Evolução dos Custos Médico-Hospitalares de Planos Privados de Assistência à Saúde no Brasil

Avelar, Aline Bento Ambrósio; Silva, Antonio Sergio da; Fouto, Nuno Manoel Martins Dias

doi:10.5585/rgss.v7i1.381

Cited by 2 publications

(2 citation statements)

References 9 publications

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“…It is estimated that ~75% of the Brazilian population relies solely on the public healthcare system, whereas the remaining 25% have access to private health insurance [ 7 ]. Notably, important issues commonly observed in Brazilian public hospitals (e.g., lack of hospital beds and/or minimal resources to ensure adequate patient management) are generally not observed in the private sector, although financial sustainability of the private system has been a subject of debate due to the ever-growing healthcare costs [ 8 ]. Nevertheless, given the significant differences between the Brazilian public and private health systems, any attempt at analysing the impact of the pandemic on the national surgical volume will remain incomplete without a thorough assessment of the private healthcare system.…”

Section: Introductionmentioning

confidence: 99%

Impact of COVID-19 pandemic on surgical activity in the Brazilian private healthcare system

Degani Costa,

Yepes Pereira,

Queiros Castro

et al. 2023

PLoS ONE

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Introduction Surgical volume was drastically reduced in many countries due to challenges imposed by the COVID-19 pandemic. Objectives We sought to estimate the number of cancelled surgical and diagnostic procedures within the Brazilian private healthcare system between 2020 and 2021 over the course of the COVID-19 pandemic, and to project the procedural backlog generated for specific elective and time-sensitive surgeries, and diagnostic procedures. Methods Data were systematically extracted from the Brazilian national regulatory agency for the private healthcare system and included (i) quarterly and annual surgical and diagnostic volume, and (ii) the number of private health insurance beneficiaries between January 2016 and June 2021. Based on pre-pandemic data we estimated the expected number of surgical and diagnostic procedures that failed to be performed between 2020 and 2021. Results The average quarterly surgical and diagnostic procedures declined by 29.5% in 2020 and by 21.5% in 2021 compared to 2019. In 2020, such reduction reflected a lower number of diagnostic procedures under anesthesia (-35.1%), as well as elective (-14.7%), time-sensitive (-18.8%), and urgent (-4.6%) surgeries. In the first half of 2021, though the surgical and diagnostic procedures increased compared to 2020, they remained significantly below their historical average. The estimated backlogs were 134.385,64 for total surgical procedures, 2.634,64 for bariatric surgery and arthroplasty revision (elective surgeries), 2.845,61 for oncologic (time-sensitive) surgeries, and 304.193,99 for diagnostic procedures, requiring 1.7, 15.9, and 6.8 years, respectively, to make up for such backlogs. Conclusion There was a major decline on the number of surgical and diagnostic procedures due to the COVID-19 pandemic. Despite a slight recovery of elective surgeries throughout the pandemic, many time-sensitive surgeries and diagnostic procedures were cancelled, with potential medium- to long-term consequences to patients and the system as a whole.

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Section: Introductionmentioning

confidence: 99%

Impact of COVID-19 pandemic on surgical activity in the Brazilian private healthcare system

Degani Costa,

Yepes Pereira,

Queiros Castro

et al. 2023

PLoS ONE

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“…Nos últimos anos, a saúde suplementar passou por uma redução no número de operadoras vigentes e de novos beneficiários. Dentre os principais fatores, destaca-se o fato de que o país vem enfrentando um quadro de recessão econômica, cuja desaceleração da criação de empregos formais, incide negativamente sob as contratações de planos coletivos e individuais 4 . Dados fornecidos pela ANS demonstram que no ano de 2016, houve uma queda de crescimento de 3,2% dos beneficiários em geral 5 .…”

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Aumento nas reclamações de idosos sobre a saúde suplementar no Brasil

Sousa

Oliveira

Salci

et al. 2021

Ciênc. saúde coletiva

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Resumo O objetivo foi descrever as reclamações de idosos brasileiros recebidas pela Agência Nacional de Saúde Suplementar. Trata-se de um estudo ecológico, com dados secundários provenientes do Sistema Integrado de Fiscalização. Realizou-se análise de tendência das reclamações recebidas pela Agência Nacional de Saúde Suplementar de beneficiários idosos de todo o Brasil, no período de 2008 a 2017. Analisaram-se 111.497 reclamações realizadas por idosos beneficiários da saúde suplementar. Identificou-se aumento das taxas de reclamações para todas as regiões do país, com destaque para a região Nordeste, que apresentou a maior taxa média de reclamações (27,07) e o maior aumento médio anual (7,79; r2=0,97), e a região Sul, com a menor taxa média para o período (7,11) e o menor aumento médio anual observado (1,84; r2=0,92). A maior taxa de reclamações foi relacionada à cobertura do plano, entre idosos de 70 a 79 anos e beneficiários de planos individuais ou familiares. A crescente insatisfação de idosos com o sistema de saúde suplementar refletiu no grande número de reclamações recebidas pela Agência Nacional de Saúde Suplementar ao longo de nove anos.

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Evolução dos Custos Médico-Hospitalares de Planos Privados de Assistência à Saúde no Brasil

Cited by 2 publications

References 9 publications

Impact of COVID-19 pandemic on surgical activity in the Brazilian private healthcare system

Impact of COVID-19 pandemic on surgical activity in the Brazilian private healthcare system

Aumento nas reclamações de idosos sobre a saúde suplementar no Brasil

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