[The public-private mix and health service utilization: a study of the therapeutic itineraries of Brazilian supplementary care beneficiaries].
This study analyzes the health-disease-care experience reported by users of the Brazilian supplementary system in cardiovascular, oncological, mental health and obstetric care in Florianópolis, capital of the state of Santa Catarina. It discusses the selection of indicators in these areas such as myocardial infarction, breast cancer, alcoholism and childbirth besides exploring socio-anthropological contributions to the management field. The results show a search for solutions in three interconnected sub-sectors of the system - the professional sector, the popular sector and the folk sector, the two latter being of greatest importance in mental and oncological care. Combined use of public and private services appears in cardiovascular and oncological field. Seeking to overcome the gaps with respect to access and integrality by using their own choices with respect to accessibility and comprehensiveness of care by using paths or strategies the users establish a variety of arrangements in their everyday life. The socio-anthropological approach is therefore useful for deepening the understanding of the meaning of public and private in health systems as well as of the care models undertaken by the patients.
Conill
Eleonor Minho
EM
Departamento de Medicina Preventiva, Unimed Florianópolis, Florianópolis, SC. eleonorconill@yahoo.com.br
Pires
Denise
D
Sisson
Maristela Chitto
MC
de Oliveira
Maria Conceição
MC
Boing
Antonio Fernando
AF
Fertonani
Hosanna Pattrig
HP
D001938:Brazil; D003695:Delivery of Health Care / Q000706:statistics & numerical data*; D006801:Humans; D007348:Insurance, Health; D017149:Private Sector; D017150:Public Sector