O presente estudo objetivou comparar as mudanças nos padrões de cobertura por planos privados de saúde entre servidores públicos, militares e demais trabalhadores no Brasil e verificar se a vinculação a planos de saúde repercuti nas respectivas prevalências autorreferidas de Hipertensão Arterial Sistêmica (HAS) e Diabetes Mellitus (DM) no país. Para isso, foram utilizados os trabalhadores do setor público (federal, estadual, municipal ou militar) e, outros trabalhadores, com ?18 anos de idade incluídos na Pesquisa Nacional de Amostra de Domicílios dos anos de 1998, 2003, 2008 e a Pesquisa Nacional de Saúde de 2013. Observou-se que ao longo dos anos de estudo, os servidores públicos civis e militares do Brasil apresentaram elevada e crescente proporção de adesão aos planos privados de saúde em relação aos demais trabalhadores. As prevalências de HAS e DM sempre foram maiores e cresceram entre os servidores com planos de saúde do que entre os sem planos. O status diferenciado aos servidores públicos e militares, no que se refere ao duplo acesso aos serviços públicos e privados de saúde, refletiu-se nas crescentes prevalências autorreferidas de HAS e DM, aumentando as iniquidades em saúde diante de um sistema público constituído de modo universal e equânime.
Palavras-chave:
Planos de saúde. Saúde do Trabalhador. Saúde Suplementar.
Abstract:
The present paper intended to compare the changes in coverage patterns by health insurance plans among public servants, the military and other employees in Brazil and verify if the purchase of such health plans reflects itself in the respective self-reported prevalences of Systemic Hypertension (SH) and Diabetes Mellitus (DM) in the country. For this purpose, workers in the public sector (federal, state and municipal spheres, and the military) and other workers aged ≥18 who were included in the 1998, 2003 and 2008 editions of the National Household Sample Survey (PNAD) and in the 2013 National Survey were studied. Over the years of the study, it was observed that Brazil’s public service employees, both civilian and military, have presented a high and increasing proportion of health insurance purchase compared to other workers. The prevalences of SH and DM have always been higher among employees with health insurance. The special status of public servants and the military as regards the double access to both public and private healthcare systems reflected itself on the increasing self-reported prevalences of SH and DM, increasing health inequities in a public system that was constituted in a universal and equitable way.
Keywords:
Private health plans. Worker\'s health. Supplementary health insurance
Private health plans and the health of workers in Brazil.
Resumo (abstract):
The present paper intended to compare the changes in coverage patterns by health insurance plans among public servants, the military and other employees in Brazil and verify if the purchase of such health plans reflects itself in the respective self-reported prevalences of Systemic Hypertension (SH) and Diabetes Mellitus (DM) in the country. For this purpose, workers in the public sector (federal, state and municipal spheres, and the military) and other workers aged ≥18 who were included in the 1998, 2003 and 2008 editions of the National Household Sample Survey (PNAD) and in the 2013 National Survey were studied. Over the years of the study, it was observed that Brazil’s public service employees, both civilian and military, have presented a high and increasing proportion of health insurance purchase compared to other workers. The prevalences of SH and DM have always been higher among employees with health insurance. The special status of public servants and the military as regards the double access to both public and private healthcare systems reflected itself on the increasing self-reported prevalences of SH and DM, increasing health inequities in a public system that was constituted in a universal and equitable way.
Palavras-chave (keywords):
Private health plans. Worker\'s health. Supplementary health insurance
Cunha, C.L.F, Moreira, J, Oliveira, B.L.C.A., Bahia, Ligia, Luiz, R. R.. Planos privados de saúde e a saúde dos trabalhadores do Brasil.. Cien Saude Colet [periódico na internet] (2017/set). [Citado em 23/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/planos-privados-de-saude-e-a-saude-dos-trabalhadores-do-brasil/16404?id=16404&id=16404
