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Evolução na utilização e nos gastos de uma operadora de saúde

Duarte, A. L. C. M., Oliveira, F., Santos, A. A. and Santos, B. F. C. (2017). Evolução na utilização e nos gastos de uma operadora de saúde. Ciência & Saúde Coletiva, 22(8), pp. 2753-2762. doi: 10.1590/1413-81232017228.00912016

Abstract

Brazil’s aging population and the rising number of people reliant upon the country’s supplementary healthcare system have elicited the concern of public and private managers regarding the increase in healthcare costs. In this paper, the costs per gender, per type of medical expenses and per age group of a major Brazilian self-managed healthcare provider between 2007 and 2013 were analyzed. This healthcare provider is of interest because, besides portraying a single condition of revenue growth restricted to the existing contributors, it also replicates the demographic profile expected for Brazil in 2050, when approximately one-third of its population will be over 60 years of age. The analyses confirm the current literature as they show an increase in healthcare plan usage by the elderly and the difference between admission rates by gender. They also reveal an increase in average length of stay in hospital and the increase in medical costs far above inflation, especially for materials and medicines. It is hoped that this study will help scholars and others interested in comparisons of medical expense trends, especially by age and sex, and that it encourages further collaboration on the sustainability of health insurance providers in Brazil.

Publication Type: Article
Additional Information: This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Subjects: F History United States, Canada, Latin America > F1201 Latin America (General)
H Social Sciences > HJ Public Finance
H Social Sciences > HT Communities. Classes. Races
R Medicine > RA Public aspects of medicine
Departments: Cass Business School > Management
URI: http://openaccess.city.ac.uk/id/eprint/20790
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