Showing items related by title, author, creator and subject.

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  Reflexão bioética sobre o acesso à saúde suplementar no Brasil [Bioethical reflection regarding access to supplemental health in Brazil]

  Del Sarto Azevedo, Bruno; Santana Biondo, Chrisne; Lago Da Silva Sena, Edite; Narriman Silva de Oliveira Boery, Rita (Centro Interdisciplinario de Estudios en Bioética, Universidad de Chile, 2015)

  ": Trata-se de uma revisão integrativa que objetiva desenvolver uma reflexão bioética a partir do que a literatura científica tem pesquisado sobre o acesso da população brasileira à saúde suplementar. Realizou-se uma busca na Biblioteca Virtual em Saúde, utilizando descritores, dos Descritores em Ciências da Saúde, relacionados à temática estudada, resultando na seleção de sete artigos. Evidenciou-se que o acesso aos serviços da saúde suplementar é conseguido apenas por grupos específicos de pessoas, o que representa um dado sintomático do mal-estar que vive a sociedade brasileira em razão do sucateamento do setor público e da elitização dos serviços particulares. Fato este que conduz à consequente transgressão de princípios bioéticos como igualdade, justiça e equidade. Faz-se mister, então, a incorporação de reflexões bioéticas nas discussões sobre o respeito à autonomia do indivíduo, com total direito de buscar o acesso a planos privados como meio de ver seus problemas de saúde resolvidos, e sobre a responsabilidade do Estado quanto à implementação de um acesso à saúde equitativo e de qualidade aos cidadãos" [": It is an integrative review that aims to develop a bioethical reflection based on what the scientific literature has been researching about the Brazilian population’s access to supplemental health. A search was conducted in the Virtual Health Library, using descriptors, from Health Sciences Descriptors, related to the studied theme, resulting in the selection of seven articles. It was evidenced that access to supplemental health services is fully achieved only by specific groups of people, which is symptomatic of a certain malaise that plagues the Brazilian society, due to the subpar conditions of the public sector and the elitism of the particular services. This fact leads to the consequent transgression of bioethical principles such as equality, justice and equity. As such, it becomes apparent that bioethical reflections on discussions about the respect for individual autonomy, with full right to seek access to private insurances as a means of seeing one’s health problems solved, and on the responsibility of the State as the implementation of an equitable access to health care and quality service to citizens, must be incorporated"]
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  El mercado de seguros de salud [The health insurance market]

  Uthoff, Andras; Sánchez, José Miguel; Campusano, Rolando (Comisión Económica para América Latina y el Caribe CEPAL, 2012)

  "Los sistemas de salud presentan una notable diversidad, sin llegar a consensos en aspectos fundamentales de diseño. En países en desarrollo, los perfiles de demografía, pobreza, mercado de trabajo y finanzas públicas obligan a plantearse una solidaridad integral, combinando mecanismos contributivos y no contributivos. En 1981, se rediseñó en Chile el componente contributivo mediante aseguradoras privadas de salud. La lógica del aseguramiento privado e individual se contrapone con los imperativos éticos de contratos centrados en derechos sociales. En Europa, esto se ha resuelto mediante mecanismos de igualación de riesgos que solucionan el conflicto entre asequibilidad, eficiencia y selección. En Chile, coexisten seguros competitivos: instituciones de salud previsional (Isapres) y un seguro público alternativo solidario, el Fondo Nacional de Salud (FONASA). Las Isapres efectúan una agresiva selección de riesgos. El desafío de la política de salud pública chilena es integrar ambos sistemas para articular los principios de equivalencia y solidaridad" [" Health systems exhibit remarkable diversity without reaching consensus fundamental aspects of design . In developing countries , the profiles of demography , poverty, labor market and public finances forced to consider comprehensive solidarity , combining contributory and non-contributory mechanisms. In 1981 , the taxable component was redesigned by insurers in Chile private health . The logic of private insurance and individual contrasts with the ethical imperatives of contracts focused on social rights. In Europe , this has been solved by risk equalization mechanisms that address the conflict between affordability , efficiency and selection. In Chile, coexist insurance competitive: the health insurance institutions ( Isapres ) and public insurance solidarity alternative , the National Health Fund ( Fonasa ) . Isapres effect a aggressive risk selection. The challenge of Chilean public health policy is integrate to articulate the principles of equivalence and solidarity both systems"]
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  Community participation in health delivery and management in Ghana

  Gaala, S Z (Faculty of Integrated Development Studies, University for Development Studies, 2008)

  "This paper discusses an investigation on a common and yet illusive phenomenon in development management-community participation"