Analysis of the use and reimbursement for health services by beneficiaries of private plans in the Brazilian Unified Health System 2005-2017

项目来源

巴西圣保罗研究基金(FAPESP)

项目主持人

Flávia Mori Sarti

项目受资助机构

Escola de Artes,Ciências e Humanidades.Universidade de São Paulo.São Paulo,SP,Brazil

立项年度

2021

立项时间

未公开

项目编号

20/14711-0

研究期限

未知 / 未知

项目级别

国家级

受资助金额

未知

学科

Applied Social Sciences

学科代码

未公开

基金类别

Scholarships in Brazil-Scientific Initiation

关键词

Sistemas de saúde ; Administração pública ; Morbidade ; Serviços de saúde ; Modelos de regressão ; Análise quantitativa ;

参与者

Leonardo Moreira

参与机构

未公开

项目标书摘要:The present research project proposes an analysis of the patterns of use of the Unified Health System(SUS)by beneficiaries of private health plans,as well as to identify values necessary for reimbursement for services used by SUS.This is a quantitative study using information from the microdata base of the National Supplementary Health Agency(ANS),containing records of procedures performed for beneficiaries of private plans in SUS.The empirical strategy to be adopted in the study is based on estimation of regression models regarding the reimbursement values,in relation to the variables of sociodemographic characterization of the patients,as well as morbidity,type of procedure performed,geographical location and administrative sphere of the establishments.The definition of profiles of beneficiaries of private health plans with a higher level of use of the public health system and respective expenses should result in the definition of actions in public health policies in the context of the Ministry of Health and the Ministry of Economy regarding incentives and disincentives to be granted to individuals with health plans and to private enterprises that offer health plans in Brazil.

Application Abstract: The present research project proposes an analysis of the patterns of use of the Unified Health System(SUS)by beneficiaries of private health plans,as well as to identify values necessary for reimbursement for services used by SUS.This is a quantitative study using information from the microdata base of the National Supplementary Health Agency(ANS),containing records of procedures performed for beneficiaries of private plans in SUS.The empirical strategy to be adopted in the study is based on estimation of regression models regarding the reimbursement values,in relation to the variables of sociodemographic characterization of the patients,as well as morbidity,type of procedure performed,geographical location and administrative sphere of the establishments.The definition of profiles of beneficiaries of private health plans with a higher level of use of the public health system and respective expenses should result in the definition of actions in public health policies in the context of the Ministry of Health and the Ministry of Economy regarding incentives and disincentives to be granted to individuals with health plans and to private enterprises that offer health plans in Brazil.

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