Application of preventive medicine resources in the health insurance system

• Main Authors: Karla Regina Dias de Oliveira, Márcia Mello Costa De Liberal, Paola Zucchi
• Format: Article
• Language: English
• Published: Instituto Israelita de Ensino e Pesquisa Albert Einstein
• Series: Einstein (São Paulo)
• Subjects: Medicina preventiva; Saúde suplementar; Seguro saúde; Planos de pré-pagamento em saúde; Recursos financeiros em saúde; Investimentos em saúde
• Online Access: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082015000400600&lng=en&tlng=en

ABSTRACT Objective To identify the financial resources and investments provided for preventive medicine programs by health insurance companies of all kinds. Methods Data were collected from 30 large health insurance companies, with over 100 thousand individuals recorded, and registered at the Agência Nacional de Saúde Suplementar. Results It was possible to identify the percentage of participants of the programs in relation to the total number of beneficiaries of the health insurance companies, the prevention and promotion actions held in preventive medicine programs, the inclusion criteria for the programs, as well as the evaluation of human resources and organizational structure of the preventive medicine programs. Conclusion Most of the respondents (46.7%) invested more than US$ 50,000.00 in preventive medicine program, while 26.7% invested more than US$ 500,000.00. The remaining, about 20%, invested less than US$ 50,000.00, and 3.3% did not report the value applied.