title: Health promotion in supplementary health care: outsourcing, microregulation and implications for care.
abstract: OBJECTIVE
  to analyze health promotion programs in the supplementary health care.
  
  
  METHODS
  This was a multiple case study with a qualitative approach whose data were obtained from interviews with coordinators of providers contracted by the corporations of health insurance plans in Belo Horizonte, Minas Gerais. The data were submitted to Critical Discourse Analysis.
  
  
  RESULTS
  Home care has been described as the main action in the field of health promotion transferred to the providers, followed by management of patients and cases, and the health education.groups. The existence of health promotion principles is questionable in all programs. Outsourcing is marked by a process with a division between cost and care management. Implications of this process occur within admission and interventions on the needs of the beneficiaries.
  
  
  CONCLUSIONS
  Statements revealed rationalization of cost, restructuring of work, and reproduction of the dominant logic of capital accumulation by the health insurance companies.
authors: Núcleo de Estudos e Pesquisas sobre Ensino e Prática de Enfermagem, Escola de Enfermagem, Universidade Federal de Minas Gerais, Belo Horizonte, MG, BR.
authors: Kênia Lara
authors: KL
authors: Silva
authors: Núcleo de Estudos e Pesquisas sobre Ensino e Prática de Enfermagem, Escola de Enfermagem, Universidade Federal de Minas Gerais, Belo Horizonte, MG, BR.
authors: Roseni Rosângela
authors: RR
authors: Sena
authors: Núcleo de Estudos e Pesquisas sobre Ensino e Prática de Enfermagem, Escola de Enfermagem, Universidade Federal de Minas Gerais, Belo Horizonte, MG, BR.
authors: Andreza Trevenzoli
authors: AT
authors: Rodrigues
authors: Núcleo de Estudos e Pesquisas sobre Ensino e Prática de Enfermagem, Escola de Enfermagem, Universidade Federal de Minas Gerais, Belo Horizonte, MG, BR.
authors: Fernanda Lopes
authors: FL
authors: Araújo
authors: Núcleo de Estudos e Pesquisas sobre Ensino e Prática de Enfermagem, Escola de Enfermagem, Universidade Federal de Minas Gerais, Belo Horizonte, MG, BR.
authors: Stephanie Marques Moura Franco
authors: SM
authors: Belga
authors: Núcleo de Estudos e Pesquisas sobre Ensino e Prática de Enfermagem, Escola de Enfermagem, Universidade Federal de Minas Gerais, Belo Horizonte, MG, BR.
authors: Elysângela Dittz
authors: ED
authors: Duarte
mesh_terms: D001938:Brazil; D003695:Delivery of Health Care / Q000458:organization & administration*; D006293:Health Promotion / Q000458:organization & administration*; D006801:Humans; D020416:Outsourced Services