Convenios e cooperativas odontologicas na região metropolitana de São Paulo : uma analise operacional / A study of dental corporative and convention established in the Metropolitan Region of São Paulo, Brazil

AUTOR(ES)
DATA DE PUBLICAÇÃO

2006

RESUMO

In Brazil, the odontological assistance obeys one practical predominantly private, curative and socially exculpatory one, being that most of the population has access limited to the public system. Ahead of this, the demands for the odontological attendance in Accords and Cooperatives have grown significantly. In this study, an operational analysis of these systems in the Region becomes Metropolitan of São Paulo, with the purpose to understand and to appraise its dynamics. Of the total of 96 Accords and 8 existing Cooperatives in the locality, they had been studied, by means of application of half-structuralized questionnaires, 21% (n=20) of Accords and 100% of the Cooperatives (n=8). The study it disclosed to fort linking of the surgeon-dentists with the systems, pointing the following results: (a) the Cooperatives have credential using and more professional more that the Accords, with time of also bigger functioning; (b) the number of professional specialists and specialist/generalities is bigger in the Accords, but the Cooperatives offer to greater number of specialties; (c) the predominant criteria for accredit in Accords and Cooperatives are the increase of the number of users and the necessity of new specialties; (d) the main reason for the contract rescission is the unaccomplished of the internal norms; (e) 75% of the reimbursements in the Accords is after made the ending of the work; (f) in the Accords the users only have credential access to the attendance in proper headquarters and places and the Cooperatives in credential places; (g) less of the half of the Accords and Cooperatives carries through to examine in the doctor s offices; (h) the odontological specialties offered by all the Accords and Cooperatives are: dentist, pediatric odontology, prevention, periodontal and endodontical; (i) carried through procedures more in the two systems: dentist and periodontal; (j) carried through procedures less: implantations, semiology and face odontological chirurgic. One concludes that the operational system of the Cooperatives is better for the surgeon - dentist

ASSUNTO(S)

saude publica convenios cooperativas odontological supplementary health accords cooperatives

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