Banca de DEFESA: JOYCE ABREU MAIA

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : JOYCE ABREU MAIA
DATE: 07/02/2024
TIME: 10:00
LOCAL: Google Meet
TITLE:

Multicriteria decision support model for ordering the most favorable medical specialties for insertion in the own network: Case study in a health insurance operator in Rio Grande do Norte

KEY WORDS:

Supplementary Health. Verticalization. Multicriteria. Medical Specialties.

PAGES: 118
BIG AREA: Engenharias
AREA: Engenharia de Produção
SUBÁREA: Pesquisa Operacional
SPECIALTY: Programação Linear, Não-Linear, Mista e Dinâmica
SUMMARY:

This research aims to propose a methodology for choosing specialties that will integrate the own network of a health insurance company located in the city of Natal, state of Rio Grande do Norte. Private health care plans are seen by the population as a complement to the services offered by the Unified Health System (SUS), coexisting with this public service. Considering that the public sector is the target of numerous criticisms due to its inefficiency, private health care plans expand their share of the national market. Although a significant portion of the population accesses private health services, the sector still operates with a deficit of R$ 21 billion, which raises concerns about spending control and revenue generation. As one of the strategies adopted to maintain its services, the offer of health promotion programs and co-payment stand out. In addition to these strategies, verticalization is also pointed out as an alternative to reduce the fragmentation of services and reduce operating costs. The financial analyses linked to vertical integration point to savings in resources for companies, but only economic aspects are considered, without examining the multiple other characteristics of the problem, such as perceived quality aspects or consultation time. For a decision with several attributes, it’s necessary to consider several aspects beyond the financial analysis, including the subjectivity of the decisionmaker of choosing which medical specialties to bring to the own network. In the case of highly complex health problems, one of the tools used with considerable acceptance is multi-criteria decision analysis. Considering that decisions in the health area involve the confrontation between multiple objectives, and knowing that the criteria used in health evaluation have profound ethical implications, decision analysis allows the investigation of these objectives and criteria in the light of possible conflicts between multiple stakeholders. For this analysis, it is suggested the combined use of Value-Focused Thinking with the FITradeoff decision support method, in order to obtain a hierarchization of the medical specialties suitable to be contracted for own network.

COMMITTEE MEMBERS:
Presidente - 4859773 - RICARDO PIRES DE SOUZA
Interno - 1086657 - JOELTON FONSECA BARBOSA
Externo à Instituição - RODRIGO JOSE PIRES FERREIRA