Analysis of coverage of medical health plans related to COVID-19 detection tests in Brazil

Authors

DOI:

https://doi.org/10.33448/rsd-v10i8.17041

Keywords:

Coronavirus infections; Supplementary health; Health services.

Abstract

With the declaration of the new Coronavirus pandemic (COVID-19) by the World Health Organization (WHO), onMarch 11, 2020, the escalation by research on possible strategies for its confrontation has reached a new level. The objective of this study was to evaluate the coverage of health insurance companies in relation to COVID-19 tests determined by the National Supplementary Health Agency (ANS) and to analyze the number of COVID-19 tests performed in Brazil. This is a documentary, ecological study, which was carried out from March 2020 to March 2021. The data released by the National Supplementary Health Agency was verified in relation to the tests included in the List of Procedures and Events in Health of ANS. In the state health departments, the number of tests performed daily in Brazil was analyzed. During this period 07 tests were implemented by ANS: SARS-CoV-2 (CORONAVIRUS COVID-19) - RT search - PCR (with usage guidelines), D-Dimer (dosage), Procalcitonin (dosage), Research tests rapid for Influenza A and B, and real-time PCR for Influenza A and B viruses in addition to the Quick Search tests for Respiratory Syncytial Virus and real-time PCR for Respiratory Syncytial Virus. The Southeast region carried out the largest number of tests in Brazil, with almost 50% of the total, followed by the Northeast region, which tested approximately 25% of the inhabitants. The types of tests determined by the ANS are in accordance with the recommendations of the Ministry of Health of Brazil, however, it is concluded that some health plan operators are not following the determination of the ANS in relation to the coverage of these tests, negatively influencing the number of tests carried out in the country.

Author Biographies

Clea Adas Saliba Garbin, Universidade Estadual Paulista

Professora Titular do Programa de Pós-graduação em Saúde Coletiva em Odontologia , Departamento de Odontologia Preventiva e Restauradora.

Tânia Adas Saliba, Universidade Estadual Paulista

Coordenadora do Departamento de Saúde coletiva em Odontologia da Faculdade de Odontologia de Araçatuba/Unesp :Prof.ª Associada Dra. Tânia Adas Saliba

Gabriel Zopolatto Turci Dias, Universidade Estadual Paulista

Graduando em Odontologia pela Faculdade de Odontologia de Araçatuba, Unesp

Artênio José Isper Garbin, Universidade Estadual Paulista

Prof. Associado da Faculdade de Odontologia de Araçatuba/Unesp

References

Agência Nacional de Saúde Suplementar (2021). Metodologia de cálculo. http://www.ans.gov.br/planos-de-saude-e-operadoras/espaco-doconsumidor/reajuste-variacao-de-mensalidade/reajuste-anual-de-planos-individuais-familiares/metodologia-de-calculo

Agência Nacional de Saúde Suplementar (2020a). ANS inclui exame para detecção de Coronavírus no rol de procedimentos obrigatórios. http://www.ans.gov.br/aans/noticias-ans/consumidor/5405-ans-inclui-exame-para-deteccao-de-coronavirus-no-rol-de-procedimentosobrigatorios

Agência Nacional de Saúde Suplementar (2020b). ANS inclui mais seis exames no rol para auxiliar no diagnóstico e tratamento do novo Coronavírus. http://www.ans.gov.br/aans/noticias-ans/coronavirus-covid-19/coronavirus-todas-as-noticias/5546-ans-inclui-mais-seis-exames-norol-de-coberturas-obrigatorias-para-auxiliar-na-deteccao-do-novo-coronavirus

ANS: planos de saúde devem disponibilizar exames para detectar coronavírus (2020). https://www.migalhas.com.br/quentes/321653/ans--planosde-saude-devem-disponibilizar-exames-para-detectar-coronavirus

Beeching, N. J., Fletcher, T. E., & Beadsworth, M. (2020). Covid-19: testing times. BMJ, 369, m1403.

Brasil. Ministério da Saúde (2020a) Laboratórios públicos ampliam em 869% capacidade de testagem para Covid-19 no Brasil. https://antigo.saude.gov.br/noticias/agencia-saude/47151-laboratorios-publicos-ampliam-em-869-capacidade-de-testagem-para-covid-19-nobrasil

Brasil. Ministério da Saúde (2020b). Centro de informações estratégicas em vigilância em saúde – CIEVS http://bvsms.saude.gov.br/bvs/publicacoes/centro_informacoes_estrategicas_vigilancia_saude.pdf

Brasil. Ministério da Saúde (2020c). Emergência de saúde pública de importância nacional pela doença pelo Coronavírus 2019: vigilância integrada de síndromes respiratórias agudas doença pelo Coronavírus 2019, influenza e outros vírus respiratórios.

Forato, F. (2020). COVID-19 no BR: quase metade dos testes foram feitos em 5 laboratórios privados. https://canaltech.com.br/saude/covid-19no-br-quase-metade-dos-testes-foram-feitos-em-5-laboratorios-privados-165637/

Fundação Oswaldo Cruz (2020). Organização Mundial da Saúde quer testes e isolamento de casos suspeitos para conter Covid-19. https://www.canalsaude.fiocruz.br/noticias/noticiaAberta/organizacao-mundial-da-saude-quer-testes-e-isolamento-de-casos-suspeitos-paraconter-covid-1916032020#:~:text=A%20Organiza%C3%A7%C3%A3o%20Mundial%20da%20Sa%C3%BAde,daqueles%20com%20suspeita%20de%20infe c%C3%A7%C3%A3o

Guaracho, R. F. (2020). Planos de saúde não podem recusar cobertura dos testes do coronavírus. https://www.jornaldocomercio.com/_conteudo/e speciais/ orn al_da_lei /2020/03/731909-planos-de-saude-nao-podem-recusar-cobertura-dostestes-do-coronavirus.html

Hasell, J., Ortiz-Ospina, E., Mathieu, E., Ritchie, H., Beltekian, D.M.B., & Roser, M. (2020). To understand the global pandemic, we need globas testing - the Our World in Data COVID-19 Testing dataset. University of Oxford.

Heymann, D. L., Shindo, N., & WHO Scientific and Technical Advisory Group for Infectious Hazards (2020). COVID-19: what is next for public health? Lancet, 395(10224), 542–545.

Huang, L., Zhang, X., Zhang, X., Wei, Z., Zhang, L., Xu, J., Liang, P., Xu, Y., Zhang, C., & Xu, A. (2020). Rapid asymptomatic transmission of COVID-19 during the incubation period demonstrating strong infectivity in a cluster of youngsters aged 16-23 years outside Wuhan and characteristics of young patients with COVID-19: a prospective contact-tracing study. The Journal of Infection, 80(6), e1–e13.

Kang, D., Choi, H., Kim, J. H., & Choi, J. (2020). Spatial epidemic dynamics of the COVID-19 outbreak in China. International Journal of Infectious Diseases, 94, 96–102.

Li, Q., Guan, X., Wu, P., Wang, X., Zhou, L., Tong, Y., Ren, R., Leung, K., Lau, E., Wong, J. Y., Xing, X., Xiang, N., Wu, Y., Li, C., Chen, Q., Li, D., Liu, T., Zhao, J., Liu, M., Tu, W., Chen, C., Jin, L., Yang, R., Wang, Q., Zhou, S., Wang, R., Liu, H., Luo, Y., Liu, Y., Shao, G., Li, H., Tao, Z., Yang, Y., Deng, Z., Liu, B., Ma, Z., Zhang, Y., Shi, G., Lam, T.T.Y., Wu, J.T., Gao, G.F., Cowling, B.J., Yang, B., Leung, G.M., & Feng, Z. (2020).

Early transmission dynamics in Wuhan, China, of novel coronavirus-infected pneumonia. The New England Journal of Medicine, 382(13), 1199– 1207.

Ng, Y., Li, Z., Chua, Y. X., Liang, W., Zhao, Z., Er, B., Pung, R., Chiew, C. J., Lye, D. C., Heng, D., & Lee, V J . (2020). Evaluation of the effectiveness of surveillance and containment measures for the first 100 patients with COVID-19 in Singapore — january 2–february 29, 2020. Morbidity and Mortality Weekly Report, 69(11), 307-311.

Pereira, A. S. et al. (2018). Metodologia da pesquisa científica. UFSM. https://repositorio.ufsm.br/bitstream/handle/1/15824/Lic_Computacao_Metodologia-Pesquisa-Cientifica.pdf?sequence=1.

Peto, J. (2020). Covid-19 mass testing facilities could end the epidemic rapidly. BMJ, 368, m1163.

Reusken, C., Broberg, E. K., Haagmans, B., Meijer, A., Corman, V. M., Papa, A., Charrel, R., Drosten, C., Koopmans, M., Leitmeyer, K., & On Behalf Of Evd-LabNet And Erli-Net (2020). Laboratory readiness and response for novel coronavirus (2019-nCoV) in expert laboratories in 30 EU/EEA countries, January 2020. Euro Surveillance, 25(6), 2000082.

Rong, X. M., Yang, L., Chu, H. D., & Fan, M. (2020). Effect of delay in diagnosis on transmission of COVID-19. Mathematical Biosciences and Engineering, 17(3), 2725–2740.

Stephanou, G. (2021). Painel COVID-19: estatísticas do coronavírus em tempo real. Disponível em http://www.giscard.com.br/coronavirus/indicetestes-realizados-covid19-brasil.php

Teixeira, M. G., Costa, M. C. N., Carmo, E. H., Oliveira, W. K., & Penna, G. O. (2018). Health surveillance at the SUS: Development, effects and perspectives. Ciência & Saúde Coletiva, 23(6), 1811-1818.

Universidade do Estado do Rio de Janeiro (2020). Estudo mostra eficiência do isolamento social contra o novo coronavírus. https://www.uerj.br/noticia/11078/

World Health Organization (2020). Rolling updates on coronavirus disease (COVID-19). https://www.who.int/emergencies/diseases/novelcoronavirus-2019/events-as-they-happen

Published

09/07/2021

How to Cite

GARBIN, C. A. S. .; OLIVEIRA, J. M. A. .; SALIBA, T. A. .; DIAS, G. Z. T. .; GARBIN, A. J. I. . Analysis of coverage of medical health plans related to COVID-19 detection tests in Brazil . Research, Society and Development, [S. l.], v. 10, n. 8, p. e55510817041, 2021. DOI: 10.33448/rsd-v10i8.17041. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/17041. Acesso em: 25 apr. 2024.

Issue

Section

Health Sciences