6 Artigo Saude Suplementar Comparaxads Uniao Europeia E Brasil
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1441Compared supplementary healthcare policies in the context of public health systems: European Union and Brazil
Silvia Gerschman 1
1
Departamento de
Administração e
Planejamento, Escola
Nacional de Saúde Pública.
Av. Leopoldo Bulhões
1.480/708, Manguinhos.
21041-210 Rio de Janeiro RJ.
Gerschman@ensp.fiocruz.br
Abstract This paper analyzes the supplementary healthcare policies adopted in recent years in
Brazil and in European countries. The proposed approach is a comparative analysis of the private health plan and insurance policies in the context of the European Union and Brazilian public health systems. This comparison allowed establishing parameters and categories capable of showing the differences and similarities between these experiences. These variables served as a basis for analyzing the
Brazilian case using recent results of studies on private health insurance in the context of the
Unified Health System (SUS), the Brazilian Public Health System. The main topics investigated were: the contracts and agreements between the public and the private sector, the attributions of the private health care services in the public system, the production, available capacity and financing of the public and private health systems and finally, the regulations regarding reimbursement of the SUS in those cases, where users covered by the private sector made use of the public services. We conclude retaking the discussion of the theoretical and conceptual perspective in the comparative analysis of health system policies based on the insights originated by this work.
Key words Health policy comparison, Public and private sector, Health system
Resumo O artigo a seguir propõe-se analisar a política de saúde suplementar nos anos recentes no Brasil e em países europeus. A abordagem proposta é a análise comparativa de políticas de planos e seguros privados no contexto de sistemas públicos de saúde, União Européia e Brasil. Foram comparadas as políticas dos países acima