9044.v15i3p91-121Revista de Direito Sanitário; v. 15 n. 3 (2014); 91-121Journal of Health Law; Vol. 15 No. 3 (2014); 91-121Revista de Direito Sanitário; Vol. 15 Núm. 3 (2014); 91-1212316-9044reponame:Revista de Direito Sanitário (Online)instname:Universidade de São Paulo (USP)instacron:USPporhttps://www.revistas.usp.br/rdisan/article/view/97329/96341Copyright (c) 2015 Revista de Direito Sanitárioinfo:eu-repo/semantics/openAccessTrettel, Daniela BatalhaLeão, Lidiane Nascimento2020-09-29T15:59:10Zoai:revistas.usp.br:article/97329Revistahttps://www.revistas.usp.br/rdisanPUBhttp://www.revistas.usp.br/rdisan/oaisdallari@usp.br||revdisan@usp.br2316-90441516-4179opendoar:2020-09-29T15:59:10Revista de Direito Sanitário (Online) - Universidade de São Paulo (USP)false
dc.title.none.fl_str_mv Theory and practice regarding participation in the Brazilian National Regulatory Agency for Private Health Insurance and Plans
Teoria e prática da participação na Agência Nacional de Saúde Suplementar
title Theory and practice regarding participation in the Brazilian National Regulatory Agency for Private Health Insurance and Plans
spellingShingle Theory and practice regarding participation in the Brazilian National Regulatory Agency for Private Health Insurance and Plans
Trettel, Daniela Batalha
Agência Reguladora
Agência Nacional de Saúde Suplementar
Participação
Planos de Saúde.
Regulatory Agency
Brazilian National Regulatory Agency for Private Health Insurance and Plans
Participation
Health Plans.
title_short Theory and practice regarding participation in the Brazilian National Regulatory Agency for Private Health Insurance and Plans
title_full Theory and practice regarding participation in the Brazilian National Regulatory Agency for Private Health Insurance and Plans
title_fullStr Theory and practice regarding participation in the Brazilian National Regulatory Agency for Private Health Insurance and Plans
title_full_unstemmed Theory and practice regarding participation in the Brazilian National Regulatory Agency for Private Health Insurance and Plans
title_sort Theory and practice regarding participation in the Brazilian National Regulatory Agency for Private Health Insurance and Plans
author Trettel, Daniela Batalha
author_facet Trettel, Daniela Batalha
Leão, Lidiane Nascimento
author_role author
author2 Leão, Lidiane Nascimento
author2_role author
dc.contributor.author.fl_str_mv Trettel, Daniela Batalha
Leão, Lidiane Nascimento
dc.subject.por.fl_str_mv Agência Reguladora
Agência Nacional de Saúde Suplementar
Participação
Planos de Saúde.
Regulatory Agency
Brazilian National Regulatory Agency for Private Health Insurance and Plans
Participation
Health Plans.
topic Agência Reguladora
Agência Nacional de Saúde Suplementar
Participação
Planos de Saúde.
Regulatory Agency
Brazilian National Regulatory Agency for Private Health Insurance and Plans
Participation
Health Plans.
description Starting with the premise that Brazilian national public health systems (SUS) and private healthcare system are inter-related institutions, this study experiments with participatory models in the regulation of healthcare plans by Brazilian National Regulatory Agency for Private Health Insurance and Plans (ANS). First, from a theoretical perspective, the legislation and documentation on the subject is analyzed. Next, from a practical perspective, that is analytical and opinionated in style, the focus turns to the 2011-2012 Regulatory Agenda exam and the participation in health plan implementation of the users’ representatives, especially concerning consumer rights organizations. In this analysis, the agency’s website was consulted to obtain information on the mechanisms of participation used during the discussions on the agenda, meeting minutes, attendance lists, etc. The research period ended in June 2012. Among other conclusions, it is clear that the influence possessed by the representatives of health plan users in the agency is still limited. Finally, suggestions are presented for increasing participation in the ANS.
publishDate 2015
dc.date.none.fl_str_mv 2015-04-14
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-reviewed Article
AVALIADOS PELOS PARES
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://www.revistas.usp.br/rdisan/article/view/97329
10.11606/issn.2316-9044.v15i3p91-121
url https://www.revistas.usp.br/rdisan/article/view/97329
identifier_str_mv 10.11606/issn.2316-9044.v15i3p91-121
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://www.revistas.usp.br/rdisan/article/view/97329/96341
dc.rights.driver.fl_str_mv Copyright (c) 2015 Revista de Direito Sanitário
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2015 Revista de Direito Sanitário
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Universidade de São Paulo. Núcleo de Pesquisa em Direito Sanitário. Centro de Estudos e Pesquisas de Direito Sanitário
publisher.none.fl_str_mv Universidade de São Paulo. Núcleo de Pesquisa em Direito Sanitário. Centro de Estudos e Pesquisas de Direito Sanitário
dc.source.none.fl_str_mv Revista de Direito Sanitário; v. 15 n. 3 (2014); 91-121
Journal of Health Law; Vol. 15 No. 3 (2014); 91-121
Revista de Direito Sanitário; Vol. 15 Núm. 3 (2014); 91-121
2316-9044
reponame:Revista de Direito Sanitário (Online)
instname:Universidade de São Paulo (USP)
instacron:USP
instname_str Universidade de São Paulo (USP)
instacron_str USP
institution USP
reponame_str Revista de Direito Sanitário (Online)
collection Revista de Direito Sanitário (Online)
repository.name.fl_str_mv Revista de Direito Sanitário (Online) - Universidade de São Paulo (USP)
repository.mail.fl_str_mv sdallari@usp.br||revdisan@usp.br
_version_ 1787713913632063488

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