Longevity and cost of assistance: The challenge of a self-managed health plan
AuthorsOliveira, Jose Antonio Diniz de
Ribeiro, Jose Mendes
Emmerick, Isabel Cristina Martins
Lucia Luiza, Vera
UMass Chan AffiliationsDepartment of Surgery
Health Services Administration
Health Services Research
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AbstractThe objective of this article is to analyze the relationship between the cost of assistance and the aging of the population assisted by a self-management plan, reflecting on the possibilities of facing the challenge arising from this combination of factors. This is a descriptive study from the period 1997 to 2016, carried out based on secondary data from the health plan operator under study, and another administrative bank of self-management operator of national scope. The elderly (over 60 years) increased by 55.5% during the study period. The so-called “very elderly” (over 80 years old), in turn, grew by 332.8%. The population over 60 years old corresponds to 25.7% of the total, being responsible for 68.8% of expenses. The vast majority of the population served (84.6%) is located in the state in Rio de Janeiro, which has the highest per capita health cost in the country. A relationship was found between the aging of the beneficiary population and the increase in expenses. It is imperative to invest in health promotion and disease prevention initiatives as a way of improving the quality of life and financial viability of the plan, in addition to defining a sub-system that delimits and disciplines access to the network and is accepted by the beneficiaries.
Oliveira, JAD, Ribeiro, JM, Emmerick, Isabel Cristina Martins, Lucia Luiza, Vera. Longevity and cost of assistance: The challenge of a self-managed health plan. Cien Saude Colet (2019 / Feb). http://www.cienciaesaudecoletiva.com.br/artigos/longevidade-e-custo-da-assistencia-o-desafio-de-um-plano-de-saude-de-autogestao/17111?id= 17111
Permanent Link to this Itemhttp://hdl.handle.net/20.500.14038/49757
Published ahead of print February 2019.
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