文章基本信息

标题：Índice de Desempenho da Saúde Suplementar: análise comparativa da mudança de metodologia de avaliação
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作者：Francine Leite ; Josué Souza Gleriano ; Bruna Moreno Dias 等
期刊名称：Research, Society and Development
电子版ISSN：2525-3409
出版年度：2022
卷号：11
期号：14
页码：1-15
DOI：10.33448/rsd-v11i14.36231
语种：English
出版社：Grupo de Pesquisa Metodologias em Ensino e Aprendizagem em Ciências
摘要：Aim: To analyze comparatively the results of the Private Health Insurance and Plans Company Quality Performance Index (IDSS) in the evaluations of the base year 2016 and 2017, given the methodology changes in the Private Health Insurance and Plans Performance Evaluation Program (PQO). Methods: This is an observational, analytical, retrospective study that compared the performance results of private health companies in the old methodology, base year 2016, and in the new methodology, base year 2017, segregated by modality and size of the operator. The data were analyzed using the Wilcoxon test with R software. Results: It was found that the change in methodology significantly reduced the overall IDSS score with greater emphasis on three of the four dimensions, namely: Quality in Health Care, Guarantee of Access, and Management and Regulation. This reduction occurred among all sizes of private health companies, with the greatest amplitude among small companies, and significant reduction among all private health insurer type, except for private health insurer. Conclusion: The findings of this study indicate that the changes in the methodology impacted the performance score of the operators, especially the small ones. It suggests the need to understand the impacts on the supplementary health sector and the benefits of the methodology change for the health system.
关键词：Supplemental health;Health care quality;Access; and evaluation;Outcome and process assessment; health care.