Dados do Resumo

Título

Comparing Physician Remuneration Models in Brazil

Introdução

Remuneration models in health are systems that determine how health professionals and institutions are paid for the services they provide. Each model uniquely affects the quality and efficiency of the services provided. In Brazil and in the world, the most common model is payment for service. However, it is possible to identify a trend of change in this pattern.

Objetivo

Compare the various remuneration models and explain which is most appropriate for each physician, aiming to benefit consumer service

Métodos

To understand how different models of medical compensation work in Brazil, we reviewed studies and reports on Fee-for-Service, Diagnosis Related Groups (DRG), Capitation, and Value-Based Health Care. We also spoke with doctors and health managers to capture the practical reality of these models.

Resultados

Fee-for-Service: This model is simple—you pay for each service. Despite its clarity, it can lead to high costs and fragmented care. Patient satisfaction is varied, with some criticism about the need for multiple services. Diagnosis Related Groups (DRG): Here, hospitals are given a fixed amount based on the diagnosis. This helps control costs and improves efficiency, with care that is generally faster and better evaluated by patients. Capitation: Doctors are paid a fixed fee per patient, which encourages preventive care and good chronic disease management. Patient satisfaction is high, but the model requires effective management to be successful. Value-Based Health Care: Focused on quality and patient outcomes, this model can improve efficiency and satisfaction. However, it requires investments in technology and training to measure and improve the quality of care.

Conclusões

Each model has its strengths and weaknesses. Fee-for-Service is straightforward, but it can increase costs and fragment care. DRG improves efficiency, while Capitation focuses on prevention and financial control. Value-Based Health Care holds promise for improving quality, but it is challenging to implement. An ideal solution may involve a combination of these models to balance costs, efficiency, and quality in medical care in Brazil

Palavras Chave

payment; models of medical remuneration; medical services