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Revista Brasileira de Epidemiologia

Print version ISSN 1415-790XOn-line version ISSN 1980-5497


SANTANA, Vilma Sousa. Epidemiological foundations of the Accident Insurance Factor. Rev. bras. epidemiol. [online]. 2005, vol.8, n.4, pp.440-453. ISSN 1415-790X.

BACKGROUND: The Brazilian National Social Insurance Counsel of the Ministry of Social Insurance approved the Resolution N. 1.236 of 28/4/2004 that defines a new methodology to assess the value of taxes to be paid by firms, for occupational health related insurance costs. This methodology utilizes the Accident Insurance Factor, (Fator Acidentário Previdenciário) FAP, based on relative risks estimated for each industry trade. As part of its validation strategy, the Social Insurance Ministry decided to evaluate the epidemiological consistency of FAP. OBJECTIVE: The FAP purposes, data sources, the nature of the overall methodology, its advantages and limitations are all discussed, as well as its applicability and potential future impact on the Social Insurance Ministry budget and on the workers' health and safety. METHODS: A documental analysis was conducted with the Resolution text and its attached essay. RESULTS: The FAP represents an advance because of its transparent scientific criteria that may allows reduction of taxes, when improvement in work conditions and the resulting decrease in diseases or injuries are observed. It also overcomes problems of definition and assessment of occupational causal relationships because overall diseases and injuries will be considered regardless of their causal relation to occupational exposures. Since taxes can be reduced as work and health conditions improve, it may contribute to a more effective participation of employers in prevention. CONCLUSIONS: It is necessary to systematically and continuously monitor the application of FAP, with extensive society participation, reviewing and adjusting it to the distinct economic, social and health scenarios in the country, considering its impact on the Social Insurance budget.

Keywords : Accident Insurance Factor; Occupational taxes; Occupational injuries; Occupational disease; Occupational insurance; Social insurance.

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