SciELO - Scientific Electronic Library Online

 
vol.24 issue5Impact of hospitalization on breastfeeding practices in a pediatric hospital in Salvador, Bahia State, BrazilPrevalence of childhood stress and associated factors: a study of schoolchildren in a city in Rio Grande do Sul State, Brazil author indexsubject indexarticles search
Home Page  

Cadernos de Saúde Pública

Print version ISSN 0102-311X

Abstract

COSTA FILHO, Luiz Cesar da et al. The impact on costs and care of two approaches to reduce employees' dental plan expenses in a private company. Cad. Saúde Pública [online]. 2008, vol.24, n.5, pp. 1071-1081. ISSN 0102-311X.  http://dx.doi.org/10.1590/S0102-311X2008000500014.

The present study evaluated the dental care plan offered to 4,000 employees of a private hospital and their respective families. The analysis covered three stages: (1) baseline (control), when dental care was provided by an outsourced company with a network of dentists paid for services, (2) a renegotiation of costs with the original dental care provider, and (3) provision of dental care by the hospital itself, through directly hired dentists on regular salaries. Monthly economic and clinical data were collected for this research. The dental plan renegotiation reduced costs by 37% in relation to baseline, and the hospital's own dental service reduced costs by 50%. Renegotiation led to a 31% reduction in clinical procedures, without altering the dental care profile; the hospital's own dental service did not reduce the total number of clinical procedures, but modified the profile of dental care, since procedures related to the causes of diseases increased and surgical/restorative procedures decreased.

Keywords : Health Planning; Cost Saving; Deutar Insurence; Oral Health.

        · abstract in Portuguese     · text in Portuguese     · pdf in Portuguese