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Longevity and cost of care: the challenge of a self-managed health plan.
- Source :
- Revista Ciência & Saúde Coletiva; Oct2020, Vol. 25 Issue 10, p4045-4054, 10p
- Publication Year :
- 2020
-
Abstract
- This paper aims to analyze the relationship between the cost of health care and the aging of the population assisted by a self-managed plan, reflecting on the ways to address the challenge arising from this conjunction of population demographic changes. This is a descriptive study of the 1997-2016 period based on secondary data from the management operator of the health plan under study and from another administrative database of a self-managing provider with broad nationwide coverage. Older adults (over 60 years) increased 55% during the study period. On the other hand, the so-called "very old" (over 80 years) grew 332.8%. The population above 60 years corresponds to 25.7% of the total, and accounts for 68.8% of expenses. Most of the population covered (84,6%) is located in the State of Rio de Janeiro, which has the highest per capita health care cost in Brazil. We found a relationship between aging of the beneficiary population and increased expenditure. It is imperative to invest in health promotion and disease prevention initiatives as a way of improving the quality of life and financial sustainability of the plan, and define a subsystem that delimits and regulates access to the network and is accepted by the beneficiaries. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 14138123
- Volume :
- 25
- Issue :
- 10
- Database :
- Supplemental Index
- Journal :
- Revista Ciência & Saúde Coletiva
- Publication Type :
- Academic Journal
- Accession number :
- 146161081
- Full Text :
- https://doi.org/10.1590/1413-812320202510.15562018