Coleção de Artigos Acadêmicos
URI permanente para esta coleçãohttps://repositorio.insper.edu.br/handle/11224/3227
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9 resultados
Resultados da Pesquisa
Artigo Científico Private ownership of water and wastewater systems: Assessing health impacts(2025) Chaves, Rodrigo França; ADRIANO BORGES FERREIRA DA COSTAThis study examines the impact of private ownership of water and wastewater systems on disease reduction linked to sanitation in Brazil from 1998 to 2021. It updates Saiani and de Azevedo (2018), which analyzed the period 1995–2008, by incorporating over a decade of additional data, key policy changes such as the 2020 Sanitation Law, and employing the Callaway–Sant’Anna Staggered DID methodology to address heterogeneity in treatment effects. Our findings reveal mixed results: while some municipalities achieved reductions in morbidity rates, others showed no change or increases, underscoring the context-dependent nature of privatization outcomes. A notable example is the case of Tocantins, where transitioning from a hybrid private-state model to full private ownership led to a significant decrease in disease morbidity, particularly among the most affected age groups. These advancements provide a robust, updated perspective on the privatization debate, offering valuable implications for policy and practice.Artigo Científico A systematic literature review of citizen science in urban studies and regional urban planning: policy, practical, and research implications(2025) Beck, Donizete; Mitkiewicz, JulianaCitizen Science (CS) has been useful in research development and policymaking, where laypeople contribute to collecting and/or analyzing data. With the technological advancement of smart cities and data analysis techniques, CS helps foster efficient/sustainable cities and data-driven decision-making. However, more effort is needed to make CS more accessible for urban scholars and practitioners. Thus, we provided a comprehensive overview of CS in Urban Studies and Regional Urban Planning (USRUP) by revealing the main thematic/method approaches, stakeholder roles, socioeconomic/environ mental/policy impacts, limitations, best practices, and cases. Thus, we performed a Systematic Literature Review on CS in USRUP using the PRISMA Guidelines of 94 studies collected from the Web of Science Core Collection, published by 2023. Our key findings underscore the practical uses of diverse methodologies and approaches employed in CS projects, emphasizing their potential to enhance urban research and policymaking. The core socioeconomic impacts of CS projects are fostering community empowerment, engagement, and educational opportunities. The main environmental impacts are enhancing monitoring capabilities, improving ecosystem service assessments, and supporting adaptive management practices. As for urban planning and policies, CS projects can foster data-driven planning, urban sustainability, urban resilience, healthier cities, and social equity. CS challenges include data quality and consistency, the digital divide, and the need for sustained funding. Best practices have included clear communication, standardized protocols, and strong community engagement. Further developments should involve citizens in more analytical roles (rather than merely instrumental ones, like data collection) in CS projects and explore CS in social urbanism for transforming vulnerable communities.Artigo Científico Stakeholder Theory(2024) Beck, DonizeteStakeholder networks are an organizational and social phenomenon. Organizations are not alone, and managing stakeholders matters in strategic management. This encyclopedia entry aims: (1) to synthesize the theoretical thought behind the foundational publications; and (2) to introduce the main constructs, definitions, and approaches of Stakeholder Theory. In doing so, it explores the definition of stakeholder theory including; the normative, descriptive, and instrumental pillars; the convergent and divergent stakeholder theory debate; the difference between stakeholder issues and social issues; stakeholder salience (power, urgency, legitimacy, and proximity); mutual trust as instrumental value of ethical behavior; stakeholder influence strategies (withholding, usage, direct, and indirect); stakeholder value creation; and stakeholder capitalism.Artigo Científico Economic Freedom and the Determinants of the Bank Spread in South America(2022) Maciel, Vladimir Fernandes; Gamboa, Ulisses Ruiz de; Alves, Rafael Estevão GarciaThis paper performs panel data analysis to test the existence of an inverse relationship between bank spreads and the degree of economic freedom in South American countries between 2000 and 2020. In the late 1990s, South America began a process of financial sector reforms, which included in almost all countries the liberalization of interest rates (instead of capping) and the elimination of direct credit allocation mechanisms. By hypothesis, it is expected that the greater the economic freedom, the lower the degree of financial regulation. This would reduce the transaction costs of financial institutions and contribute to reducing the banking spread (assuming constant credit risk). The traditional methodology is applied here, complemented by unit root and cointegration tests, in addition to impulse-response function analysis, in the context of panel autoregressive vectors (VAR). The results show that economic freedom and monetary credibility (component area of the EFW, Economic Freedom of the World index) negatively affect the value of the spread, with long-run effects as well.Artigo Científico Apply the Laws, if They are Good: Moral Evaluations Linearly Predict Whether Judges Should Enforce the Law(2024) Engelmann, Neele; GUILHERME DA FRANCA COUTO FERNANDES DE ALMEIDA; Sousa, Felipe Oliveira de; Prochownik, Karolina; Hannikainen, Ivar R.; Struchiner, Noel; Magen, StefanWhat should judges do when faced with immoral laws? Should they apply them without exception, since “the law is the law?” Or can exceptions be made for grossly immoral laws, such as historically, Nazi law? Surveying laypeople (N = 167) and people with some legal training (N = 141) on these matters, we find a surprisingly strong, monotonic relationship between people’s subjective moral evaluation of laws and their judgments that these laws should be applied in concrete cases. This tendency is most pronounced among individuals who endorse natural law (i.e., the legal-philosophical view that immoral laws are not valid laws at all), and is attenuated when disagreement about the moral status of a law is considered reasonable. The relationship is equally strong for laypeople and for those with legal training. We situate our findings within the broader context of morality’s influence on legal reasoning that experimental jurisprudence has uncovered in recent years, and consider normative implications.Artigo Científico The role of primary healthcare amid the COVID-19 pandemic: Evidence from the Family Health Strategy in Brazil(2024) Teixeira, Adriano Dutra; Postali, Fernando Antonio Slaibe; Ferreira-Batista, Natalia Nunes; Diaz, Maria Dolores Montoya; Moreno-Serra, RodrigoThis paper investigates the role of primary healthcare in mitigating the consequences of the COVID-19 pandemic, focusing on the Brazilian Family Health Strategy (ESF) as a case study. ESF is Brazil’s major primary care initiative, with prior evidence indicating its effectiveness in improving various health outcomes. The COVID-19 pandemic submitted the Brazilian healthcare system to a rigorous and unprecedented stress test, whose repercussions are still under study. Using comprehensive administrative microdata from 2016 to 2022 encompassing dimensions related to mortality, healthcare service, supply of family health teams, and vaccination coverage, our empirical strategy accounts for heterogeneous effects based on program intensity and pandemic evolution of the 5570 Brazilian municipalities. Our findings reveal that municipalities with high-intensity of ESF coverage (i.e. stronger primary care) experienced 347.93 (95% CI: 289.04, 406.81) fewer COVID-19 and cardiorespiratory deaths per million inhabitants throughout the pandemic period, compared to those in low-intensity ESF areas, despite sharing similar profiles of deaths from respiratory and cardiovascular causes. Among the channels contributing to this relative performance, high-intensity ESF municipalities were found to engage in more home-based primary care visits and health promotion activities while maintaining a similar supply of community health workers. Additionally, they achieved higher vaccination coverage, and these effects were more pronounced in areas with greater ESF presence, emphasising the importance of primary care coverage. In conclusion, our findings underscore the relevance of strong primary care in mitigating the consequences of the pandemic and addressing post-pandemic health challenges.Artigo Científico Is primary health care worth it in the long run? Evidence from Brazil(2023) Ferreira-Batista, Natalia Nunes; Teixeira, Adriano Dutra; Diaz, Maria Dolores Montoya; Postali, Fernando Antonio Slaibe; Moreno-Serra, Rodrigo; Love-Koh, JamesThis paper assesses whether Brazilian primary health care is worth it in the long-run by estimating the accumulated costs and benefits of its flagship, the Family Health Strategy program (ESF). We employ an alternative strategy centered on years of exposure to the program to incorporate its dynamics. We also account for the program's heterogeneity with respect to the remuneration of ESF health teams and the intensity of coverage across Brazilian municipalities, measure by the number of people assisted by each ESF team, on average. To address heterogeneity in professional earnings, this paper employs, for the first time, a dataset containing the remuneration of professionals allocated to all ESF teams nationwide. The benefits are measured by the avoided deaths and hospitalizations due to causes sensitive to primary care. Results suggest that the net monetary benefit of the program is positive on average, with an optimum time of exposure of approximately 16 years. Significant heterogeneities in cost-benefit results were found since costs outweigh benefits in localities where the coverage is low intensive. On the other hand, the benefits outweigh the costs by 22.5% on average in municipalities with high intensive coverage.Artigo Científico The Brazilian Family Health Strategy and adult health: Evidence from individual and local data for metropolitan areas(2022) Natalia N. Ferreira-Batista; Fernando Antonio Slaibe Postali; Maria Dolores Montoya DiazPrevious studies have found that the expansion of primary health care in Brazil following the country-wide family health strategy (ESF), one of the largest primary care programs in the world, has improved health out comes. However, these studies have relied either on aggregate data or on limited individual data, with no fine grained information available concerning household participation in the ESF or local supply of ESF services, which represent crucial aspects for analytical and policy purposes. This study analyzes the relationship between the ESF and health outcomes for the adult population in metropolitan areas in Brazil. We investigate this rela tionship through two linked dimensions of the ESF: the program’s local supply of health teams and ESF household registration. In contrast with previous studies focusing on comparisons between certain definitions of "treated" versus "nontreated" populations, our results indicate that the local density of health teams is important to the observed effects of the ESF on adult health. We also find evidence consistent with the presence of positive primary health care spillovers to people not registered with the ESF. However, current ESF coverage levels in metropolitan areas have limited ability to address prevailing health inequalities. Our analysis suggests that the local intensity of ESF coverage should be a key consideration for evaluations and policy efforts related to future ESF expansion.Artigo Científico Assessment of the association between the Brazilian family health strategy and adult mortality(2022) Diaz, Maria Dolores Montoya; Teixeira, Adriano Dutra; Postali, Fernando Antonio Slaibe; Ferreira-Batista, Natalia Nunes; Moreno-Serra, RodrigoThis study aimed to analyse a wide range of related health problems that respond favourably to efficient primary care treatment among adults. We evaluate the direct impact of the Family Health Strategy (ESF) in Brazil on mortality of adults aged 25–64 years related to conditions for which access to effective primary care can reduce the likelihood of more severe outcomes. Additionally, we discuss heterogeneous effects associated with different intensities of the programme. To address these issues, we estimated a model with variation at the municipal level of the ESF expansion, including municipal-fixed effects, municipal specific trends and year-fixed effects. Our results show that a higher intensity of ESF is associated with reduced mortality by all conditions sensitive to primary care and for some diseases, especially after some years: avoidable conditions, asthma, heart failure, cerebrovascular diseases and gastrointestinal ulcer, infectious gastroenteritis and complications, diseases of the lower airways, hypertension and diabetes. As a public policy view, these results help understand how a nationwide primary care strategy can help mitigate mortality and emphasize the role of having sufficient health teams to attend to the population.