Um Estudo Exploratório Sobre o Microsseguro Dental no Brasil

Autores

  • Luís Eduardo Afonso Universidade de São Paulo
  • Fernanda Forgoso USP

Resumo

Objetivo: Este trabalho tem como objetivo realizar a precificação do microsseguro dental no Brasil, com base nos microdados da Pesquisa Nacional de Saúde Bucal (SBBrasil 2010).

Fundamento: O trabalho baseia-se na literatura teórica sobre seguros e na evidência empírica, que mostra que produtos de microsseguro (em particular o dental) podem prover proteção social e aumentar o bem-estar da população de renda mais baixa.

Método: Como a SBBrasil 2010 traz tipicamente dados de estoque sobre a saúde bucal (coletados por profissionais do SUS), e a metodologia padrão de precificação atuarial emprega variáveis de fluxo, foi necessário modificar esta metodologia, empregando combinações de frequências e proxies de severidade para os procedimentos mais relevantes.

Resultados: Os valores dos prêmios mensais variam de R$ 46,89 a R$116,51, de acordo com as diferentes combinações de procedimentos de limpeza, restauração e exodontia. Há evidente tradeoff entre os níveis de proteção oferecidos nas combinações de coberturas e a viabilidade do produto. Em que pesem os valores de prêmios não serem elevados, representam parcela relativamente alta da renda do público-alvo. Para a faixa de renda per capita familiar de R$501 a R$1.500, o produto mais barato representaria 20,4% de sua renda.

Contribuições: Realizar de forma pioneira a precificação de um produto de seguro específico para as famílias de baixa de renda, com base em metodologia atuarial. Os resultados colocam em dúvida a viabilidade deste produto, em particular para grupos mais pobres. Mudanças na regulação poderiam alterar este quadro, mas devem ser vistas com cautela.

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Referências

Ahuja, R., & Jütting, J. (2004). Are the poor too poor to demand health insurance? Journal of Microfinance, 6(1), 1–20. https://ojs.lib.byu.edu/spc/index.php/ESR/article/view/1442

Alegre, L. (2019). Infecções bucais podem causar outros problemas de saúde – Jornal da USP.

Aquilante, A. G., & Aciole, G. G. (2015). Building a “Smiling Brazil”? Implementation of the Brazilian National Oral Health Policy in a health region in the State of São Paulo. Cadernos de Saúde Pública, 31(1), 82–96. https://doi.org/10.1590/0102-311X00193313

Banerjee, A., Duflo, E., & Hornbeck, R. (2014). Bundling Health Insurance and Microfinance in India: There Cannot be Adverse Selection if There Is No Demand. American Economic Review, 104(5), 291–297. https://doi.org/10.1257/aer.104.5.291

Banthia, A., Johnson, S., McCord, M. J., & Mathews, B. (2012). Microinsurance that works for women. In M. J. McCord & M. Matul (Eds.), Protecting the poor: a microinsurance compendium. Volume II (1a, pp. 331–348). ILO and Munich Re Foundation.

Bernardes, F. C. (2011). PROGRAMA BRASIL SORRIDENTE: Análise da evolução do Programa para a saúde bucal do idoso em Itabirito e Nova Lima [Faculdades Pedro Leopoldo]. https://www.fpl.edu.br/2018/media/pdfs/mestrado/dissertacoes_2011/dissertacao_fernando_cesar_bernardes_2011.pdf

Biener, C., Eling, M., & Schmit, J. T. (2014). Regulation in Microinsurance Markets: Principles, Practice, and Directions for Future Development. World Development, 58, 21–40. https://doi.org/10.1016/j.worlddev.2013.12.012

Bock, O. de, & Ontiveros, D. U. (2013). Literature review on the impact of microinsurance (No. 35; Research Paper, Issue 35). http://www.microinsurancefacility.org/publications/rp35

Bonan, J., Dagnelie, O., LeMay-Boucher, P., & Tenikue, M. (2017). The Impact of insurance literacy and marketing treatments on the demand for health microinsurance in Senegal: A randomised evaluation. Journal of African Economies, 26(2), 169–191. https://doi.org/10.1093/jae/ejw023

Bortoli, F. R., Moreira, M. A., Moretti-Pires, R. O., Botazzo, C., & Kovaleski, D. F. (2017). Percepção da saúde bucal em mulheres com perdas dentárias extensas. Saude e Sociedade, 26(2), 533–544. https://doi.org/10.1590/s0104-12902017162160

Brau, J. C., Merrill, C., & Staking, K. B. (2011). insurance theory and challenges facing the development of microinsurance markets. Journal of Developmental Entrepreneurship, 16(04), 411–440. https://doi.org/10.1142/S1084946711001926

Bulgareli, J. V., Faria, E. T. de, CortellazziI, K. L., Guerra, L. M., Meneghim, M. D. C., Ambrosano, G. M. B., Frias, A. C., & Pereira, A. C. (2018). Fatores que influenciam o impacto da saúde bucal nas atividades diárias de adolescentes, adultos e idosos. Revista de Saúde Pública, 52, 44. https://doi.org/10.11606/s1518-8787.2018052000042

Cascaes, A. M., Menegaz, A. M., Spohr, A. R., Bomfim, R. A., & Barros, A. J. D. (2018). Desigualdades no comprometimento da renda domiciliar dos brasileiros com gastos privados em assistência odontológica. Cadernos de Saúde Pública, 34(7). https://doi.org/10.1590/0102-311x00104017

Chow, Q., Ng, J. M., Biese, K., & McCord, M. J. (2019). Technology In Microinsurance: How New Developments Affect the Work of Actuaries (Issue May). https://www.soa.org/globalassets/assets/files/resources/research-report/2019/2019-technology-microinsurance.pdf

Churchill, C. (2006). What is insurance for the poor. In C. Churchill (Ed.), Protecting the poor: a microinsurance compendium. In Geneva: ILO and Munich Re Foundation (Vol. 51, Issue 1). https://doi.org/10.1364/AO.51.000905

Churchill, Craig. (2006). What is insurance for the poor. In Craig Churchill (Ed.), Protecting the poor: a microinsurance compendium (1a, pp. 12–24). ILO and Munich Re Foundation. http://www.munichre-foundation.org/dms/MRS/Documents/ProtectingthepoorAmicroinsurancecompendiumFullBook.pdf

Cohen, M., & Sebstad, J. (2006). The demand for microinsurance. In Craig Churchill (Ed.), Protecting the poor: a microinsurance compendium (1a, pp. 25–44). ILO and Munich Re Foundation. http://www.munichre-foundation.org/dms/MRS/Documents/ProtectingthepoorAmicroinsurancecompendiumFullBook.pdf

Cole, S. (2015). Overcoming Barriers to Microinsurance Adoption: Evidence from the Field. The Geneva Papers on Risk and Insurance Issues and Practice, 40(4), 720–740. https://doi.org/10.1057/gpp.2015.12

Dror, David M. (2019). Microinsurance: A short history. International Social Security Review, 72(4), 107–126. https://doi.org/10.1111/issr.12223

Dror, David M., & Jacquier, C. (1999). Micro-insurance: Extending Health Insurance to the Excluded. International Social Security Review, 52(1), 71–97. https://doi.org/10.1111/1468-246X.00034

Dror, David M., Majumdar, A., & Jangle, N. (2019). Estimating capital requirements to scale health microinsurance serving rural poor populations. The Geneva Papers on Risk and Insurance - Issues and Practice, 44(3), 410–444. https://doi.org/10.1057/s41288-019-00126-w

Dror, David M., & Piesse, D. (2014). What is Microinsurance? SSRN Electronic Journal, January. https://doi.org/10.2139/ssrn.2434501

Dror, David Mark, & Eling, M. (2021). Innovations in microinsurance research. The Geneva Papers on Risk and Insurance - Issues and Practice, 46(3), 325–330. https://doi.org/10.1057/s41288-021-00235-5

Einav, L., & Finkelstein, A. (2011). Selection in Insurance Markets: Theory and Empirics in Pictures. Journal of Economic Perspectives, 25(1), 115–138. https://doi.org/10.1257/jep.25.1.115

Elango, B., Chen, S., & Jones, J. (2019). Sticking to the social mission: Microinsurance in bottom of the pyramid markets. Journal of General Management, 44(4), 209–219. https://doi.org/10.1177/0306307018822592

Faber, V., & Matul, M. (2014). Guest editorial: Microinsurance-linking value and viability. Enterprise Development and Microfinance, 25(1), 3–6. https://doi.org/10.3362/1755-1986.2014.001

Hakeem, N.-E.-F., Eshwar, S., Srivastava, B. K., & Jain, V. (2019). Micro-health insurance in dentistry: the road less travelled. International Journal Of Community Medicine And Public Health, 6(3), 1364. https://doi.org/10.18203/2394-6040.ijcmph20190629

Hussain, S., & Ahmed, H. (2019). The role of bundling in promoting sustainability of health insurance: evidence from Pakistan. The Geneva Papers on Risk and Insurance - Issues and Practice, 44(3), 503–526. https://doi.org/10.1057/s41288-019-00129-7

International Association of Insurance Supervisors. (2007). Issues in Regulation and Supervision of Microinsurance. IAISCGAP Joint Working Group, June, 1–42.

Kulkarni, S., Aggarwal, A., Sheikh, S., Singh, R., & Rathod, U. (2017). Dental Micro-Insurance in Rural India - A Vision for the Future. International Journal of Health Sciences and Research, 7(7), 306–310. http://www.ijhsr.org/IJHSR_Vol.7_Issue.7_July2017/42.pdf

Loewe, M., & Zaccar, C. (2015). Microinsurance in Western Asia. SSRN Electronic Journal, January 2014. https://doi.org/10.2139/ssrn.2610108

Martins, S. N., & Afonso, L. E. (2016). Health microinsurance in Brazil: is it feasible? Enterprise Development and Microfinance, 27(2), 155–172. https://doi.org/10.3362/1755-1986.2016.008

McCord, M. J., & Biese, K. (2015). The landscape of microinsurance in Latin America and the Caribbean: a changing market (1st ed.). Microinsurance Network and Munich Re Foundation. http://www.munichre-foundation.org/dms/MRS/Documents/Microinsurance/2014LS_LAC/2014LandscapeofMI_LAC_BriefingNoteENG.pdf

McCord, M. J., Steinmann, R., Tatin-Jaleran, C., Ingram, M., & Mateo, M. (2013). The landscape of microinsurance in Africa 2012. http://www.munichre-foundation.org/dms/MRS/Documents/Microinsurance/2014LS_LAC/2014LandscapeofMI_LAC_BriefingNoteENG.pdf

Merry, A. (2019). Landscape of Microinsurance in Africa 2018: focus on selected countries. Microinsurance Network. https://microinsurancenetwork.org/sites/default/files/Landscape of Microinsurance in Africa 2018_LR.pdf

Merry, A. (2020). The Landscape of Microinsurance 2020. Microinsurance Network. https://microinsurancenetwork.org/sites/default/files/MiN-Landscape-2020-ENGLISH_vf.pdf

Microinsurance Network, & Munich Re Foundation. (2016). The Landscape of Microinsurance in Sri Lanka 2016. https://microinsurancenetwork.org/sites/default/files/Landscape of microinsurance in Sri Lanka 2016.pdf

Microinsurance Network, & Munich Re Foundation. (2018). The Landscape of Microinsurance in Latin America and the Caribbean 2017. http://www.munichre-foundation.org/dms/MRS/Documents/Microinsurance/2017Landscape_LAC/MI-Landscape-Study-2017-Final-Report_EN_4_DR/2017LAC_Final_EN.pdf

Mohan, R. & Noor, W. (2015). Can technology push microinsurance further? Four reasons to say yes (pp. 1–10). https://www.cgap.org/blog/can-technology-push-microinsurance-further-4-reasons-say-yes

Mukherjee, P., Oza, A., Chassin, L., & Ruchismit, R. (2014). The Landscape of Microinsurance in Asia and Oceania 2013. http://www.munichre-foundation.org/de/dms/MRS/Documents/Microinsurance/2013MILandscape/2013_AsiaOceaniaLandscape_BriefingNote_E_Web.pdf

Nico, L. S., Andrade, S. S. C. de A., Malta, D. C., Pucca Júnior, G. A., & Peres, M. A. (2016). Saúde Bucal autorreferida da população adulta brasileira: resultados da Pesquisa Nacional de Saúde 2013. Ciência & Saúde Coletiva, 21(2), 389–398. https://doi.org/10.1590/1413-81232015212.25942015

Platteau, J.-P., De Bock, O., & Gelade, W. (2017). The Demand for Microinsurance: A Literature Review. World Development, 94, 139–156. https://doi.org/10.1016/j.worlddev.2017.01.010

Pott, J., & Holtz, J. (2014). The potential of value-added services in health microinsurance. Enterprise Development and Microfinance, 25(1), 11–24. https://doi.org/10.3362/1755-1986.2014.003

Prashad, P., Leach, J., Saunders, D., & Dalal, A. (2014). Mobile phones and microinsurance. Enterprise Development and Microfinance, 25(1), 72–86. https://doi.org/10.3362/1755-1986.2014.007

Siegel, P. B. (2001). Viewing Microinsurance as a Social Risk Management Instrument. In Social Protection Discussion Paper Series (No. 0116; Social Protection Discussion Paper, Issue 0116). http://documents.worldbank.org/curated/en/755011468765885737/Viewing-microinsurance-as-a-social-risk-management-instrument

Silva, J. V. da, Machado, F. C. de A., & Ferreira, M. A. F. (2015). As desigualdades sociais e a saúde bucal nas capitais brasileiras. Ciência & Saúde Coletiva, 20(8), 2539–2548. https://doi.org/10.1590/1413-81232015208.12052014

Silva, K. R., & Afonso, L. E. (2013). A Study on life microinsurance in Brazil. Brazilian Business Review, 10(3), 130–155. https://doi.org/10.15728/bbr.2013.10.3.6

Smit, H., Denoon-Stevens, C., & Esser, A. (2017). InsurTech for development: A review of insurance technologies and applications in Africa, Asia and Latin America. In Research Study. https://microinsurancenetwork.org/sites/default/files/Cenfri InsurTech for Development Research Study.pdf

Vaughan, E. J., & Vaughan, T. M. (2014). Fundamentals of Risk and Insurance (11th ed.). John Wiley & Sons, Inc.

Watt, R. G., Daly, B., Allison, P., Macpherson, L. M. D., Venturelli, R., Listl, S., Weyant, R. J., Mathur, M. R., Guarnizo-Herreño, C. C., Celeste, R. K., Peres, M. A., Kearns, C., & Benzian, H. (2019). Ending the neglect of global oral health: time for radical action. The Lancet, 394(10194), 261–272. https://doi.org/10.1016/S0140-6736(19)31133-X

Weilant, M. E. (2015). Is Health Microinsurance Sustainable? an Analysis of Five South Asian Schemes (Issue 41). ILO. http://www.impactinsurance.org/sites/default/files/mp41_final.pdf

Yao, Y., Schmit, J., & Shi, J. (2019). Promoting sustainability for micro health insurance: a risk-adjusted subsidy approach for maternal healthcare service. The Geneva Papers on Risk and Insurance - Issues and Practice, 44(3), 382–409. https://doi.org/10.1057/s41288-018-00115-5

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Publicado

2023-08-16

Como Citar

Afonso, L. E., & Forgoso, F. (2023). Um Estudo Exploratório Sobre o Microsseguro Dental no Brasil. Revista Evidenciação Contábil &Amp; Finanças, 11(1), 66–84. Recuperado de https://periodicos.ufpb.br/index.php/recfin/article/view/60754

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Seção Nacional