title: [Professional strategy and institutional isomorphism: the dental health insurance industry in Brazil].
abstract: This article analyzes the organizational model of the dental health industry. The main organizational leaders in this industry are the professional cooperatives and group dental insurance companies. The theoretical basis of the article is the organizational theory developed by Di Maggio and Powell. The dental health industry consists of a great number of small and very dynamic companies, however an expressive part of clients and profit are concentrated in a few large companies. The results show that the industry has expanded the number of clients after the creation of the National Health Insurance Agency. The regulation regime has forced institutional changes in the firms with regard to the market entry, permanence or exit patterns. There was no evidence that the regulatory rules have interfered with the development and financial conditions of the industry. The average profitability of the sector, especially among the group dental insurance companies, is extremely high.
authors.affiliation: Escola Nacional de Saúde Pública, Fiocruz, Rio de Janeiro, RJ. cristine.vieira@ensp.fiocruz.br
authors.forename: Cristine
authors.initials: C
authors.lastname: Vieira
authors.forename: Nilson do Rosário
authors.initials: Ndo R
authors.lastname: Costa
mesh_terms: D001938:Brazil; D007347:Insurance, Dental; D017146:Models, Organizational