Benefits For Some, Losses For Many: Reasons And Implications Of Adopting Double Entry Door In Brazilian University Hospitals

Benefícios Para Alguns, Prejuízos Para Muitos: Razões E Implicações Da Adoção Da Dupla Porta De Entrada Em Hospitais Universitários

dc.creatorSilva H.P.
dc.creatorCaxias M.C.L.
dc.date2016
dc.date2017-08-17T19:10:46Z
dc.date2017-08-17T19:10:46Z
dc.date.accessioned2018-03-29T05:15:42Z
dc.date.available2018-03-29T05:15:42Z
dc.identifierSaúde E Sociedade. Univ Saopaulo, v. 25, n. 3, p. 808 - 820, 2016.
dc.identifier0104-1290
dc.identifier10.1590/S0104-12902016153412
dc.identifierhttps://www.scopus.com/inward/record.uri?eid=2-s2.0-84994840368&doi=10.1590%2fS0104-12902016153412&partnerID=40&md5=eec18b1852fe79d2aa4f141f0779e049
dc.identifierhttp://repositorio.unicamp.br/jspui/handle/REPOSIP/323112
dc.identifier2-s2.0-84994840368
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/1357275
dc.descriptionThe so-called double entry door - one for the patients of the public system and another one for customers of private health plans - is a growing phenomenon in many public health care facilities, especially in the State of São Paulo, Brazil, where several university hospitals linked to public universities assign resources to attend private clientele. The objective of this article is to understand the reasons for the adoption (or not) of the double entry door at two public university hospitals, seeking to identify its implications for the hospital and other stakeholders. Methods included desk research of relevant literature and interviews conducted in 2014 with representatives of selected hospitals. The results show the existence of two divergent narratives on the subject. The favorable narrative emphasizes the additional fundraising and the possibility of keeping fully dedicated teachers working at the university. The unfavorable narrative emphasizes the discrimination arising from the segmentation between paying and non-paying patients and the use of public resources for attending private clientele. By emphasizing the solution of structural problems through the privatization of public services, we conclude that the adoption of double entry door in university hospitals reinforces existing inequalities in society. © 2016, UNIV SAOPAULO. All rights reserved.
dc.description25
dc.description3
dc.description808
dc.description820
dc.languagePortuguese
dc.publisherUNIV SAOPAULO
dc.relationSaúde e Sociedade
dc.rightsaberto
dc.sourceScopus
dc.subjectBrazil
dc.subjectDouble Entry Door
dc.subjectPrepaid Health Insurance
dc.subjectPublic-private Mix
dc.subjectUnified Health System
dc.subjectUniversity Hospitals
dc.titleBenefits For Some, Losses For Many: Reasons And Implications Of Adopting Double Entry Door In Brazilian University Hospitals
dc.titleBenefícios Para Alguns, Prejuízos Para Muitos: Razões E Implicações Da Adoção Da Dupla Porta De Entrada Em Hospitais Universitários
dc.typeArtículos de revistas


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