MODEL OF INTEGRAL HEALTH CARE

Abstract

Financial sustainability has been one of the most worrying aspects of health systems, regardless of the country's stage of development. Thus, the purpose of this study is to analyze the value generation (EVA) and the possible cost reductions provided by the adoption of the Primary Health Care (PHC) Model. This is an exploratory and quantitative research with the use of the EVA (Economic Value Added) model and the system dynamics approach. The study connects the System Dynamics framework with the (EVA) to achieve cost savings in (PHC). The main results indicate that the Medical Cooperative was able to generate economic value of R$ 15.8 million in 2018 and the migration of care procedures to the PHC model could reduce costs of about R$ 330 million over a 10-year period. Theoretically, this investigation contributes to the application of a concept to a complex context. Methodologically, the contribution is the applicability of EVA and the use of system dynamics to analyze scenarios. The implementation of the PHC Model represents an important initiative in addressing the enormous management challenges in the area