SciELO - Scientific Electronic Library Online

 
vol.30 número5Padrões alimentares e hipertensão arterial: um estudo de base populacional com mulheres do Sul do BrasilSobrevida de cinco anos e fatores associados ao câncer de boca para pacientes em tratamento oncológico ambulatorial pelo Sistema Único de Saúde, Brasil índice de autoresíndice de assuntospesquisa de artigos
Home Pagelista alfabética de periódicos  

Serviços Personalizados

Journal

Artigo

Indicadores

Links relacionados

Compartilhar


Cadernos de Saúde Pública

versão impressa ISSN 0102-311X

Resumo

LUZURIAGA, María José  e  SPINELLI, Hugo. Complaints by private health insurance policy-holders to the Consumer Protection Bureau in Argentina, 2000-2008. Cad. Saúde Pública [online]. 2014, vol.30, n.5, pp.972-982. ISSN 0102-311X.  https://doi.org/10.1590/0102-311X00136313.

This paper analyzes problems experienced by policy-holders of voluntary private health insurance plans in Argentina when insurance companies fail to comply with the Consumer Protection Code. The sample consisted of consumer complaints filed with the Consumer Protection Bureau and rulings by the Bureau from 2000 to 2008. One striking issue was recurrent non-compliance with services included in the Mandatory Medical Program and the companies’ attempts to blame policy-holders. According to the study, the lack of an information system hinders scientific studies to adequately address the problem. Thus, a comparison with studies on health insurance in other Latin American countries highlighted the importance of such research, the relationship to health systems, constraints on use and denial of citizens’ rights to healthcare, and the increasing judicialization of healthcare provision.

Palavras-chave : Health Maintenance Organizations; Legislation & Jurisprudence; Consumer Advocacy.

        · resumo em Português | Espanhol     · texto em Espanhol     · Espanhol ( pdf )