The public-private mix and health service utilization: a study of the therapeutic itineraries of Brazilian supplementary care beneficiaries

被引：13
作者：
Conill, Eleonor Minho [1 ]
Pires, Denise
Sisson, Maristela Chitto [2 ]
de Oliveira, Maria Conceicao
Boing, Antonio Fernando
Fertonani, Hosanna Pattrig [3 ]
机构：
[1] Unimed Florianopolis, Dept Prevent Med, BR-88115190 Florianopolis, SC, Brazil
[2] Univ Fed Santa Catarina, Univ Hosp, Serv Saude Publ, BR-88040900 Florianopolis, SC, Brazil
[3] Univ Estadual Maringa, Dept Enfermagem, Maringa, Parana, Brazil
来源：
CIENCIA & SAUDE COLETIVA | 2008年 / 13卷 / 05期
关键词：
Private health insurance; Public-private mix; Health services accessibility; Anthropology;
D O I：
10.1590/S1413-81232008000500015
中图分类号：
R1 [预防医学、卫生学];
学科分类号：
1004 ; 120402 ;
摘要：
This study analyzes the health-disease-care experience reported by users of the Brazilian supplementary system in cardiovascular, oncological, mental health and obstetric care in Florianopolis, capital of the state of Santa Catarina. It discusses the selection of indicators in these areas such as myocardial infarction, breast cancer, alcoholism and childbirth besides exploring socio-anthropological contributions to the management field. The results show a search for solutions in three interconnected sub-sectors of the system the professional sector, the popular sector and the folk sector, the two latter being of greatest importance in mental and oncological care. Combined use of public and private services appears in cardiovascular and oncological field. Seeking to overcome the gaps with respect to access and integrality by using their own choices with respect to accessibility and comprehensiveness of care by using paths or strategies the users establish a variety of arrangements in their everyday life. The socio-anthropological approach is therefore useful for deepening the understanding of the meaning of public and private in health systems as well as of the care models undertaken by the patients.
引用
收藏
页码：1501 / 1510
页数：10
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