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      Application of preventive medicine resources in the health insurance system

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          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.

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          Most cited references12

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          Redes estaduais de atenção à saúde do idoso: guia operacional e portarias relacionadas

          (2002)
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            [Determinant factors for healthy aging among senior citizens in a large city: the Epidoso Project in São Paulo].

            Luiz Ramos (2015)
            Population aging leads to an increase in the prevalence of chronic and disabling diseases, as well as a change in the public health paradigm. Diseases diagnosed in the elderly are generally not curable; if not properly treated and monitored over time, they tend to generate complications and sequelae that impair patients' independence and autonomy. Health is no longer measured by the presence or absence of disease, but by the degree of preservation of functional capacity. Factors for healthy aging with good functional capacity and those which increase the risk of death and disability need to be identified by longitudinal surveys that include the elderly population living in the community. This article presents data from the first follow-up survey of senior citizens in Brasil, called the Epidoso Project (from "epi" as in "epidemiologic" and "idoso" or "elderly" in Portuguese) implemented since 1991 in the city of São Paulo. The socio-demographic, clinical, and functional characteristics of a cohort of elderly are discussed, with a risk analysis for death and disability, and the implications for health planning are considered.
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              Manual técnico para promoção da saúde e prevenção de riscos e doenças na saúde suplementar

              (2011)
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                Author and article information

                Journal
                Einstein (Sao Paulo)
                Einstein (Sao Paulo)
                eins
                Einstein
                Instituto Israelita de Ensino e Pesquisa Albert Einstein
                1679-4508
                2317-6385
                Oct-Dec 2015
                Oct-Dec 2015
                : 13
                : 4
                : 600-603
                Affiliations
                [1 ]Universidade Federal de São Paulo, São Paulo, SP, Brazil.
                [1 ] Universidade Federal de São Paulo, São Paulo, SP, Brasil.
                Author notes
                [Corresponding author ]: Paola Zucchi – Centro Paulista da Economia de Saúde, Escola Paulista de Medicina, Universidade Federal de São Paulo – Rua Botucatu, 740, 3rd floor – Vila Clementino Zip code: 04023-900 – São Paulo, SP, Brazil – Phone: (55 11) 5576-4848 branch line: 2153 – E-mail: paola.zucchi@ 123456grides.com.br

                Conflict of interest: none.

                Autor correspondente: Paola Zucchi – Centro Paulista da Economia de Saúde, Escola Paulista de Medicina, Universidade Federal de São Paulo – Rua Botucatu, 740, 3 o andar – Vila Clementino CEP: 04023-900 – São Paulo, SP, Brasil – Tel.: (11) 5576-4848 ramal: 2153 – E-mail: paola.zucchi@grides.com.br

                Conflitos de interesse: não há.

                Article
                S1679-45082015GS3453
                10.1590/S1679-45082015GS3453
                4878637
                26761558
                4fee163c-2a18-4abc-a223-9f6df351f1bf

                This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 17 August 2015
                : 13 November 2015
                Page count
                Figures: 0, Tables: 8, Equations: 0, References: 9, Pages: 4
                Categories
                Health Economics and Management

                preventive medicine,supplemental health,insurance, health,prepaid health plans,financial resources in health,investments,medicina preventiva,saúde suplementar,seguro saúde,planos de pré-pagamento em saúde,recursos financeiros em saúde,investimentos em saúde

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