MODELO ASSISTENCIAL DAS CLÍNICAS POPULARES DE SAÚDE SOB A PERSPECTIVA DE EMPRESÁRIOS E REPRESENTANTES MÉDICOS

Abstract

This research sought to understand the main characteristics and attributes of the private care model of the Popular Health Clinics (CPS) and its differences in relation to the universal care model of the Unified Health System (SUS), highlighting the role of CPS in the provision of services and its relationship with the social right to health. The theoretical framework was supported by the concepts and characteristics of the privatized care model and the SUS health care model. A qualitative approach was used and the research instrument was the semi- structured interview. The research subjects were managers/entrepreneurs and representatives of medical entities. It was possible to identify that the CPS organize their offer of services according to a model based on selective and segmented health care, based on a logic of productivity. The CPS are structured as medical companies with the purpose of providing specialized medical care, located in places of large circulation of people and with the construction of their physical structures in a single point of the city or with several points of service, forming a network of clinics. Its actions are supported by advertising, labor outsourcing, specialization, networking and cutting-edge technology. All these strategies are aimed at offering medical care in the form of a complaint-conduct that, in the vast majority of health issues, has questionable resolution. The creation of popular clinics also has a strong impulse to attract the medical workforce, which is made available to the market through the new universities and the way in which medicine is organized into subspecialties. This is the CPS betting model: efficient service, based on complaint-conduct, with consultations, exams and procedures on a geometric scale, for the production of a diagnosis and billing in an economy of scale. health are proliferating, associating themselves with values accepted by the population and official bodies. Significant differences were observed between the CPS care model and the SUS health care model, whose principles and guidelines are: the guarantee of universal access and comprehensive care, which allow intervening in the change of health indicators. In this research, it was observed that the CPS organize their assistance to the user centered on consultation and examination procedures, therefore, even though the constitutional commandment points to a universal system, social practice has generated segmented health services, with notable competition between the public sectors. and private.