Impacto do Programa Academia da Saúde nos municípios de São Paulo: promoção da saúde e combate às doenças crônicas não transmissiveis

Abstract

This articles analyses the impact of the Health Academy Program in the imple mentation of federal clinical guidelines in primary care and in hospital admissions attributed to noncommunicable chronic diseases in S˜ao Paulo state. Diabetes is used as case study to assess the variation in the number of ambulatory assistance and its influence in admissions for diabetes and commonly associated conditions (ischemic heart disease, cerebrovascular conditions and hypertension). Yearly date at the municipal level was used to implement a differences in differences estimation. The programs positively affects the number of physical activity lessons provided in the community, and suggests possible contributions to the coordination of care. No significant results for hospital admissions was found, Results are inconclusive, and point toward the need for future research in the topic.