Verticalização: uma análise comparativa em uma operadora privada de saúde, entre serviço próprio de oncologia e rede terceirizada

Abstract

The fragmentation of the network and the lack of communication of the health services lead users to a pilgrimage for health care, yet when the beneficiaries feel secure in a service, in many cases it is not able to meet all the demands that the health-disease process requires. Thinking about cancer patients, these are perhaps the ones most dependent on holistic care and an interconnected network. The objective of this study was to study the network restructuring of a supplementary health care provider, who has been implementing vertical structure in the oncological health service offered. The qualitative and quantitative approaches were adopted and the method was a single case study. In the qualitative approach, structured interviews were carried out, elaborated by a construct based on assumptions and in the theoretical reference with the managers directly involved in the vertical structure implementation. For the evaluation of the data and compilation of the results we used the content analysis, where grouping the questions by similarity categories were created. Since the health care provider has a wide network of providers in the city of São Paulo, who attend cancer patients, and requests for chemotherapy demand from these various providers and each provider practices a different value for similar care, not always contemplating all the needs of the patients, in the quantitative approach was carried out a survey of the chemotherapy requests from December 2017 to February 2018 for patients with breast and prostate cancer and compared the value of chemotherapy in network of providers and in own service. This comparison was analyzed with the help of microsoft® excel software for windows 2007. The results obtained demonstrate that the infusion of chemotherapy in service for treatment of breast and prostate cancer can be 17% and 7%, respectively, cheaper than the same service offered in an outsourced network, and that the implementation of the vertical structure in health provides a greater integration among the professionals involved, greater care responsibility and provides knowledge exchange which strengthens the service provided.