Forças Armadas brasileiras e o modelo de remuneração na assistência em saúde baseado em valor

Abstract

Documentary bibliographic study that has the objective of investigates the value-based remuneration model in health care in the Brazilian armed forces. Its objectives are: to search the creation documents and guidelines of the health funds of the armed forces of Brazil; present the Brazilian health market; distinguish the health care remuneration model enshrined in the health market in Brazil; point out the models of value-based remuneration in health care and, indicate to the managers of health funds in the armed forces models that can be used and enable the sustainability of the system. The theoretical framework was based on the 2010 World Health Organization report, the Guide for the Implementation of Value-Based Compensation Models released in 2019 by the National Health Agency, several works by authors specialized in the theme and academic works in the area of management and Health. The method consists of a bibliographic and documentary analytical study with a qualitative approach. The work addresses aspects of the national market in the health area; the operationalization and how the health funds of the three armed forces are positioned in the health market in providing assistance to their beneficiaries; the predominant remuneration model and, the existing models based on value in health care. The conclusion points to remuneration models based on value feasible with the reality, complexity and specificity of assistance that can be applied by the health funds of the Armed Forces of Brazil, aiming to allow the sustainability of the entire system, at the same time that it seeks to obtain quality in the service being performed by the service provider.