0314/2019 - Crise econômica, austeridade e seus efeitos sobre o financiamento e acesso a serviços públicos e privados de saúde bucal. Economic crisis, austerity and its effects on the financing of oral health and access to public and private services.
O presente estudo analisou os efeitos da austeridade e crise econômica sobre o financiamento da saúde bucal, oferta e utilização de serviços públicos e acesso a planos exclusivamente odontológicos no Brasil, no período de 2003 a 2018. Foi realizado um estudo retrospectivo, descritivo, com abordagem quantitativa. Foram coletados dados da base do Fundo Nacional de Saúde, da Agência Nacional de Saúde Suplementar, da Sala de Apoio à Gestão Estratégica, do Sistema e-gestor. Observou-se que o repasse federal fundo a fundo apresentou tendência crescente de 2003 a 2010 e estável de 2011 a 2018. A oferta decresceu ao final do período com redução da cobertura da primeira consulta odontológica programática, média da escovação dental supervisionada e número de tratamentos endodônticos. Na contramão da crise financeira pública, as empresas de planos exclusivamente odontológicos expandiram o mercado de 2,6 milhões de usuários em 2000 para 24,3 milhões em 2018, com lucro de mais de R$240 milhões. A austeridade fiscal tem forte influência sobre a utilização de serviços públicos odontológicos no Brasil, que pode beneficiar o mercado privado e ampliar as desigualdades.
Palavras-chave:
Financiamento da Assistência à Saúde, Política de Saúde, Saúde Bucal.
Abstract:
The present study analyzed the effects of austerity and economic crisis on the financing of oral health, provision and use of public services and access to exclusively dental plans in Brazil,2003 to 2018. A retrospective, descriptive study was conducted with quantitative. Data were collectedthe National Health Fund database, the National Supplementary Health Agency, the Strategic Management Support Room, the e-manager system. The federal fund-to-fund transfer was increasing2003 to 2010 and stable2011 to 2018. Supply decreased at the end of the period with reduced coverage of the first programmatic dental appointment, average supervised tooth brushing and number of treatments. Endodontic, Against the background of the public financial crisis, exclusively dental plan companies expanded the market2.6 million users in 2000 to 24.3 million in 2018, with profit of more than $ 240 million. Fiscal austerity has a strong influence on the use of public dental services in Brazil, which can benefit the private market and widen inequalities.
Economic crisis, austerity and its effects on the financing of oral health and access to public and private services.
Resumo (abstract):
The present study analyzed the effects of austerity and economic crisis on the financing of oral health, provision and use of public services and access to exclusively dental plans in Brazil,2003 to 2018. A retrospective, descriptive study was conducted with quantitative. Data were collectedthe National Health Fund database, the National Supplementary Health Agency, the Strategic Management Support Room, the e-manager system. The federal fund-to-fund transfer was increasing2003 to 2010 and stable2011 to 2018. Supply decreased at the end of the period with reduced coverage of the first programmatic dental appointment, average supervised tooth brushing and number of treatments. Endodontic, Against the background of the public financial crisis, exclusively dental plan companies expanded the market2.6 million users in 2000 to 24.3 million in 2018, with profit of more than $ 240 million. Fiscal austerity has a strong influence on the use of public dental services in Brazil, which can benefit the private market and widen inequalities.
Rossi, T.A, Sobrinho, J.E.L, Chaves, S, Martelli, P. J. L.. Crise econômica, austeridade e seus efeitos sobre o financiamento e acesso a serviços públicos e privados de saúde bucal.. Cien Saude Colet [periódico na internet] (2019/out). [Citado em 22/01/2025].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/crise-economica-austeridade-e-seus-efeitos-sobre-o-financiamento-e-acesso-a-servicos-publicos-e-privados-de-saude-bucal/17388?id=17388
