Serviços de saúde na fronteira: estudo de caso sobre Ponta Porã (Brasil) e Pedro Juan Caballero (Paraguai)

Abstract

The twin cities of Ponta Pora ( Brazil ) and Pedro Juan Caballero (Paraguay ) are conurbated, the division is given by a street , which characterizes the boundary condition dry. Different laws apply in three hierarchical levels ( municipal, state , federal ) , making the particular region . The objective is to verify that the private health services are shared by the population of both cities , the costs in Pedro Juan Caballero attract the population of Ponta Pora and vice versa . The specific objective is to investigate what motivates the search for private health services in Ponta Pora and Pedro Juan Caballero by people who can afford to pay for health insurance , which leads her to seek one or the other side of the border services . This research was divided into literature and field research . The fieldwork was done in offices of health plans , private clinics and hospitals in Ponta Pora and Pedro Juan Caballero . 56 questionnaires were completed , with 7 questionnaires for each property . The chosen people were the ones who were waiting for medical care in clinics and hospitals surveyed and four interviews with users and an interview with the Coordinator of Primary Care Health Ponta Pora were performed . The study showed that private health services are shared by the population of both cities , especially the services of private health Pedro Juan Caballero , which attracts pontaporanense paying population , being about 35.71 % . Have the service of private health Ponta Pora has a significant number of users Paraguay , being only 3.57 % . In most private establishments Pedro Juan Caballero , the population did not use a lot of the health plans , with 14.28 % who used health insurance . Have the city of Ponta Pora 53.57 % used health insurance . Even the covenants riding a payment plan , there is a difficulty of accessing them can be derived from the reduced purchasing power and per capita income of the Paraguayan population . Yet in Pedro Juan Caballero , reasons for choice of health facilities of hospitals and private clinics were as follows : 64.28 % for the option by the doctor , for the price of 28.57 % and 7.14 % for the query option offered by the agreement . Have the reasons for choosing the establishment of private healthcare in Ponta Pora were 75 % for the physician's choice, and 25 % offered by the option agreement . In both cities , the predominant cause of choice is the choice of doctor , usually by indicaçãoparentes , friends , or acquaintances The second option is the price of the consultation in Pedro Juan Caballero . And in Ponta Pora the second option is the option offered by the agreement . The data sample but can be used to support public policies for health services in border towns.